Wednesday, August 6th - A New Face at Rounds

Kinley's nurse today is Rachel. She lets us know that Kinley had a pretty good night last night, only one small vomit (10 ccs) right before her 11:00 pm feeding.

There is a new face at round today, the Discharge Planner. She sets up an appointment to meet with Kathy and I on Friday at 2:00 pm. During this meeting she will go over placing an NG tube, feeding through the NG tube and follow-up appointments for after we are home. We do not have a discharge date yet, but Kinley could go home the way she is right now. The only change made to Kinley's care during today's rounds were that we can bottle feed up to 45 ccs if Kinley wants to eat it.

Apparently Kinley is a little jokester. She had a poopy diaper this morning and while it was being changed she decided to poop some more and get it all over her bed. Needless to say, all of her bedding had to be changed. Sorry, no picture.

At Kinley's 11:00 am feeding she takes 40 ccs from her bottle. Kathy and Nancy (from occupational therapy) had to try and keep Kinley awake to take the last 20 ccs.

Dr. P stopped by Kinley's bedside this afternoon to talk more about the possibility of being discharged. She said that it is kind of up to us on when Kinley can go home. Technically, she can go home the way she is, but Kathy and I will need to decide if we want to take her home soon, with an NG tube, or wait and see if she can start taking full (90 cc) feeds and then go home without an NG tube.

Kinley woke up crying right before 2:00 pm. I am hoping that the reason for her crying is because she is hungry. That would mean she is starting to get on her feeding schedule and hopefully it means she will eat all of her bottle. Before her bottle though Rachel needs to check Kinley's residual, but she is not able to pull anything back, not even air. This means that her NG tube may not be in the correct place so she has to take it out and then put it back in to make sure it is in her stomach. After her NG tube is back in place, I sit down to feed Kinley. She was hungry. She ate 44 out of the 45 ccs, but she did take the last 20 ccs with her eyes closed. These bigger bottle feedings are really wearing Kinley out.