Brenda,
What a step backward!  Was there one baby that showed symptoms that
were missed so now every other baby has to suffer?
Here is my experience with the "transition nurser" idea-totally
aside from the breastfeeding concerns which certainly are numerous
and valid and which I am sure others will address.
As long as care is one-on-one, MAYBE a baby is better observed in a
separate nursery.  However, there are usually several babies at the
same time and the nurse has other jobs such as documentation so she
is probably not paying as close attention to baby as family would be
in mom's room
.  The worst experience I ever had an an RN was when I was assigned
to the admission nursery on the day we had 12 deliveries in a 4 hour
period!  (For those of you who think it matters, it was a Friday the
13th, low pressure system and full moon all at once!)  I had to do
the assessments, computer work (except for entering orders which the
unit secretary did), notifying the baby docs of the deliveries and
initial baths.  Of course, with it being so busy, all the other
nurses were also swamped, so there was noone to help.  Scheduled
assessments went out the window and I simply went around the circle
from baby to baby and checked them whether is was the right "time"
or not.  Thank God all the babies were healthy!  If there had been
subtle symptoms, I know I would have missed them.
When the baby stays with mom, the same nurse who is frequently
checking on the mom (every 15 minutes the first hour, then every
hour for a couple more hours) checks on the baby.  Therefore the
baby gets the same frequent checks it would get in a separate
nursery.  Not only that, but mom or someone is usually holding baby
and would be in a better position to notice gross problems that a
professional who is watching several babies at the same time.
Especially if mom is holding skin-to-skin, one would expect fewer
problems such as cold baby.
If this is a change from mom-baby care, I would think the bulk of
documentation and justification for change should come from those
who want to change it, not from those who feel the present system is
best.

Winnie

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