Our docs chart    "weight pending, infant skin to skin with mother"


On Tue, Jul 26, 2016 at 3:22 PM, Mandy Schaub <[log in to unmask]>
wrote:

> For those of you who are in Baby Friendly facilities or on your way, I am
> looking for some help with our current skin to skin problem.  We are
> Auditing Step 4 and have some concerns.  Step 4 basically says baby goes
> skin to skin with mom within 5 minutes of vaginal birth and remains there
> until after the first feed or for at least 1 hours uninterrupted.  We use
> Epic for computer charting.  Epic requires the baby’s weight be entered in
> the delivering OB’s note before it can be completed.  Typically once baby
> is born they are going to mom immediately.  The issue is about 15-20
> minutes in they are being taken away from mom for a weight and then being
> put back.  My understanding is this is considered an unnecessary
> interruption of skin to skin before the first hour/feeding is complete.
> I’m not sure that doing the weight immediately after delivery before seeing
> mom is a solution, because we typically deliver baby and hand it right
> over.  Do we really want to not have mom be the first person to hold her
> baby or to wait for a weight to do so?  No.  At the same time the weight
> needs to be done before the first hour is up.  Apparently DHEC requires the
> weight be part of the delivering Doc’s note.  There is probably no way we
> can get Doc to add it later in an addendum.  We are lucky to get the
> charting we do.  How do other people do this???  We've tried putting a
> towel on mom drying baby off on mom, whisking it away for a weight and
> returning within 5 minutes to begin uninterupted skin to skin.  There is
> only 1 RN in the room being pulled in 100 directions, so it isn't working.
> Please share your delivery work flow.  How do you get a weight, skin to
> skin within 5 minutes and uninterupted?  Do you utilize a baby RN in
> addition to your delivering RN?  In a perfect world the Doc, computer or
> charting wouldn't matter, but we have to consider it, so I need a real
> solution.
> Thanks for your expertise, Mandy Schaub
>
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