Rachel Grech, Senior staff Nurse & Infection Control Link Nurse, Mater Dei Hospital, Malta

As a Senior Staff Nurse and Infection Control Link Nurse working in the NPICU, the Covid-19 Pandemic brought about various challenges. My first thoughts were how this virus was going to affect our vulnerable patients and how we could best protect them, therefore I set about reading up on as much available literature as I could find and communicated online with nurses from other countries with regards to neonates and Paediatrics. The general consensus was that neonates were rarely affected by covid-19 so this served to allay some fears, however I was still extremely anxious. Our staff canteen and lecture rooms were transformed into wards and all available spaces and corridors now housed hospital beds and mattresses, creating an unnerving atmosphere. Infection control took on unprecedented importance and I found myself to be the reference point for the nurses & midwives in all things Covid, using all available communication means to address queries.
My colleagues with previous ITU experience were prepared for the eventuality of having to float to adult ITU. I held mixed emotions, as on one hand I was quite fearful of being in such a situation but on the other hand I felt quite guilty for not being able to help out fellow nurses in other critical units. Another nagging fear was of bringing something home after my shifts other than my uniform. Several of my colleagues found alternative accommodation and we all had a plan B in mind just in case we needed to be quarantined. Initially we had several nurses in quarantine due to recent travel and others who remained quarantined throughout due to being classed as ‘high risk’, so we all had to adapt and work extra shifts accordingly. I was concerned that in the eventuality of an outbreak there might not be enough staff to care for our patients, since our unit is the only one on the island and our relieving pool is extremely sparse.
Initially I was present for meetings with the infection Control and Neonatal teams to discuss various admission strategies, which involved creating pathways from the delivery suite, theatres, A & E and other Paediatric wards. I also helped with the creation/updating of various protocols with regards to parental presence on the unit, the handling of expressed breast milk, and the disinfection & disposal of contaminated items. It was extremely confusing as pathways kept changing making it next to impossible to keep track of the correct ones.
I was part of a coalition group to carry out certain modifications within the unit. Isolation rooms were stripped down to a bare minimum, item cupboards removed, panelled doors exchanged for glass doors to ensure visibility, appropriate signage was affixed, a communication system was installed and mirrors were fitted to aid with the correct donning of PPE. Centrally located cupboards were installed for all the necessary PPE and various quick access trolleys for difficult airway management were set up. We also assembled packs of collated items to take down to the various ‘Covid theatres’ for caesarian deliveries and a variety of procedure packs. I had to prepare for the eventuality of admitting older paediatric patients which involved procuring unfamiliar equipment and drugs. I even made a trip to the home improvement store to purchase transparent plastic sheeting to prevent aerosolization of viral particles during intubation.
I helped provide simulation training for proning techniques in paediatric ventilated patients and was also tasked with training all the department staff to safely don and doff the necessary PPE. This was not without its difficulties, as simultaneously the nursing & midwifery union was arguing that the PPE we had access to was not adequate, creating a lot of anxiety and mistrust amongst colleagues. This was further compounded by tight restrictions on FFP3 masks. Unfortunately we also had an initial shortage of alcohol based hand rub and wipes with these items being kept under lock and key in the manager’s office; needless to say hand hygiene compliance dropped and I was very worried about the ensuing consequences.
Now that our islands have succeeded in ‘flattening the curve’, I am finally getting used to the new normality of working with a mask and visor throughout my 12-hour shifts. I fear that our patients and parents continue to suffer inadvertently due to the tight restrictions on parent visiting and handling and am currently advocating for this policy to be re-evaluated.

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.