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💖 Sloane's Journey with Congenital Hypothyroidism: A Personal Guide for Parents Like many other pregnancy journeys of lucky parents, ours seemed pretty normal. The ultrasounds were routine, the checkups didn’t raise any red flags, and there weren’t any signs that anything was out of the ordinary. We were excited and hopeful while preparing for the arrival of baby Sloane. When the diagnosis of congenital hypothyroidism came, we were absolutely shocked . I’ll be honest: It was overwhelming at first. How could something so serious not have shown up during the pregnancy? Jacob and I wrestled with fear, uncertainty, and a thousand questions. But we quickly learned that early diagnosis is EVERYTHING. Thanks to newborn screening and early treatment with thyroid hormone replacement, babies like Sloane who are diagnosed with congenital hypothyroidism can go on to lead completely normal lives. Sloane’s diagnosis was identified four days after she was born, through standard newborn screening  — a routine blood test completed for every newborn. As a NICU nurse, I had completed hundreds, if not thousands, of newborn screening labs at the bedside. I never realized just how much the routine testing would affect my little family.    Even with all of my clinical experience, the emotional shock of going from a “normal” pregnancy to a serious diagnosis is something I’ll never forget. It taught me and Jacob that even when things seem perfectly fine, hidden conditions can still exist — and that early testing truly saves lives. Below, I’m going to answer a few frequently asked questions about congenital hypothyroidism to help new parents who may be struggling. I’m also going to share a few tips that I’ve learned during our journey with the condition to help your first few weeks and months go a bit more smoothly. 🌸 Congenital Hypothyroidism: An FAQ for New Parents 🌸 What Is Congenital Hypothyroidism (CH)? Congenital hypothyroidism  is a condition where a baby is born with an underactive or missing thyroid gland. The thyroid is a small, butterfly-shaped gland  in the neck that makes hormones important for growth, brain development, and metabolism.  Early signs and symptoms of congenital hypothyroidism include jaundice (yellowing of the skin and eyes), sleepiness/low energy, poor feeding, constipation, hoarse cry, cold hands and feet, puffy face, and an umbilical hernia. In our situation, little Sloane was a bit cooler to the touch and had a hard time regulating her temperature. If it’s not caught early, thyroid hormone deficiencies can lead to developmental delays. However, over the course of Sloane’s journey, we’ve learned that with early detection and treatment through newborn screening tests, she’ll be able to live a full, healthy life! 👶🏼 What Exactly Is a Newborn Screening Test? A newborn screening test is a simple medical test done shortly after a baby is born to check for certain serious but rare health conditions. These conditions may not show any symptoms at birth but can cause serious problems if not treated early. Each state has different conditions that they test for. You can find out more about your state’s unique newborn screening test here .  The test usually involves: A small blood sample  taken from the baby’s heel (called a heel prick) Sometimes a hearing test A heart screening  for certain conditions If CH shows up on a newborn screening, the goal is to find and treat any issues as early as possible to help the baby grow and meet all developmental milestones. Usually, treatment starts immediately after confirming the findings with thyroid stimulating hormone  (TSH/T4) lab testing.  💊 What Happens After CH Is Diagnosed? Once we got the lab test confirmation, Sloane was started on levothyroxine , the go-to medication for babies diagnosed with congenital hypothyroidism. There is a standard starting dose for all babies, which is what our pediatrician started Sloane on.  We kept her on this standard dose for one month, and after that, we began monthly lab draws to track her thyroid hormone levels and make sure we were on track. Now, I’m going to be real with you—getting Sloane to take her medication wasn’t exactly a walk in the park. At first, we tried to crush up the pill form of the medicine and… yikes. We went through so many different attempts to get her to swallow it: mixing it in the tiniest bit of milk, in her bottle, and even trying a nipple... It was a challenge because she was only taking 10 mL at a time, and that made it so difficult to get her to take her meds. Sometimes it took over 30 minutes to get her to finish, and she would still leave some behind!  We got really lucky to work with a great compounding pharmacy that made her medication in liquid form. If you’re in the same boat, I HIGHLY recommend finding a pharmacy you trust to make the liquid version, if possible. Not all pharmacies are good about making it consistent, but we found one that our pediatrician recommended, and it made all the difference.  🧪 I’ve Heard of Radio-Nucleotide Uptake Scans Being Used for CH. What Are These?   A radio-nucleotide uptake scan  — sometimes called a thyroid uptake scan or thyroid scintigraphy — is a diagnostic test that uses a small amount of radioactive material (usually radioactive iodine (I-123 or I-131) or technetium-99m )   to evaluate how well the thyroid gland is functioning. After injecting the radioactive material, a gamma camera takes images of the thyroid gland to check its location, size, shape, and functioning.   For us, Sloane hasn’t had her radio-nucleotide uptake scan yet. Her doctors suggested waiting until she is around a year old because she needs to stay still for a good scan, and let’s face it—getting a tiny baby to do that without sedation is a no-go!  Also, from our endocrinologist’s perspective, she’s not too concerned about the cause of Sloane’s CH right now because it doesn’t change the plan of care—so, it can wait.  However, if your specialist thinks it’s necessary, definitely go with their recommendation. 🩺 How Often Are Doctors Appointments and Lab Draws? Sloane sees her endocrinologist once a month and her pediatrician also checks in on her monthly. Every time we visit, they’re looking at her labs, weight, head circumference, and height. They like to track these values closely.  For lab testing, we’re still on a monthly lab draw schedule for now, but the hope is that we’ll move to every other month soon.  I’m not going to lie, finding a good lab for baby’s blood draws took a little bit of trial and error. Not all labs are great with little ones, and we had to be extra picky about where we went. We found one we loved, but we were even looking into concierge lab draws in case we didn’t find a good fit. Tips and Tricks for New Parents 📝 Take Notes of EVERYTHING After Sloane’s diagnosis, I started taking notes at every doctor’s appointment and lab draw. I keep a detailed record  of our endocrinologist’s words of wisdom and advice, along with the projected plan for the foreseeable future. I keep a copy of all important phone numbers and Sloane’s insurance card with these notes as well, so that I have all of her important medical information in one place. Trust me, it’s a lot to take in, especially in the first few weeks and months. Coupled with all of the other challenges of new motherhood (breastfeeding, postpartum changes, etc.) I wanted to make sure I remembered everything correctly.  🩸Find Lab Draw Tricks That Work For Your Baby Lab draw appointments can be stressful for parents and babies. Having a few tricks up your sleeve makes the whole experience less traumatic for everyone. Here are a few things that REALLY work for us:   Pre-lab draw feeding:  Milk just before a feed makes Sloane a little drowsier and happier than she would be otherwise. Plus, it helps hydrate her and plump up her veins so that the blood draw is more successful! Warm and numb the injection site:  While holding Sloane in the waiting room, we always apply a warm pack to the injection site. Some parents like using numbing cream (usually Emla) as well to make the needle insertion less painful. Do whatever seems to work best for your baby. This is definitely a trial-and-error experience! Buzzy Bee trick 🐝:  If you don’t already know about the Buzzy Bee , let me just say, it’s a game-changer for lab draws! I help hold Sloane, and Jacob applies the Buzzy on top of the injection site—it combines a little vibration and cold, which distracts from the pain and makes the whole process way easier for her. For Babies With CH, Comfort Is Key Babies with congenital hypothyroidism are sensitive to temperature fluctuations, so you’ll want to make sure you can keep them cozy and comfortable. Sloane loves: Warmer temperatures:  We generally keep her room thermostat set between 68–72°F (20–22°C) Soft layers:  I’m talking cozy onesies , swaddle blankets , etc.  Heated surfaces: Sloane’s heated blanket  has been a Godsend! We bring it with us on overnight trips to make sure she’s comfortable, no matter where she sleeps.  Massages and skin care:  CH can cause dry skin in babies, so we’re really mindful about the detergents  and skin care products  we use with her. Our favorites right now are LINKS Endless cuddles:  Babies with hypothyroidism often have a quiet temperament and love cuddles all day, every day! For me, a comfortable baby carrier  has been a GODSEND for the days when Sloane simply won’t let me put her down!  You’ve Got This, New Parents! I know dealing with a diagnosis like this can feel overwhelming, but trust me—if you’re a new parent trying to take everything in, you're doing amazing! Jacob and I have learned through this experience that raising a child with special medical needs truly takes a village. Even though I was a NICU nurse for years, I’m still learning how to handle the stresses and challenges! Remember: early detection and treatment are key, and with the right care, your baby can thrive. Don’t hesitate to reach out to your pediatrician and endocrinologist with any questions. You’ve got this, and your baby is in great hands! Tori Meskin, MSN, RNC-NIC, has been a passionate NICU clinician since 2012, specializing in acute care and inpatient neonatal settings throughout Southern California. Board-certified in neonatal intensive care, she also brings extensive experience as a travel NICU nurse. Tori is the co-founder of NICUity, a modern resource hub empowering NICU professionals with hands-on tools, education, and community support. As a mother, wife, and entrepreneur, she shares her journey balancing life at the bedside with motherhood, marriage, content creation, and building a brand. Discover her latest tips, tools, and insights at www.tipsfromtori.com  or reach out at abbysocialmgmt@gmail.com .

Whether you are a new mama, future mama, or baby caretaker, this is an up-to-date baby basics blog to help guide you with the best newborn practices! These are a few basic hospital practices mixed with professional practice TIPS to help you in your newborn journey. 3 GOALS To Prepare Before Discharge Home: Research and choose a Pediatrician! Depending on your birth hospital/setting, they may have a list of Pediatricians in network. Create an emergency contacts list including a Pediatrician, Police/Fire Departments, you and your partners’ (if applicable) work/cell phone numbers, and the poison control center. Talk to your discharge planner (MD, Nurse or Midwife) for follow-up appointments. HOT TIP: It is never too early to start getting organized! You will most likely be exhausted and overwhelmed. Start creating a list and calendar to help stay on top of important things such as feeding and medication schedules, well-baby checks, immunizations, etc. You can create a note on your phone with important phone numbers, dates, doctors etc. SAFETY While you can’t anticipate every situation that could arise regarding your infants’ safety, there are some tips you should know and share with others who will be care taking for your baby. A FEW SAFETY BASICS ♡ Properly support your baby’s head and neck ♡ Do not heat breast milk directly on the stove or in the microwave Instead: Place the bottle or sealed container of milk into a bowl of warm water or hold it under warm, but not hot, running water for a few minutes. Test the milk's temperature before feeding it to your baby by putting a few drops on your wrist. ♡ Explain your baby’s needs to older siblings ♡ Lock away all medicine cabinets and household cleaners ♡ Practice crib safety by not using drop-down cribs or putting stuffed animals or pillows in the crib ♡ Practice toy safety (balloons are the leading cause of toy-related deaths) ♡ Maintain a smoke-free environment for baby and install smoke detectors BABY ESSENTIALS FOR FIRST 3 MONTHS Car seat Onesies, or other soft outfits Baby sleepers or sleep sacks Baby socks Newborn hats, depending on climate Disposable diapers or cloth diapers (and detergent for washing) Disposable wipes or 12 cloth wipes Diaper rash cream Waterproof pad for diaper changes Diaper pail or receptacle Baby washcloths Hooded towels Baby sponge Baby bath wash Baby lotion Baby bath tub Baby nail clippers Digital thermometer Medicine dropper Bulb syringe/nasal aspirator Crib, cradle, or bassinet Fitted sheets and mattress cover for crib, cradle, or bassinet Burp cloths Bottles, if you're bottle-feeding and bottle brush A variety of bottle nipples, in different sizes Breastfeeding pillow, nursing pads, and nipple cream Breast pump Newborn Essentials on Amazon SAFE SLEEP "DO'S AND DON'TS" Setting up a safe sleep area for your baby can be done before baby is home. It is recommended that the baby’s sleep area is in the same room, next to where parents sleep for observation. The sleep surface should be firm and flat, such as a mattress in a safety-approved crib, covered by a fitted sheet. For the safest environment, babies should never sleep in an adult bed, on a couch, or in a chair alone, with you or anyone else. When putting your baby to bed, remember to keep soft objects, toys, and loose bedding out of the sleep area and that nothing is covering the baby’s head. Do not use a loose blanket, (to avoid occluding baby's airway and be sure not to over-bundle. A wearable blanket (sleep sack) is great for sleepwear and swaddling is recommended for safe sleep. ALWAYS PLACE BABY ON THEIR BACK TO SLEEP FOR NAPS AND NIGHT SAFE SLEEPS DO'S TO REDUCE SIDS RISK ♡ Always place baby on their BACK to sleep. ♡ Use a firm and flat sleep surface. ♡ Share your room with baby but on a separate surface designed for infants, ideally for baby’s first year but at least for the first 6 months. ♡ Breastfeed your baby if possible for the many health benefits and to reduce the risk of SIDS. ♡ Give your baby a pacifier for naps and nighttime sleep. ♡ Give your baby plenty of tummy time when they are awake and someone is watching. SAFE SLEEP DONT'S TO REDUCE SIDS RISK ♡ Do not smoke during pregnancy or allow smoking around your baby or in their environment. ♡ Do not put soft objects, toys, crib bumpers or loose bedding under baby, over baby, or anywhere in baby’s sleep area. ♡ Avoid products that go against safe sleep recommendations and exercise special caution on products that claim to prevent or reduce the risk for SIDS. ♡Do not use heart or breathing monitors in the home as a way to reduce the risk of SIDS. ♡ Do not let your baby get too hot during sleep. HOW TO PERFORM CPR ON A BABY It is always good to feel prepared in case of an emergency. Here is a great video to help you understand and practice CPR in case you may need it for your baby. This is also a skill to share with other caretakers of your baby (grandparents, family members, sitter etc.) SWADDLING Swaddling is a traditional practice of wrapping a baby up gently in a light, breathable blanket to help them feel calm and sleepy. A swaddle helps your baby feel safe and secure as she adjusts to life outside the womb. Swaddling helps prevent her from flailing her arms and legs, which can trigger her startle reflex and potentially cause her to wake up. A swaddle keeps your baby cozy and warm until her internal thermostat kicks into gear. The idea is that being swaddled will help your little one feel snug and secure, just like in your womb. It’s true that swaddling isn’t entirely risk-free. But the American Academy of Pediatrics (AAP) says that swaddling can encourage your newborn to snooze better — as long as it’s done correctly and practiced in accordance with other safe sleep guidelines . To encourage healthy hip development, the bottom of the swaddle should be loose enough for your baby’s legs to stay bent up and out, like they naturally would in a newborn lying on her back without a swaddle. You'll also want to ensure the swaddle allows your baby to straighten and stretch her legs at will. Wrapping your baby the right way will encourage your little one to sleep more soundly while giving you peace of mind (so you can get some sleep yourself!). Some important swaddling safety tips to keep in mind: Swaddle snugly, but not too snugly. At the top of the swaddle, you should be able to fit two to three fingers between the blanket and your baby’s chest. The bottom of the swaddle should be loose enough so your baby’s legs stay bent and flared out. Always put your baby to sleep on her back. It’s the safest position, whether you’re swaddling or not. Be sure to tuck the bottom of the blanket underneath your baby too. Keep your baby normothermic. Swaddling could cause overheating, which can raise the risk of sudden infant death syndrome (SIDS). Keep the room at a comfortable temperature (between 68 and 72 degrees Fahrenheit year-round). And resist the urge to bundle your baby in extra layers — a pair of pajamas and the swaddle blanket are likely enough to keep her comfy. Sweating, damp hair, flushed cheeks, heat rash and rapid breathing are all possible signs that your baby might be too hot. As a general rule of thumb, dress your baby in one more layer than you would wear. Swaddle for nighttime sleep and naps. Swaddling can help your baby sleep more soundly during the day and at night. If tucking her into a little burrito blanket for hours overnight makes you nervous, know that as long as you stick with safe swaddling and sleep guidelines, swaddling at bedtime isn’t any riskier than swaddling during naps. You’ll also have plenty of built-in opportunities to check on her, since she’s frequently waking to eat. But if checking her swaddle while she sleeps gives you extra peace of mind, feel free to peek more often. Here's a step-by-step guide below for how to swaddle a newborn like a pro, the keys for sticking with safe swaddling techniques. Day to Day Feedings Cues your baby is ready to feed: Rooting (baby turns his/her head when the side of the cheek or face is stroked) Baby demonstrates a good, strong suck on the pacifier Baby is calm and stable during care time Baby is awake or wakes up during care time Baby demonstrates appropriate strength in their body (tone) alone or with swaddling and support, and can remain awake for several minutes at a time. BREASTFEEDING (FIRST FEW WEEKS) Nurse until baby self-detaches (some babies will need to be time-limited due to diagnosis and overexertion). Nurse from one breast to ensure that your baby gets enough of the hind milk. If your baby is still hungry, offer the second breast but be sure to burp the baby when they switch breasts. The breast should feel softer following a feed. You may need to pump after breastfeeding until at least your baby’s due date (NICU) Breastfed babies will have at least 8-12 feeds in 24 hours (every 2-3 hours). TIPS FOR TRANSITIONING FROM BOTTLE TO BREAST The key to a successful transition is to give it time, patience and persistence! In fact, it takes some women several weeks to transition from bottle to breast. I can’t recommend a lactation consultant enough if you are transitioning from bottle feeding to exclusively breastfeeding. They are a great resource, as each situation is unique! BOTTLE Bottle-fed infants will feed every 3-4 hours (which is 6-8 feeds in 24 hours). Like breastfed infants, bottle-fed infants should sleep well between feeds and have 6-8 wet diapers daily. Burp your baby both during and after feeding (or every 1-2 ounces.) The air can cause gas and make the baby uncomfortable. If doing a combination of bottle and breast, breastfeed first, offer a bottle after breastfeeding and pump for 10 minutes (triple feeding protocol). If you are exclusively pumping, pump for 20 minutes both sides 8x in 24 hours. HOT TIP: use your phone. Place a timer on every 3 hours to help keep you on track TIPS FOR PROPER BREAST MILK STORAGE Before expressing or handling breast milk: Wash your hands well with soap and water. If soap and water are unavailable, use an alcohol-based hand sanitizer containing at least 60% alcohol. Mothers can express breast milk by hand or with a manual or electric pump. If using a pump, inspect the pump kit and tubing to ensure it is clean. Discard and replace moldy tubing immediately. If using a shared pump, clean pump dials, power switch, and countertop with a disinfectant wipe. (NICU) BREAST MILK STORAGE TIPS Clearly label the breast milk with the date it was expressed. Do not store breast milk in the door of the refrigerator or freezer. This will help protect the breast milk from temperature changes from the door opening and closing. If you don’t think you will use freshly expressed breast milk within 4 days, freeze it right away. This will help to protect the quality of the breast milk. When freezing breast milk: Store small amounts to avoid wasting milk that might not be finished. Store in 2 to 4 ounces or the amount offered at one feeding. If you deliver breast milk to a child care provider, clearly label the container with the child’s name. Talk to your child care provider about any other requirements for labeling and storing breast milk. Breast milk can be stored in an insulated cooler with frozen ice packs for up to 24 hours when you are traveling. At your destination, use the milk right away, store it in the refrigerator, or freeze it. Safe Thawing of Breast Milk Always thaw the oldest breast milk first. Remember first in, first out. Over time, the quality of breast milk can decrease. There are several ways to thaw your breast milk: In the refrigerator overnight. Set in a container of warm or lukewarm water. Under lukewarm running water. Never thaw or heat breast milk in a microwave. Microwaving can destroy nutrients in breast milk and create hot spots, which can burn a baby’s mouth. If you thaw breast milk in the refrigerator, use it within 24 hours. Start counting the 24 hours when the breast milk is completely thawed, not from the time when you took it out of the freezer. Once breast milk is brought to room temperature or warmed, use it within 2 hours. Never refreeze breast milk after it has thawed. Swirl the breast milk to mix the fat, which may have separated. If your baby did not finish the bottle, use the leftover milk within 2 hours after the baby is finished feeding. After 2 hours, leftover breast milk should be discarded. TRANSITION TIPS FROM A LACTATION TEAM Massage your breasts or hand express to start milk flow before putting the infant to breast. Pay close attention to the position, especially supporting the baby’s head to your breast. Place your baby’s belly to your belly while holding them close for a great deep latch. Ensure your baby has an effective latch by listening for swallowing. Allow baby to self-detach. For example, if baby pulls away from breast after 10-15 minutes of sucking and appears to be content and satisfied. Log the baby’s output during this transition and get frequent weight checks by either your pediatrician or lactation consultant. After baby self-detaches, your baby may be given pumped breast milk if they show hunger cues. Pump after breastfeeding as you may not completely empty. You may need to do this the first few weeks or until the baby’s due date. As your baby matures and becomes more efficient, you will be able to increase the length of time at the breast and the number of feedings in 24 hours. SHOP NEWBORN ESSENTIALS ON AMAZON BURPING While feeding, if your baby doesn’t burp after several minutes, continue feeding, and don’t worry. When the feeding is finished, attempt again and keep the baby upright for 10-15 minutes to prevent spit up. Make sure you don’t bounce baby after feeding. If the baby cries a lot before the feeding, it may be beneficial to burp the baby before the feed or early in the feeding. DIAPERING Let’s talk about diapering your baby, diaper rash and elimination patterns. Start the habit early of checking your baby’s diaper with every feeding. When changing, clean genitals with a washcloth and warm water or fragrance-free baby wipes. For girls, remember to wipe baby from front to back (or TOP to BOTTOM) and for boys to start at the tip of the penis and then wipe the rectal area last. If the baby is uncircumcised, do not attempt to pull back from the foreskin of the penis. After cleaning, lift the scrotum and clean underneath. Keep the skin clean and dry with frequent changes to avoid diaper rash. If a rash does occur, wash with mild soap only after a bowel movement while avoiding wipes with alcohol or fragrances. Expose the bottom to air. (Oxygen can help heal the skin). WHAT ARE TYPICAL ELIMINATION PATTERNS WITH A NEWBORN? Your baby should have 6-8 wet diapers daily, many stool with diapers but some once a day (or every few days). The color and consistency may vary from bright yellow (breast milk-fed infants) to light greenish-brown (formula-fed infants). Monitor the diaper for blood, pus, or diarrhea. Call your pediatrician if your baby has fewer than 6 wet diapers a day or has two dry diapers in a row, has diarrhea, or is constipated for 48 hours. BATHING TIPS Once the umbilical cord or circumcision site heals, you can give your baby a tub bath. Bathe baby 2-3 times a week. Avoid lotions and powders. Bath before a feed or at least one hour after bedtime. Gather all of the supplies you will need before beginning the bath. Never leave a baby alone in a bath, not even for a minute. Babies can drown quickly in a few inches of water. Make sure the room is warm as babies get cold easily. Fill the tub BEFORE you put the baby in it. Water should feel warm, not hot on the inside of your wrist. Ensure your water heater is set no higher than 120F (if you can control the temperature). Never put a Qtip in your baby’s ear. For preemies, bath time can be stressful. Swaddle and wash one area gently at a time. BATHING: WHAT YOU NEED 3-5 baby washcloths 1-2 towels (hooded if you have one) 1 baby sponge 1 bottle of baby bath wash 1 bottle of baby lotion A baby bathtub TEMPERATURE-TAKING AND SUCTIONING I encourage you to ask your bedside RN how to take your baby’s temperature and how to use a bulb syringe! They are there to support YOU and answer any care questions you may have. HOW DO I USE A THERMOMETER? Take temperature when the skin feels warmer or cooler than normal, when your baby is not acting like their usual self and before calling your doctor. (They will want to know the baby's current temperature) Place the tip in your baby’s armpit. Hold the arm in the position for 5 minutes or as long as the thermometer instructions say. For newborns, do not use the pacifier, forehead, or ear thermometers per AAP. HOT TIP! Bring your thermometer into the hospital to practice with the nurse. Practice with it at the bedside to get a feel for the device and how to properly use it. Normal temperature range for baby should be 97.6 - 99.6 TIP: Dress your baby according to how you feel! Use a bulb syringe to suction your baby’s mouth and nose when necessary (stuffy nose, baby vomits, spit up, etc). Sneezing is normal for a baby, but coughing is not. If your baby vomits, remember to suction the mouth then the nose. To prevent gagging place the tip of the bulb into the side of cheek to suction. Clean the bulb syringe after using warm water and mild detergents. BEDDING AND SLEEP NEEDS Whatever bed you choose for your newborn (crib, cradle, bassinet, co-sleeper), it is recommended by the American Academy of Pediatrics that your baby sleeps in the same room with you for the first 6-12 months of life. In addition, bumpers, blankets, pillows, and soft toys are no longer recommended in baby beds. Think minimalistic. BEDDING: WHAT YOU NEED Crib, cradle, bassinet, co-sleeper, or other safe sleep space for baby. If the crib has been used before, make sure it has all of its pieces and meets current safety standards Crib mattress, or a mattress that fits properly in the cradle or bassinet Fitted sheets for crib, cradle, bassinet, or co-sleeper Waterproof crib mattress cover, unless your crib mattress is already fully sealed, or a waterproof pad to lay under the crib sheet Baby monitor DEVELOPMENTAL CONSIDERATIONS There are three common terms when it comes to developmental age (especially for Preemies!) Gestational age is the fetus’ age (calculated as the first day of mom’s last period) Chronological age is counted from the day of birth (baby’s birthday) Corrected age is defined as the chronological age minus the number of weeks or months baby is born early. TO POSITION YOUR INFANT FOR OPTIMAL DEVELOPMENT: KEEP THESE IN MIND ♡ Hold baby with legs bent and arms forward ♡ Avoid leaving baby flat on back for long periods ♡ Wrap baby snugly with legs bent and hands placed close to face ♡ When awake, lay baby on their side rather than on their back with a large blanket roll for body support (only when supervised!) Your baby should start rolling anywhere between 2-6mos old corrected gestational age and sitting up without support between 5-7mos old (corrected age). Make time for tummy time! Tummy time should be when the baby is awake only, and should last 10-20 minutes once or twice a day. Start slowly and work your way up if baby dislikes it at first! You can use a rolled towel or blanket under the shoulders and upper chest to provide support. When should you schedule a time to talk to your doctor about your baby’s development? If your baby does not use one of their arms, legs or one side of body, their legs feel stiff when not actively stretching, they don't roll over or bear weight on legs, or if they don’t sit while supported or reach for objects-make an appointment with your pediatrician. WHEN TO SCHEDULE A DOCTOR'S VISIT Vomits repeatedly or forcefully two feedings in a row. Refuses to eat more than two feedings in a row. Has less than 4 wet diapers-24 hours in spite of frequent feedings. Goes 48 hours without a bowel movement. Has diarrhea or more than 12 large stools/day or has blood in stool. If abdomen is distended and does not go down. If difficulty breathing or makes unusual sounds when breathing. If baby is lethargic and doesn’t arouse with touching or handling. Excessive swelling or drainage around eyes. Blisters or pustules on body. Thrush or patches of white in mouth. Congested cough, running eyes or nose. Drastic behavior changes include extreme irritability, excessive crying without a known cause, extreme sleepiness, or floppy arms and legs. CALL MD: Temperature under 97.6 or over 99.6 and doesn’t change with adding or removing clothes or blankets. EMERGENTLY CALL FOR HELP CALL 911 if blue lips and tongue If you are uncertain or feel urgent care is necessary I hope these Baby Basics help you as you transition to caring for your baby at home! Share these tips with a caregiver who wants to see babies THRIVE through best practices :) REFERENCES: American Academy of Pediatrics (AAP) Centers for Disease Control and Prevention. (2021). Sudden unexpected infant death and sudden infant death syndrome: Data and statistics . Retrieved June 1, 2021, from https://www.cdc.gov/sids/data.htm. Shapiro-Mendoza, C. K., Camperlengo, L., Ludvigsen, R., Cottengim, C., Anderson, R. N., Andrew, T., et al. (2014). Classification system for the Sudden Unexpected Infant Death Case Registry and its application. Pediatrics, 134 (1), e210–e219. Retrieved May 3, 2021, from https://pubmed.ncbi.nlm.nih.gov/24913798/. https://www.cdc.gov/breastfeeding/recommendations/handling_breastmilk.htm#:~:text=Place%20the%20sealed%20container%20into,stove%20or%20in%20the%20microwave. Tori Meskin, MSN, RNC-NIC, has been a passionate NICU clinician since 2012, specializing in acute care and inpatient neonatal settings throughout Southern California. Board-certified in neonatal intensive care, she also brings extensive experience as a travel NICU nurse. Tori is the co-founder of NICUity, a modern resource hub empowering NICU professionals with hands-on tools, education, and community support. As a mother, wife, and entrepreneur, she shares her journey balancing life at the bedside with motherhood, marriage, content creation, and building a brand. Discover her latest tips, tools, and insights at www.tipsfromtori.com  or reach out at abbysocialmgmt@gmail.com .

Empowering Neonatal Care: Unleashing the Power of S.T.A.B.L.E. and ENCCO Dive in with me today on the importance of consistent Neonatal Education and my favorite resources for empowering nurses with specialized Neonatal Expertise. HealthStream is a game changer for equipping all healthcare providers with the essential skills and knowledge to make a difference in NICU care and I am SO excited to share with you two of their amazing partner programs- S.T.A.B.L.E. and ENCCO Imagine a world where the tiniest heroes among us receive the highest level of care from a team of dedicated healthcare providers. In the fast-paced realm of neonatal care, every second counts, and the well-being of these fragile infants relies on the synchronized efforts of a skilled and compassionate team. If you are a nurse, nursing student, nursing assistant or tech, respiratory therapist, pre-hospital provider or a physician, then you NEED to know about two groundbreaking programs—S.T.A.B.L.E. and ENCCO—that are revolutionizing neonatal care and empowering nurses with the knowledge and skills to deliver exceptional care to our smallest patients in the nursery and neonatal intensive care unit (NICU). S.T.A.B.L.E.: Building the Foundation for Safe and Stable Infant Care! S.T.A.B.L.E.’s mission is to provide evidence-based education to help reduce infant mortality and morbidity, improve neonatal outcomes and most importantly, improve the quality of life for infants and their families. S.T.A.B.L.E. targets the majority of problems that will be encountered when taking care of both well and sick infants, with a special emphasis on understanding the underlying pathophysiology of various neonatal conditions. Picture this: a neonatal care program that encompasses six essential components of infant stabilization, forming the bedrock of a holistic approach to caring for these tiny warriors. Let's go over the parts of care and the acronym: Sugar Module Infants require optimal glucose regulation and a nurturing environment to thrive. S.T.A.B.L.E. emphasizes the significance of monitoring and maintaining appropriate blood sugar levels to protect the vulnerable immature brain from hypoglycemia. . Temperature Module Preventing hypothermia and maintaining the perfect body temperature is vital for newborns who are unable to regulate it independently. S.T.A.B.L.E. equips healthcare providers by understanding how heat is lost and how vulnerable babies are to cold stress. These foundational concepts promote the infant’s well-being and reduce the risk of complications. Airway Module Superheroes need clear pathways to victory. Proper airway management is vital for stabilizing infants in need. S.T.A.B.L.E. empowers healthcare providers with the knowledge and skills to assess respiratory distress and support breathing, thus, ensuring adequate oxygenation and ventilation for critically ill neonates. Blood Pressure Module Monitoring blood pressure and perfusion are the secret weapons for assessing neonatal circulatory status. S.T.A.B.L.E. emphasizes recognition of shock and how to treat shock, and guides healthcare providers in promptly recognizing and addressing abnormalities, helping our tiny heroes keep fighting. Lab Work Module Laboratory tests hold the keys to unlocking vital information. S.T.A.B.L.E. educates healthcare providers on interpreting laboratory results, enabling informed clinical decisions and appropriate interventions. With this knowledge, providers can make strategic decisions to help support infants in need. Emotional Support Module Every superhero needs emotional support to conquer challenges. S.T.A.B.L.E. explains the crisis that families face when their infant is sick and in need of care in an intensive care unit. Understanding the emotional impact on families helps underscore the need for compassionate care. Healthcare providers learn how to provide emotional support and guide parents through the challenges of having an infant in the NICU. 15% off S.T.A.B.L.E. discount on NurseGrid. Learn with code: TORI15 ENCCO: Guiding Nurses to Neonatal Mastery Imagine a program designed to empower nurses with specialized knowledge and skills in the NICU, providing them with the tools they need to bridge the knowledge gap and provide top notch care in various Neonatal settings- hello, ENCCO! Benefiting from ENCCO: Empowering Nurses in Various Neonatal Settings Nursing is a dynamic profession that demands continuous learning and adaptation. ENCCO recognizes the gap between academic training and the care of critically ill neonates. It collaborates with clinical content specialists and Pediatric Learning Solutions to bridge this gap effectively, empowering nurses with the knowledge they need to succeed. ENCCO offers a tailored orientation program for nurses in the NICU, focusing on refining assessment, planning, and evidence-based implementation strategies. Nurses gain a profound understanding of the complexities associated with neonatal patients, enabling them to deliver optimal care and improve patient outcomes. Bridging the Knowledge Gap in Neonatal Care with ENCCO ENCCO's mission is to enable nurses to evaluate assessment data and develop effective care plans for neonates. Through evidence-based strategies, nurses learn to identify and address the unique needs of critically ill infants. This knowledge integration empowers them to anticipate potential complications and provide timely interventions, resulting in improved patient outcomes. ENCCO places significant emphasis on developing a comprehensive understanding of common conditions experienced by neonatal patients. Nurses acquire in-depth knowledge about prematurity, respiratory distress syndrome, congenital anomalies, and other prevalent issues. Armed with this expertise, nurses can promptly recognize signs of distress and provide the best possible care for newborns. We love this for us ! In the fast-paced environment of the NICU, evaluating the effectiveness of care interventions is crucial. ENCCO equips nurses with the skills to assess the impact of their care plans on critically ill neonates. By continuously monitoring and adapting their approach, nurses refine their strategies and improve patient outcomes, emerging as true superheroes of neonatal care. Join the Journey Towards Neonatal Excellence With Healthstream! I hope you feel invigorated and inspired after reading this blog about the impact of S.T.A.B.L.E. and ENCCO in the world of neonatal care. These programs have provided standardized frameworks and comprehensive training to healthcare providers, empowering them to deliver safe, consistent, and exceptional care for vulnerable infants. I can’t recommend them enough for continued education! Working in the NICU we have an amazing opportunity to nurture a generation of tiny heroes who will thrive and flourish against all odds. Explore the power of S.T.A.B.L.E. and ENCCO programs, share this post with others passionate about neonatal care, and together, let's unleash the full potential of neonatal care and create a brighter future of care for our tiniest patients and their families. Will you join me in this mission to make a lasting impact on the lives of our smallest and most courageous warriors? By prioritizing continued education regarding Neonatal Care, we can be the start of change and advancement that our healthcare system desperately needs! More About HealthStream HealthStream understands the challenges that come with navigating an ever-evolving and intricate healthcare landscape. They are your trusted partner in maximizing resources and elevating the quality of care provided by your organization. With HealthStream, your organization gains access to the most innovative and proven applications, content and solutions available in the healthcare industry. They understand the importance of empowering staff to excel in their roles and have meticulously crafted solutions that facilitate operational improvement and efficiency. They shape a brighter future for healthcare, where resources are optimized, staff members are empowered, and the highest quality of care is delivered. Join HealthStream, where they are united with clinicians with passion to make a difference. HealthStream, Inc. (NASDAQ: HSTM) provides workforce and provider solutions for healthcare organizations in the United States. Find out about these programs and more on healthstream.com ! To learn more about how ENCCO and S.T.A.B.L.E. can benefit your organization, please visit HealthStream's Child and Maternal page: https://hs.healthstream.com/Nurse-Tori-Child-Maternal To purchase S.T.A.B.L.E. for yourself at a 15% off discount, visit HealthStream's NurseGrid Learn page. https://hs.healthstream.com/Nurse-Tori-NurseGrid *Secure your 15% off S.T.A.B.L.E. discount on NurseGrid Learn with this code: TORI15 Tori Meskin, MSN, RNC-NIC, has been a passionate NICU clinician since 2012, specializing in acute care and inpatient neonatal settings throughout Southern California. Board-certified in neonatal intensive care, she also brings extensive experience as a travel NICU nurse. Tori is the co-founder of NICUity, a modern resource hub empowering NICU professionals with hands-on tools, education, and community support. As a mother, wife, and entrepreneur, she shares her journey balancing life at the bedside with motherhood, marriage, content creation, and building a brand. Discover her latest tips, tools, and insights at www.tipsfromtori.com  or reach out at abbysocialmgmt@gmail.com .

Nurse Tori I NICU Nurse I Tips from Tori Nurse Blog My Professional Life as A Nurse ♡♡♡♡♡♡♡♡♡♡ Welcome to the most special corner of my website. For over 10+ years now I have been working bedside in the secret gem of a unit called the "Neonatal Intensive Care Unit." (NICU). After 4 years of collecting memories, experiences, & developing my career, I finally mustered up the courage to start this blog. scroll so you want to become a nicu nurse Becoming a nurse can be stressful — you’ll get different suggestions and opinions from professors, mentors, friends, and family members. All who believe that their way is the only way to success. The truth is that there isn’t one “best” way to get into NICU nursing. We all take different paths that best suit our personal needs, but like other parts of life, there are so many ways to get to a position where we feel fulfilled and successful. Here, I answer an array of the most frequently asked questions about becoming a NICU nurse and outline a few of the most common journeys coworkers and friends have taken to get to where they are in their career today. I outline some of the challenges you may face and provide tips I’ve learned along the way to help you become the strongest and happiest nurse you can be. scroll How do I Become A NICU Nurse? This is by far my most asked question. And a very loaded question at that! There are so many ways to become a NICU nurse and I have so many TIPS to offer you. Topics including: How to become a NICU Nurse Interview & Portfolio Tips & Tricks Resources/Websites for hopeful & current NICU Nurses What is it REALLY like to be a NICU nurse? I have created YOU Exclusive NICU Nurse Content & Resources. All of my best modern-day nurse insight & experiences, a collection of Level IV NICU education, curated blogs, with100+ hours of diligent research, podcast interviews, and more. scroll Nurse BloG Your Exclusive Nurse Tori Content I am stoked to bring you this content! These are my PREMIUM posts curated to help you in your Nurse journey! I have compiled all of my BEST content here for you!! TAKE ME THERE Frequently Asked Questions FAQs ♡ I WANT TO BE A NICU NURSE, BUT I'M NOT SURE WHERE TO START! After over 10 years of working bedside, I realized there were few places to go to really understand the nuances of the NICU nurse world. Most sites lack personal perspective and only really scratch the surface. This is a BIG piece of why I started my blog and have focused on curating this space just for you. Here are the BASICS for becoming a NICU nurse: ATTEND NURSING SCHOOL (ADN or BSN programs — BSN is preferred for most NICU RN new grad positions) PASS NCLEX EXAM (nursing boards) APPLY FOR NICU NURSE JOBS (these can include new graduate positions, fellowships, or general RN positions) ♡ WHAT CERTIFICATIONS DO YOU NEED TO WORK AS A NICU NURSE? To work bedside (as a NICU nurse) you need your Associates Degree in Nursing (ADN) or Bachelors of Science in Nursing (BSN). Bachelors degrees (BSNs) are becoming preferred for most positions. This is the same degree that’s required for all other RN positions. While additional specialty certification isn’t always necessary to get a NICU job, it does make you more marketable and versatile — and sometimes comes with an extra pay differential. After getting a certain number of clinical hours in your NICU specialty as a bedside RN, you can sit for your RNC or CCRN certification. This involves sitting down and taking an online examination, much like the NCLEX. You can decide which certification is best for you and your facility by asking unit leadership or experienced coworkers about which certification they hold. The most common NICU certification is RNC-NIC (this is the certification I obtained). ♡ CAN YOU EXPLAIN YOUR PERSONAL CERTIFICATION EXPERIENCE? I took my RNC-NIC after 3 years of working as a bedside nurse. If you know me, you understand how much I worried throughout the certification experience. I’m a horrible student and test taker, and feared I wouldn’t pass the examination after hours of studying. I made it through, however, and I’m so glad I took the time and effort required to get it done! You can find out more about the RNC-NIC Certification via the National Certification Corporation (NCC) here , or in the exclusive nurse content included in my blog! ♡ DID YOU GET A NICU JOB AS A NEW GRAD? DID YOU HAVE ANY PRIOR EXPERIENCE? YES, I did! I was hired as a NICU New Grad Nurse and NO, I did not have prior NICU nursing experience. However, I interviewed for several different Nurse Residency Programs all over California & Arizona. It took me 8+ months and multiple interviews to land my first job out of nursing school. This is why I am so passionate about helping you all through the interview process. We don’t really learn interview skills in nursing school, despite them being a key factor in getting a job offer. If you are in the process of interviewing or want to know what to expect and how to prepare, I highly recommend our E-book and Podcast episode to help you in your process! SHOP MY NEW GRAD NURSE E-BOOK & RESOURCES! THINK LIKE AN ATHLETE! INTERVIEW PREP PODCAST EPISODE ♡ DO YOU HAVE ANY NEW GRAD NURSE POINTERS? Too many to count! I have compiled 10+ years of NICU nurse experience, crowd sourced from NICU colleagues, and combined it all here for you in this blog. Starting a new job can be challenging, and our very unique patient population can make the whole experience more nervewracking! Whether you’ve just landed your dream job in the NICU, are thinking about applying to nursing school, are studying for the NCLEX, or are a new grad considering where to apply - here’s some hot tips for you if you’re considering starting out your career in the NICU! ♡ WHAT DO YOU THINK ABOUT NURSE RESIDENCY PROGRAMS? Any time someone is PAYING you to learn, I say DO IT! Nurse residencies, sometimes called “New Grad Programs”, are paid programs created to help nursing students transition to the professional nursing world. These often include a year of paid instructional time, either in a classroom or clinical setting, to help new clinicians find success and happiness in their new roles. Each facility or organizaiton structures their nurse residency program in a different way, and some are more competetive to get into than others. Research shows that nurses who start out in a residency program have higher retention and job satisfaciton rates. I personally loved my program, made great friends, and felt confident and competent when providing clinical care. I highly recommend starting in a nurse residency! ♡ IS THE NICU A GOOD UNIT TO START IN AS A NEW GRAD, OR SHOULD I GET MORE GENERAL EXPERIENCE BEFORE WORKING WITH INFANTS? Everyone will give you a different answer to this question, so it can be tough to know who to believe! In my experience, the NICU is a great place to start! I began my nursing career in a NICU nurse residency program and have never felt like I needed any other experience to be happy and successful. However, I know plenty of amazing NICU nurses who started elsewhere and transitioned from other units like adult ICUs, L&D, postpartum units, PACU, or OR. In fact, when I was applying for jobs, I truly thought I wanted to be a CVICU/CTICU Cardiothoracic Pediatric Nurse. That was my passion and I felt so drawn to that population and their families! However, due to application process & job strategy, I opted to apply to NICU! At the time, the NICU was hiring more new grads and I thought I had a better chance of landing one of those jobs. I did get the job, and it was then that I discovered my love for preemies. Not only that, but I also have the opportunity to work with cardiothoracic patients within my level IV NICU! I’ve gotten the best of both worlds. ♡ SHOULD I WORK IN MED SURG FIRST BEFORE APPLYING TO NICU? NO. You no not NEED to work med surg first. Many nursing students hear this type of guidance from professors and clinical instructors. In my opinion, however, you do NOT need to work in med surg prior to getting a job in your desired specialty. This is a relatively old school train of thought. My belief is that if you want to start in a specialized area, do it! With this having been said, it can be a bit more challenging to get a job in the NICU if you don’t have any previous nursing experience. It took me 8+ months and multiple interviews to land my first job, and at times I was frustrated and doubtful that things would work out how I wanted them to. If you find yourself having a challenging time getting a job offer, I have two pieces of advice: A FEW TIPS: 1. Embrace YOUR journey! Everyone's path is different — who knows where your personal nurse journey will lead you. 2. If you work for a while & find yourself miserable, take time to spruce up your resume & portfolio; research Nurse Transition programs or Fellowships & make some changes to your professional life. It’s never too late to change your mind. 3. You may have to move cities or consider a life change but the career you want is achievable. Be patient :) ♡ I WORK IN ANOTHER UNIT, HOW DO I START THE PROCESS OF TRANSITIONING TO THE NICU? Every facility and unit has different processes for hiring RNs looking to transition to the NICU. The best thing you can do for yourself is to immerse yourself in the NICU world as much as you can prior to applying for the job. Reach out to the NICU unit manager and ask them to shadow or volunteer on the unit for a day to see how the team works. This shows them that you’re seriously interested in the opportunity to work there. Becoming NRP (neonatal resuscitation program) and PALS (pediatric advanced life support) certified can help your resume stand out and show your dedication to becoming a safe NICU nurse. Enrolling in a NICU-specific educational course can also prepare you for the transition and can refamiliarize you with infant-specific care guidelines you might not remember from nursing school. ♡ DO YOU HAVE ANY TIPS FOR NURSES TRANSITIONING FROM THE ADULT WORLD TO NICU? First things first: prepare to feel like a new grad again. It’s totally okay to feel like you’re starting all over — NICU is truly its own world. Vital signs, medications, care plans, priorities, emotions, treatments, and diagnoses are all so different. I have been a NICU nurse for over 10 years and STILL feel like I’m learning new things every shift. That’s why I LOVE our patient population. A few key NICU-specific things to remember : Heart Rate: 100-200 (anything below 60 makes you break out in sweats) Respirations: 10-100 (apnea is normal in preemies and is expected) FiO2 Sats: 85-100 (but sats of 50s are ok in some situations, as long as you have a heart rate!!) Temp : 36.5-37.5 C (anything outside of these are a big NO NO and require immediate intervention) NPASS: Pain Score 0-4 IV Med Volumes: we usually measure these per 0.01 ml (YES- you read that correctly. Every 0.01 mL flush behind the med is also technically a bolus: we take our decimal points seriously here when doing med calcs!!) Care Plan Considerations : these are all based on gestsational age & weight Skin to Skin: this is an essential part of your plan of care Caffeine is your best friend (in coffee form for yourself and medication form for your patients) Poop is something you will celebrate (trust me, this is easier in the NICU than most other units LOL) Just know you are in the right place and you’ve got plenty of support to help you in your journey! xo ♡ IF I TRANSITION TO NICU, WILL I LOOSE ALL MY NURSING SKILLS I LEARNED IN MY PREVIOUS JOB? GREAT question. Frankly: yes. The skills you need for working in the NICU are so specific and unique that most of the skills you learned in your other unit are no longer relevant. However, some of the most important skills you need to be a good nurse transcend all specialties and unit types: Compassion and empathy towards patients and families Medication calculation Efficient and timely charting Prioritization, delegation, and communication Staying calm and collected in stressful and critical situations Every unit, clinic, hospital, community setting you go into will be unique in its own way. There is no way to keep up with every skill you were introduced to in nursing school or your previous units. However, the beauty of nursing is you can always try something else! I have worked as a travel nurse & pediatric critical care float nurse (CVICU, PICU, NICU, & Oncology)! It’s exciting to relearn about patient populations and update your skills! If you decide you want to move on & try something new you can! Just because you "lost" your skill doesn't mean you can't relearn it. Nursing is like riding a bike; you just get back on and try it again — it’ll all come back so much quicker than you think! GET ALL THE DEETS HERE: THE CELLFIE SHOW - LIFE OF A NICU NURSE ♡ DO YOU HAVE ANY NICU NURSE INTERVIEW TIPS & TRICKS? Yes I do! TOO MANY TO COUNT! After working for over 10 years in the nursing field and spending an incredible amount of time applying for jobs (new grad positions, travel nurse positions, per diem & staff nurse jobs, you name it) I have loads of experience with the nurse interview process. Filling out the online applications can be overwhelming, but landing that interview is so exhilarating and all of my jobs have been worth every ounce of anxiety and fear! Here are some of my top “Nurse Interview Tips and Tricks” I have learned along the way. Head over to my blog to check out all of our pearls of wisdom, resources, Nurse Report sheets, SBAR printables, interview prep tips, resume writing, tips & tricks as well. ♡ WHAT IS YOUR FAVORITE PART ABOUT BEING A NICU NURSE? I love so many things about being a NICU nurse. I have a true passion for the neonatal patient population & helping families through some of the toughest times of their lives. Some babies have no parental presence at their bedside, and being their advocate and caregiver as they grow bigger and stronger is such a powerful experience. From the adrenaline rushes, emergency procedures, detailed medication calculations, and unpredictable diagnises, I love being on my toes with these babies. Pre-op prep, surgical care, cardiac anomolies, neuro protection, GI/GU diagnoses; everything is so important when caring for such a complex patient population. I love expanding my knowledge by attending classes and conferences, earning new certifications, and challenging myself at the beside by taking on new leadership roles. I also love the flexibility that comes with working in the NICU. I have worked full time nights, part-time, per diem, travel nurse contracts, and even worked as a pediatric float nurse for a year (NICU, PICU, CVICU, oncology, etc). Being a nurse offers a variety of different opportunities, schedules, specialties, and educational growth — it’s a career unlike any other. My love for the NICU doesn’t stop at the bedside. After much time learning, soul searching, and networking, I decided to start a podcast! I realized I had this huge network of providers, innovators, and people of interest to bring to you! In addition, I also value education & am working to advance my degree. I decided to take a big leap and chose the MSN route. I’m currently an MSN Capella University sponsored student . This is the beauty of nursing; there are so many opportunities out there! xo ♡ WHAT KINDS OF DIAGNOSIS DO YOU SEE IN THE NICU? There are many reasons why a baby would end up in a NICU. The reason could be as simple as dehydration from breastfeeding difficulties and could be as complex as a life threatening diagnosis or congenital disease. The type and complexity of the diagnoses you may see depends on the level of NICU you work at. Acuity levels range from I-IV, with level IV facilities providing the most comprehensive and complex care. Diagnosis Include: Prematurity (babies born before 37 weeks of pregnancy) Early term infants (babies born between 37-39 weeks of pregnancy) Low birth weight (babies that weigh less than 5.5 pounds) Micro-preemies, Sepsis (serious infections) Respiratory Distress Syndrome (RDS) Heart Defects Congenital anomalies Respiratory failure Birth defects Trauma Seizures Gastroschisis Hypoglycemia Intrauterine Growth Restriction (IUGR) Intraventricular Hemorrhage (IVH) Jaundice Necrotizing Enterocolitis (NEC) Multiples (Twins, Triplets) Neonatal Abstinence Syndrome (NAS, drug addicted mothers) Unknown pregnancies Precipitous birth Placental Abruption, etc. Learn more here....NICU 101 ♡ WITH THE STRESSES OF NICU NURSING, HOW DO YOU FIND WORK-LIFE BALANCE & PRIORITIZE YOUR PHYSICAL & MENTAL HEALTH? Working as a nurse — or in any healthcare position for that matter — is one of the most rewarding and taxing jobs out there. We are in the business of curing and healing people, and it can be draining. Patients coming to us at their best & worst is our everyday job. We work with life & death, tending to those new to the world and those on life support. Every day, we are witness to the happiest & saddest of the human experiences. To be frank, it is a lot, both mentally & physically. I do find ways to grow as a nurse. For example; I participate in committees, attend conferences, take classes, precept, and take on projects. However, I have also learned to set boundaries and tell managers and coworkers "No”. No to overtime, no to working extra weekend shifts, no to writing research papers when I already feel bogged down. It’s taken me my entire career to learn this, and trust me: I’m still practicing! I went through a heavy "burnout" period early on in my bedside career. 3 years into NICU I was very "burned out," and I decided to make a change; this is when I took on my first travel assignment. That helped me rekindle my love for bedside and reminded me why I love my job. Now, I prioritize balance. That is my biggest pearl of wisdom. I juggle bedside care, studying to become a Family Nurse Practitioner, instagramming, blogging, developing my new business, spending time with my husband, exercising, riding horses, and relaxing at the beach. ♡ I AM 35+, DO YOU THINK IT'S TOO LATE TO PURSUE NURSING? NO! I know plenty of nurses who made "nursing" their second or third career. It takes 2-4 years to get through nursing school, with pre-rec time included. If you become a nurse at 40+, you still have 25+ years of work potential! I personally think some of the best nurses come into the industry with seasoned life experience. Life, family, personal ups & downs: that is what will make you relatable and an empathetic nurse. CHECK OUT MY BLOG POST ON "NICU NURSE 101" CHECK OUT MY PODCAST FULL OF NICU NURSE HOT TOPICS!!! Mommy Labor Nurse EP132: NICU Tips from NICU Nurse Tori Click here to tune in! Listen Here Happy Birthway Podcast Peak into the NICU Click here to tune in! Listen Here CLOCKED OUT PODCAST Failing foward with Nurse Tori Click here to tune in! Listen Here The Birth Trauma Mama Ep. 182. Trauma-Informed Care in the NICU Click here to tune in! Listen Here 12 Example Nurse Interview Questions Common NICU Terms A-Z 5 Reasons to Become a Nurse In Tucson What Does a Neonatal Nurse Practitioner (NNP) Do? All You Need to Know All You Need to Know About NICU Nurse Certification What Does a NICU Nurse Do? A Career Guide Hot Tips for Nurses Starting in the NICU! 55 Tips for New Grad Nurses How to Land Your Dream Job as a NICU Nurse: 14 Hot Tips NICU Resources and CEUs Every Nurse Needs to Know About 12 NURSE INTERVIEW TIPS & TRICKS! NICU Nurse 101: What Do NICU Nurse Shifts Look Like? NICU Nurse Continuing Education Baby Basics Blog NICU Research Ideas & Topics to Consider Best NICU Nurse Apps!! NICU HOLY GRAIL OF PODCAST EPISODES 11 Things I Wish I Knew Before Becoming A NICU Nurse 1 2

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You agree to consent and submit to the jurisdiction of the state and federal courts located in Los Angeles County, California without regard to the principles of conflict of law or where the parties are located at the time a dispute arises. You agree to resolve any disputes or claims first through mandatory arbitration in the state of California and shall bear the full cost of arbitration as permitted by law. Your good faith participation in arbitration is a condition precedent to pursuing any other legal or equitable remedies available such as litigation or any other legal procedure. You also agree that in the event a legal claim is initiated after the required arbitration, the prevailing party shall be entitled to recover reasonable attorney’s fees and other costs associated with the legal action. INTELLECTUAL PROPERTY All content on this website including but not limited to text, posts, logos, marks, graphics, files, materials, services, products, videos, audio, applications, computer code, designs, downloads and all other information here (collectively, the “Content”) is owned by us and is protected by copyright, trademark and other intellectual property and unfair competition laws with the exception of any content from others that we are lawfully permitted to use. You are granted a limited revocable license to print or download Content from the website for your own personal, non-commercial, non-transferrable, informational and educational use only while ensuring it’s not in violation of any copyright, trademark, and intellectual property or proprietary rights. You agree not to copy, duplicate, steal, modify, publish, display, distribute, reproduce, store, transmit, post, create derivative works, reverse engineer, sell, rent or license any part of the Content in any way to anyone, without our prior written consent. You agree to abide by the copyright, trademark laws and intellectual property rights and shall be solely responsible for any violations of these terms and conditions. USER CONTENT AND LAWFUL USE OF THE WEBSITE For any Content or information that you upload, display, post, transmit, send, email or submit to us on the website or on any of our social media sites, you warrant that you are the owner of that Content or have express permission from the owner of those intellectual property rights to use and distribute that Content to us. You grant us and/or our officers, employees, successors, shareholders, joint venture partners or anyone else working with us a royalty-free, perpetual, irrevocable, worldwide, non-exclusive right and license to identify you, publish, post, reformat, copy, distribute, display, edit, reproduce any Content provided by you on our website and on any of our social media sites for any purpose. You shall be solely liable for any damages resulting from any infringement of copyrights, trademark or other proprietary rights of any Content or information that you provide to us. You agree not upload, display, post, transmit, distribute, send, email or submit to us on the website or on any of our social media sites any information or Content that is- (a) illegal, violates or infringes upon the rights of others, (b) defamatory, abusive, profane, hateful, vulgar, obscene, libelous, pornographic, threatening, (c) encourages or advocates conduct that would constitute a criminal offense, giving rise to civil liability or otherwise violate any law, (d) distribute material including but not limited to spyware, computer virus, any kind of malicious computer software or any other harmful information that is actionable by law, (e) any attempts to gain unauthorized access to any portion or feature of the website, and (f) send unsolicited or unauthorized material or cause disruption in the operation of the website. You agree to use the website for lawful purposes only and shall be liable for damages resulting from a violation of any provision contained in these Terms and Conditions. TERMINATION We reserve the right in our sole discretion to refuse, remove, restrict your access, revoke and terminate your use of our website including any or all Content published by you or us at any time for any reason, without notice. REFUND POLICY DIGITAL PRODUCTS Unless otherwise stated, there are no trial periods or refunds offered on digital or downloadable content. Should you have a problem with using the technology or other accidental purchase, please email tipsfromtorimanagement@gmail.com to discuss your options. All sales of products and/or services on this website offer a 30-day money-back guarantee. No refunds will be issued after a 30 day time period. We truly believe in giving more than receiving and each of our products and services is designed by keeping this core principle in mind. The prices are intentionally kept reasonably low in price as compared to market value to give you the tools and information you need at an affordable price. NO WARRANTIES THE COMPANY MAKES NO WARRANTIES REGARDING THE PERFORMANCE OR OPERATION OF THIS WEBSITE. THE COMPANY FURTHER MAKES NO REPRESENTATIONS OR WARRANTIES OF ANY KIND, EXPRESS OR IMPLIED, AS TO THE INFORMATION, CONTENTS, MATERIALS, DOCUMENTS, PROGRAMS, PRODUCTS, BOOKS, OR SERVICES INCLUDED ON OR THROUGH THIS WEBSITE. TO THE FULLEST EXTENT PERMISSIBLE UNDER THE LAW, THE COMPANY DISCLAIMS ALL WARRANTIES, EXPRESS OR IMPLIED, INCLUDING IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE. ALL CONTENT, INFORMATION, PRODUCTS AND/OR SERVICES ON THE WEBSITE ARE “AS IS” AND “AS AVAILABLE” BASIS WITHOUT ANY REPRESENTATIONS OR WARRANTIES OF ANY KIND INCLUDING THE WARRANTIES OF MERCHANTABILITY OR FITNESS FOR ANY PURPOSE, EXPRESS OR IMPLIED TO THE FULL EXTENT PERMISSIBLE BY LAW. THE COMPANY MAKES NO REPRESENTATIONS OR WARRANTIES AS TO THE CONTENT, INFORMATION, MATERIALS, PRODUCTS AND/OR SERVICES PROVIDED ON THIS WEBSITE. THE COMPANY MAKES NO WARRANTIES THAT THE WEBSITE WILL PERFORM OR OPERATE TO MEET YOUR REQUIREMENTS OR THAT THE INFORMATION PRESENTED HERE WILL BE COMPLETE, CURRENT OR ERROR-FREE. COMPANY DISCLAIMS ALL WARRANTIES, IMPLIED AND EXPRESS FOR ANY PURPOSE TO THE FULL EXTENT PERMITTED BY LAW. LIMITATION OF LIABILITY You expressly agree that your use of the website is at your sole risk and that you are solely responsible for the accuracy of the personal and any information you provide, the outcome of your actions, personal and business results, and for all other use in connection with the website. YOU AGREE TO ABSOLVE THE COMPANY OF ANY AND ALL LIABILITY OR LOSS THAT YOU OR ANY PERSON OR ENTITY ASSOCIATED WITH YOU MAY SUFFER OR INCUR AS A RESULT OF THE USE OF THE INFORMATION CONTAINED ON THIS WEBSITE AND/OR THE RESOURCES YOU MAY DOWNLOAD FROM THIS WEBSITE. YOU AGREE THAT THE COMPANY SHALL NOT BE LIABLE TO YOU FOR ANY TYPE OF DAMAGES, INCLUDING DIRECT, INDIRECT, SPECIAL, INCIDENTAL, EQUITABLE, OR CONSEQUENTIAL LOSS OR DAMAGES FOR THE USE OF THIS WEBSITE. THE INFORMATION, SOFTWARE, PRODUCTS, AND SERVICES INCLUDED IN OR AVAILABLE THROUGH THE WEBSITE MAY INCLUDE INACCURACIES OR TYPOGRAPHICAL ERRORS. CHANGES ARE PERIODICALLY ADDED TO THE INFORMATION HEREIN. THE COMPANY AND/OR ITS SUPPLIERS MAY MAKE IMPROVEMENTS AND/OR CHANGES TO THE WEBSITE AT ANY TIME. THE COMPANY AND/OR ITS SUPPLIERS MAKE NO REPRESENTATIONS ABOUT THE SUITABILITY, RELIABILITY, AVAILABILITY, TIMELINESS, AND ACCURACY OF THE INFORMATION, SOFTWARE, PRODUCTS, SERVICES AND RELATED GRAPHICS CONTAINED ON THE WEBSITE FOR ANY PURPOSE. TO THE MAXIMUM EXTENT PERMITTED BY APPLICABLE LAW, ALL SUCH INFORMATION, SOFTWARE, PRODUCTS, SERVICES AND RELATED GRAPHICS ARE PROVIDED “AS IS” WITHOUT WARRANTY OR CONDITION OF ANY KIND. THE COMPANY AND/OR ITS SUPPLIERS HEREBY DISCLAIM ALL WARRANTIES AND CONDITIONS WITH REGARD TO THIS INFORMATION, SOFTWARE, PRODUCTS, SERVICES AND RELATED GRAPHICS, INCLUDING ALL IMPLIED WARRANTIES OR CONDITIONS OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, TITLE, AND NON-INFRINGEMENT. TO THE MAXIMUM EXTENT PERMITTED BY APPLICABLE LAW, IN NO EVENT SHALL THE COMPANY AND/OR ITS SUPPLIERS BE LIABLE FOR ANY DIRECT, INDIRECT, PUNITIVE, INCIDENTAL, SPECIAL, CONSEQUENTIAL DAMAGES OR ANY DAMAGES WHATSOEVER INCLUDING, WITHOUT LIMITATION, DAMAGES FOR LOSS OF USE, DATA OR PROFITS, ARISING OUT OF OR IN ANY WAY CONNECTED WITH THE USE OR PERFORMANCE OF THE WEBSITE, WITH THE DELAY OR INABILITY TO USE THE WEBSITE OR RELATED SERVICES, THE PROVISION OF OR FAILURE TO PROVIDE SERVICES, OR FOR ANY INFORMATION, SOFTWARE, PRODUCTS, SERVICES AND RELATED GRAPHICS OBTAINED THROUGH THE WEBSITE, OR OTHERWISE ARISING OUT OF THE USE OF THE WEBSITE, WHETHER BASED ON CONTRACT, TORT, NEGLIGENCE, STRICT LIABILITY OR OTHERWISE, EVEN IF THE COMPANY OR ANY OF ITS SUPPLIERS HAS BEEN ADVISED OF THE POSSIBILITY OF DAMAGES. BECAUSE SOME STATES/JURISDICTIONS DO NOT ALLOW THE EXCLUSION OR LIMITATION OF LIABILITY FOR CONSEQUENTIAL OR INCIDENTAL DAMAGES, THE ABOVE LIMITATION MAY NOT APPLY TO YOU. IF YOU ARE DISSATISFIED WITH ANY PORTION OF THE WEBSITE, OR WITH ANY OF THESE TERMS OF USE, YOUR SOLE AND EXCLUSIVE REMEDY IS TO DISCONTINUE USING THE WEBSITE. DISPUTE RESOLUTION You hereby expressly waive any and all claims you may have, now or in the future, arising out of or relating to this Website, the Company, any and all contracts you enter into with the Company, and any and all of the Company’s products and services. To the extent that you attempt to assert any such claim, you hereby expressly agree to present such claim only in the state or federal courts that are geographically nearest to Orange County, California. ENTIRE AGREEMENT These Terms and Conditions along with our Privacy Policy and Disclaimer constitute the entire agreement between you and us with respect to this website. It supersedes all prior or contemporaneous communications, discussions, negotiations or proposals we may have had with you whether electronic, oral or written. A printed version of this entire agreement including the Privacy Policy and Disclaimer and of any notice given in electronic form shall be admissible in judicial or administrative proceedings with respect to this website to the same extent and given the same effect as other business contracts and documents kept and maintained in printed form. MEDICAL DISCLAIMER Although I am a nurse by profession, I am not YOUR nurse. All content and information on this website is for informational and educational purposes only, does not constitute medical advice, and does not establish any kind of patient-client relationship by your use of this website. A patient-client relationship with you is only formed after we have expressly entered into a written agreement with you that you have signed including our fee structure and other terms to represent you in a specific matter. Although we strive to provide accurate general information, the information presented here is not a substitute for any kind of professional advice, and you should not rely solely on this information. Always consult a professional in the area for your particular needs and circumstances prior to making any professional, legal, medical and financial or tax-related decisions. NOT MEDICAL NOR LEGAN ADVICE The information contained on this Website and the resources available for download through this website is not intended as, and shall not be understood or construed as, medical advice. While the professional at the Company are medical professionals and the information provided on this Website relates to medical professional issues, the information contained on this Website is not a substitute for medical advice from a professional who is aware of the facts and circumstances of your individual situation. We have done our best to ensure that the information provided on this Website and the resources available for download are accurate and provide valuable information. Regardless of anything to the contrary, nothing available on or through this Website should be understood as a recommendation that you should not consult with a medical professional to address your particular information. The Company expressly recommends that you seek advice from a professional. Neither the Company nor any of its employees or owners shall be held liable or responsible for any errors or omissions on this website or for any damage you may suffer as a result of failing to seek competent medical advice from a professional who is familiar with your situation. NOT PROFESSIONAL ADVICE The information contained on this Website and the resources available for download through this website is not intended as, and shall not be understood or construed as, professional advice. While the employees and/or owners of the Company are professionals and the information provided on this Website relates to issues within the Company’s area of professionalism, the information contained on this Website is not a substitute for advice from a professional who is aware of the facts and circumstances of your individual situation. We have done our best to ensure that the information provided on this Website and the resources available for download are accurate and provide valuable information. Regardless of anything to the contrary, nothing available on or through this Website should be understood as a recommendation that you should not consult with a professional to address your particular information. The Company expressly recommends that you seek advice from a professional. Neither the Company nor any of its employees or owners shall be held liable or responsible for any errors or omissions on this website or for any damage you may suffer as a result of failing to seek competent advice from a professional who is familiar with your situation. AFFILIATE DISCLAIMER We may partner with other businesses or become part of different affiliate marketing programs whose products or services may be promoted or advertised on the website in exchange for commissions and/or financial rewards when you click and/or purchase those products or services through our affiliate links. We may also recommend other products, services, coaches and consultants but no such reference is intended to be an endorsement or statement that such information provided is accurate. We recommend these based on our personal experiences but it is still your responsibility to conduct your own due diligence to ensure you have obtained complete accurate information about such products, services, coaches, and consultants. We are a participant in the Amazon Services LLC Associates Program, which is an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com. These affiliate or third party relationships in no way compromise the integrity of the content, information, services and materials being presented to you here, and you are under no obligation to click on these affiliate links to purchase those products or services being offered. These affiliate programs are selected based on personal experiences and preferences. Although we provide these affiliate links on the website for your convenience, we have no control over these external websites and they are solely responsible for their own content and information presented. Therefore, TIPS FROM TORI and/or its officers, employees, successors, shareholders, joint venture partners or anyone else working with us cannot be held liable or responsible for any content presented on these external websites and for any damages resulting from them. EARNINGS DISCLAIMER AND OTHER DISCLAIMERS We may disclose our income reports and success results of our current or former customers including product reviews and testimonials on the website from time to time. These income reports, product reviews and testimonials are accurate and strictly for informational purposes only. We share this information as examples to you but it does not serve as a guarantee or promise of any kind for your results and successes if you decide to use the same information, reviews, products, services, tips and techniques offered here. You are encouraged to perform your own due diligence and research and are solely responsible for your earnings and results. Your earning potential and results are contingent upon your personal circumstances, abilities, experience and skills. Therefore, you agree not to hold us and/or our officers, employees, successors, shareholders, joint venture partners or anyone else working with us liable for any of your successes or failures directly or indirectly related to the information, reports, reviews, products and/or services presented to you here. THIRD-PARTY LINKS The website may contain links to third-party websites or resources for your convenience. We may serve as an affiliate for some of these third-party websites by offering or advertising their products or services on the website; however, we do not own or control these third-party websites. Once you click on a third-party link and leave this website, you are no longer bound by our terms and conditions. You agree that we are not responsible or liable for the accuracy, content or any information presented on these third-party websites. You assume all risks for using these third-party websites or resources and any transactions between you and these third-party websites are strictly between you and the third party. We shall not be liable for any damages resulting from your use of these third-party websites or resources. USE OF OUR PAID AND FREE PRODUCTS We may offer free products for you to download and also sell paid courses, programs, physical or digital products and any other related materials (collectively, “products”) on this website. We only grant you a limited, personal, non-exclusive and non-transferable license to use all our products for your personal use only. You acknowledge and agree that you have no right to share, modify, sell, edit, copy, reproduce, create derivative works of, reverse engineer, enhance or in any exploit our products. You cannot sell or redistribute any of our products, whether free or paid ones, without our express written consent. SPONSORED POSTS / REVIEWS DISCLAIMER We may include sponsored blog posts on our website from time to time for products or services we recommend or those that have been valuable in our personal experience or use. We may review different products, services, and other resources to provide reviews of books, services, and any other recommendations to you. We may receive incentives, discounts or free products in exchange for our reviews. All such reviews are solely our honest opinions made in good faith but you are always encouraged to perform your own due diligence prior to relying on them. We share this information as examples to you but it does not serve as a guarantee or promise of any kind for your results and successes if you decide to use the same information, reviews, products, services, tips, and techniques offered here. You are encouraged to perform your own due diligence and research and are solely responsible for your decisions, purchases from our affiliate links and results. Your earning potential and results are contingent upon your personal circumstances, abilities, experience and skills. Therefore, you agree not to hold us and/or our officers, employees, successors, shareholders, joint venture partners or anyone else working with us liable for any of your successes or failures directly or indirectly related to the information, reports, reviews, products and/or services presented to you here. FAIR USE DISCLAIMER This website reviews products, including but not limited to posting product images from other websites, logos of manufacturers. In doing so, no copyright is claimed for this kind of content on the website and to the extent that such material may appear to be infringed, we assert that such alleged infringement is permissible under the fair use principles of U.S. copyright laws. If you believe any material has been used in an unauthorized manner, please contact us at info@tipsfromtori.com . You expressly agree that your use of the website is at your sole risk and that you are solely responsible for the accuracy of the personal and any information you provide, the outcome of your actions, personal and business results, and for all other use in connection with the website. You also expressly agree that we and/or our officers, employees, successors, shareholders, joint venture partners or anyone else working with us shall not be liable to you for any damages resulting from 1) any errors or omissions on the website, delay or denial of any products or services, failure of performance of any kind, interruption in the operation and your use of the website, website attacks including computer virus, hacking of information, and any other system failures; 2) any loss of income, use, data, revenue, profits, business or any goodwill related to the website; 3) any theft or unauthorized access by a third party of your information from the website regardless of our negligence; and 4) any use or misuse of the information, products and/or services offered here. This limitation of liability shall apply whether such liability arises from negligence, breach of contract, tort or any other legal theory of liability. You agree that we provide no express or implied guarantees to you for the content presented here, and you accept that no particular results are being promised to you here. Google Analytics Google Analytics is a web analytics service offered by Google that tracks and reports website traffic. Google uses the data collected to track and monitor the use of our Service. This data is shared with other Google services. Google may use the collected data to contextualize and personalize the ads of its own advertising network. You can opt-out of having made your activity on the Service available to Google Analytics by installing the Google Analytics opt-out browser add-on. The add-on prevents Google Analytics JavaScript (ga.js, analytics.js, and dc.js) from sharing information with Google Analytics about visits activity. For more information on the privacy practices of Google, please visit the Google Privacy Terms here . WIX Our site is hosted by WIX.COM is a free and open-source content management system (CMS) based on PHP and MySQL. Users of our site may, at their option, engage by creating content such as comments or posts. In the event you submit any content to our site, WIX may collect information such as first name, last name, email address, date, and time of submitting the content. Links to Other Sites Our Service may contain links to other sites that are not operated by us. If you click a third-party link, you will be directed to that third party’s site. We strongly advise you to review the Privacy Policy of every site you visit. We have no control over and assume no responsibility for the content, privacy policies, or practices of any third-party sites or services. Flow Desk Flow Desk is a marketing automation platform and an email marketing service. We use FlowDesk to deliver weekly and monthly newsletters. Sometimes in these newsletters, we promote certain brands or use affiliated links. Social Media Our Service contains links to our social media accounts, namely, INSTAGRAM, FACEBOOK, PINTEREST,, and YOUTUBE. We use these social media accounts to promote our site. INSTAGRAM : Instagram is a photo and video-sharing social networking service. Instagram’s privacy policy can be found here: http://instagram.com/legal/privacy/. FACEBOOK : Facebook is an online social media and social networking service. Facebook’s privacy policy can be found here: https://www.facebook.com/privacy/explanation. PINTEREST : Pinterest is a web and mobile application company that operates a software system designed to discover information on the World Wide Web, mainly using images and on a smaller scale, GIFs and videos. Pinterest’s privacy policy can be found here . YOUTUBE : YouTube is a free video-sharing website that lets people upload, view, and share videos. Youtube’s privacy policy can be found here . Children’s Privacy ACCEPTANCE OF TERMS Through the use of this website, you are hereby accepting the terms and conditions stipulated within the aforementioned Privacy Policy Agreement. If you are not in agreement with our terms and conditions, then you should refrain from further use of our sites. In addition, your continued use of our website following the posting of any updates or changes to our terms and conditions shall mean that you agree and acceptance of such changes. You are advised to review this Privacy Policy periodically for any changes. Changes to this Privacy Policy are effective when they are posted on this page. Effective as of April 1, 2021 HOW TO CONTACT US If you have any questions or concerns regarding the Privacy Policy Agreement, Terms, Refunds, or Disclaimers related to our website, please feel free to contact us at the following email, telephone number, or mailing address. Email: tipsfromtorimanagement@gmail.com Telephone Number: (714) 363-8750