Libby Gatuz was the primary RN for twins who were premature. After the twins were discharged, Libby followed up with the mother to ask how they were doing. The first night went well, but the 2nd night one of the twins wasn't eating well. Libby talked with the mother encouraging her and supporting her by asking questions to determine if there was anything else the parents could do to encourage their baby to eat.

After the first pediatrician appointment, the mother contacted Libby and told her that the baby was losing weight and could not maintain her temp. The mother was worried and upset. Since Libby was very familiar with how the baby ate in the hospital, she was able to determine what would help the baby eat better. First, Libby asked the parents to increase the temperature in their home. She also asked the parents to tell her what type of bottles they were using at home. The parents were using a different nipple than what the babies had been using in the hospital. Libby determined that the nipple had a smaller hole and therefore the baby was getting too tired to finish the feeding. Libby instructed the parents to use the same nipples that they had been using at the hospital. Libby reviewed the best way to position, etcetera, to feed the baby with the parents.

Libby checked in with the mother a few days later and the baby's temperature was within normal limits she was eating well and gaining weight. The mother said they had the best night yet! Without Libby's dedication to the patients, it may have taken more time for the parents and pediatrician to determine what the reasons were for the poor feeding, weight loss, and temperature instability.