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Date: | Thu, 22 Apr 2004 10:25:34 -0400 |
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Transition Nursery
Hello
Well, just when I thought things were getting better, I learn we are going
to leap way back in mother baby care.
The neonatologist and some of the peds want a 'transitional nursery'. They
believe newborn problems are being missed immediately after birth. And they
propose a 4 hr mandatory transitional nursery stay for all newborns
immediately post delivery.
I know there are instances when the physicians have been rightly concerned
about poor infant assessment by staff. I recognize that the present method
of 'herding up' all the babies each morning and parking them in the nursery
until the peds are finished with morning assessments is a nightmare when it
comes to one nursery nurse being able to handle newborn needs, peds
questions, and physician needs.
There are a host of problems that need to be addressed and changed to
reduce problems. But...The mother baby separation issue is such a backward
step...especially for breastfeeding. I believe we need to look at the
present problems and work on those before we take a drastic measure like a
mandatory transitional nursery stay.
I am part of the management team and we are trying to put together an
alternative solution to take to these physicians. We are trying to get our
ducks in a row...fast. And I'm looking for your input.
FYI...Delivery rate here is 2000/year.
Questions for you:
Does your hospital have a mandatory transitional nursery? If so, how does
it work?
If you have a transitional nursery, what are the benefits/drawbacks?
If you have a transitional nursery, what are the pt satisfaction responses?
How does a transitional nursery impact breastfeeding initiation and success?
Do you work were there is an assessment team that goes to the rooms post
delivery and watches over the babies for a few hours after birth? How does
that work?
If you are able to respond...please add any thoughts/hints on presenting a
case to counter this.
You can reply to the list or to [log in to unmask]
Thanks in advance,
Brenda Rockers, RN, IBCLC
Conyers, GA
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