Laura Moore, Registered Nurse, Neonatal Intensive Care Unit, Starship Children’s Health, Auckland, New Zealand

COVID19 has meant a complete shift in how I work. As a neonatal nurse usually at the bedside (or incubator side!) I’ve found myself wandering through adult and paediatric wards, answering calls from nurses, doctors, cleaners, security and administration staff. From tiny babies one week, to helping security men double my size safely don and doff their PPE the next, it has truly been a lesson in flexibility.
Our neonatal unit created a “COVID Team”, swiftly followed by a To-Do list that seemed to grow each day. One of our first priorities was screening parents. We took a multi-layered approach, screening at least 3 times from outside the unit to the bedside. In addition we created a station at the entrance which gave parents the opportunity to clean their phones and wash their hands, and set up a register for parents to facilitate potential future contact tracing.
We designed guidelines for admissions and deliveries with associated care plans, and edited them, and edited them, and edited them again with each new piece of Ministry of Health guidance. We cleared out rooms for isolation, printed educational posters and laminated everything. We put out weekly FAQs, to provide constant and consistent feedback to staff and to ensure concerns were responded to promptly.
In conjunction with the New Zealand government’s alert levels, the neonatal unit altered to reflect the same. Visitation was reduced to exclusively parents with only one parent at the bedside per visit. We reduced the number of people who could be in shared spaces such as the mother’s room, work room and staff tearoom at any given time to facilitate social distancing. We increased our use of teleconferencing apps which facilitated reducing the number of staff on ward rounds, meetings and education sessions. We took every opportunity we could think of to try to reduce contact and therefore reduce risk.
This was a collective “we”; however I found myself inadvertently becoming a person staff felt comfortable raising their concerns and anxieties to as COVID evolved, both in formal and informal conversations. My nursing colleagues began to contact me increasingly over social media, sharing concerns and questions that they perhaps did not want to raise directly at work. I was moved that people felt comfortable to give their honest feedback and ask me their questions, even if I didn’t have all the answers myself!
The world suddenly feels uncertain; healthcare workers are only human and have a life and worries both inside and outside the hospital walls. Managing staff anxieties, ensuring their concerns were heard, and hopefully helping them feel protected and valued has been, in my opinion, the greatest achievement of our “COVID Team”.
Working as part of the team of the greater hospital has underscored how this is new territory for us all and we need to venture into it together with kindness, compassion and a degree of flexibility. I feel hopeful that by retaining our humanity through a collective effort and empathy with one another and our colleagues across the globe we can protect our tiny precious patients, their families and each other.

I’m Lora Alexander, one of the Quality Improvement coaches in a busy Level 3 NICU. QI is all about understanding problems, thinking of solutions, implementing ideas and analysing the results.
My name is Adedoyin Yissau, also known as Dee. I am the Education and Workforce Lead for the London Operational Delivery Network. I came into post as a Network Educator in 2019 and have since developed nursing education region wide, with the current focus on developing a nursing career pathway for London.
Neonatal Network Nurse Educator
My name is Dr. Julia Petty, and I am a nurse lecturer specialising in children’s nursing with a particular interest in neonatal care. My nursing career in paediatric and neonatal clinical nursing practice began after a BSc Hons degree in Psychology at Warwick University, when I moved to Great Ormond Street Hospital, London. Here, I trained in children’s and adult nursing before working there for many years in children’s and neonatal surgical care. I then gained my neonatal nursing qualification at St George’s NHS Trust London and worked at the Whittington NHS Trust NICU before moving back to Great Ormond Street for a senior education role on NICU where I worked until 2001. I then worked as Senior Lecturer at City University, London for 12 years leading the neonatal nursing education portfolio. I studied for a MSc, a PGCE and MA in academic practice during this time, In 2013, I moved to the University of Hertfordshire where my role is Associate Professor (learning and teaching) and Senior lecturer child nursing. I teach on the BSc Hons nursing and master’s degree programmes including leadership of modules, face-to-face/online teaching, assessing and supervision of students at all levels up to doctorate level. I am also research active and have completed a Doctorate in Education. As a nurse, educator and post-doctorate researcher, my interests focus on parents’ premature birth experiences, supporting parents in the transition home from NICU, exploring communication needs of neonates and their carers and studying the educational value of digital storytelling. This combination and variety of roles enriches my working life and brings together my experience as a child / neonatal nurse, educator and researcher. My role and related activities enable me to engage in both education and research while supporting students on their nursing career and education pathway, which is a privilege to be part of.
Hello my name is Claire Richards and I’m the Lead Nurse for the Wales Maternity and Neonatal Strategic Network. This covers nursing leadership but also Neonatal transport. I also have a clinical honorary contract in one Health Board.
Hello, my name is Kim Edwards, and I am a Neonatal Nurse. I am currently the Lead Nurse and Workforce, Education Lead for the Thames Valley and Wessex Neonatal Operational Delivery Network (ODN)
Hello, my name is Jean and I am a registered children’s nurse with 27 years experience. I qualified with a DipHE after struggling academically due to dyslexia. Over my career I have worked mainly in PICU, NICU and children’s cardiac critical care. I am dual qualified in speciality (QIS) for both Neonatal and Paediatrics. The QIS program is a post graduate modular course completed at level 6/7. To be considered QIS you must successfully complete 4 separate modules, each have an academic and practical component. Only on completion of the QIS course can you apply for a band 6 role. In addition to the above qualifications it is expected you would have several years proven experience in speciality at Band 6 and 7 prior to applying for a Matron’s role.
My name is Lisa Baker, I’m a Ward Manager on a Level 2 Special Care Baby Unit in South Wales and I’ve been in this role since 2020.
Hello, my name is Wesell, and I am currently a trainee Advanced Neonatal Nurse Practitioner (ANNP) at Great Western Hospital, which is a Local Neonatal Unit (LNU). Prior to this, I gained substantial experience in a tertiary neonatal unit where I completed my QIS course at master’s level. This course, alongside my role as a senior nurse, provided me with the expertise required to develop my career further in neonatal care.
My name is Hannah Wells, and I am a Neonatal Surgical Clinical Nurse Specialist (CNS).
Hi, I am Amanda and work as the Neonatal Infant Feeding Coordinator for a NICU and a SCBU within one service. While the role is not standardised, many neonatal units now have dedicated posts.
Hello, my name is Daniela Machado, and I am proud to be a Developmental Care Specialist/Lead Nurse and a sister/charge nurse, working across two different trusts. I am originally from Porto, Portugal, and have spent 14 years building my nursing career in the UK. My role involves applying and advancing neuroprotective/developmental care practices for our preterm and neonatal patients/families.
Hello! I am Renjita Raju , a Neonatal Junior Sister working in London. After completing my BSc nursing degree in India, I moved to UK, and completed NMC OSCE to get registered and QIS course to become specialised in neonatal care. I recently qualified as an NLS instructor with the support from NNA scholarship programme. My role involves caring for premature and critically ill newborns, ensuring their safety and health with a highly collaborative multidisciplinary team. I also teach in NLS courses as an instructor following my passion in neonatal resuscitation. I love witnessing infants grow stronger each day and supporting their families through this journey. I’m grateful for the opportunity to provide meaningful compassionate care to the tiniest, most vulnerable patients.