I’m sure the staff on duty that day feel awful but I’d hope that the blame isn’t unfairly placed on them. Obviously if someone wasn’t doing what needed to be done then that’s different. But maybe the blame needs to be pointed higher up the hospital at managers? Maybe the staffing levels aren’t great? There is very unlikely to be 1-1 care so if a nurse is busy with another baby/emergency then there’s the potential for this to happen and it not be a nurses fault.
They also need to look at the layout of the NICU ward. I’ve worked in one previously with lots of smaller rooms with maybe only 1 or 2 babies in each room. Doors are open to each room but there’s not a member of staff in there all the time, not enough staff. The idea is if a baby deteriorates the alarm goes off loudly and gives you enough time to get there and sort it out. Which works for a deteriorating baby but not for an incident like this. That ward has now been completely redesigned and is one huge open plan room allowing staff to have a helicopter type view. Small screens can be moved in for privacy reasons if needed (not ideal in some situations).