This is a discussion we have been tossing about as we relocate all
our maternal-child inpatient services after construction of a new
section of the hospital.  Infection control is a concern.  You don't
want children bringing in "their" diseases to the OB unit.  Then
there is the need to be sure it isn't too easy for ambulatory peds
patients to wander off.  On the other hand, with small units you
can't have too much "dedicated" space that may not always get used.
What I have seen done with OB and GYN is having one end of the Unit
alwyas OB, the other always GYN and some "swing" rooms in the
"buffer" area that can be used for one or the other as needed.
Perhaps such a system would work where you are.  I would think you
would definitely not have OB and Peds truly mixed where OB rooms may
alternate with some Peds rooms.  Currently our Peds unit is at the
end of one of the medical units and the rooms are handled with the
"swing room" approach.  It is on another floor from OB, but will
change when Peds moves into our former GYN area which has moved down
the hall to the former OB unit which has moved on the same floor
into the new section.  There is one concern-that until all the other
construction and reloctions are done, Peds will be a potential
"walk-through" area-in other words, people will be traversing the
area to get from one section to another.

Winnie

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