DH Toolkit Analysis

Providing an effective care and support to the patient and for their babies during labour

The demand for this level of neonatal nursing is decreasing because mothers and newborn babies are now more likely to stay in the same room together after birth. Level II nurses are much more in demand because premature and sick babies need constant attention. Level III nurses have the most intensive responsibilities, working in the NICU and monitoring seriously ill or premature infants around the clock. They check ventilators and incubators, make sure babies are responding well, and teach parents how to care for their infants properly.” Many Neonatal nurse work in the NICU. They give medical care to the babies that are at risk newborns. Neonatal nurse tend to care for 1-4 babies at a

Caring for my patient is a key to having a successful business. As a Neonatal Nurse I will respect the mother and her new born. I will show my staff how much I care by working as a team to accomplishing our goals. When I encourage and motivate the mother who may face difficulties, I will keep her baby comfortable while going through medication withdrawals. By creatively performing my job to the best of my ability and completing tasks in a timely matter, will help tremendously.

The APN leader interviewed for this paper is a Board Certified Nurse Practitioner (CNP), Chery Arnett works in the Neonatal Intensive Care Unit for Memorial Hospital of Carbondale. She began as a registered nurse in 1981, then in 2001earned her CNP title. She manages and cares for the ill neonate, collaborates with Neonatologist and Pediatricians to improve overall health outcomes. She provides support and assists ventilation, assists with deliveries both “normal” and high risk infants, provides care for the healthy newborns, also providing guidance to parents for caring for the “neonate” or healthy newborns. She is also responsible for assessments, orders, treatment plans, medications, and discharge of the infant. CNP’s provide initial, ongoing and comprehensive care, including managing patients with acute and chronic illness and diseases for both premature infants and term infants.

For the study, academic pediatric centres were required to have full-time training programs in pediatrics and pediatric surgery as well as a level 3 neonatal intensive care unit (ICU) while a community hospital must have had a neonatal ICU or special care nursery, no full-time pediatric or surgical training and 1000+ pediatric admissions between April 2008 and March 2009. All participating patients were under 19 years of age with a hospital stay over 24

Newborn screening and follow up is seen as a public health role. In order to perform this role, effectively partnerships are required between hospitals, clinical and

Neonatal Nurse Practitioners (NNP) refers to and cares for newborns in their first 28 days of life. Neonatal nurse practitioners practice advanced skills in order to provide care for healthy newborns, as well as newborns who need individualized attention. These nurses care for premature and sick newborns in many different settings: neonatal intensive care units (NICU), emergency rooms, delivery rooms, or specialty clinics(Nurse). NNP’s level of care enables them to preform multiple duties consisting of: monitoring specialized equipment, providing education to the families of the sick newborns, administering medications, preforming diagnostic tests and other procedures in order to establish a treatment plan for the newborns,

Less than 30 years ago the survival rate of premature babies was 25%, now that number has risen to a survival rate of 90%(Dutton, Judy). The increase in this number is most likely due to the advanced medicine and technology and the help of neonatal nurses. By having an advancement in technology and medicine gives us a wider range to work with to help these premature babies survive. Neonatal nurses are there to help contribute to the health of these babies so they can grow strong and healthy. Within nursing, especially neonatal nursing, that has been around since early 1900s have helped save and nurture our babies of the future.

Tertiary prevention is being provided, because the main focus is young girls and women who are already pregnant and the goal is to provide expectant mothers with a relationship the can count on. A committed and compassionate nurse make regular home visits over 30 months from before birth until the baby is age 2. The nurse can reach a vulnerable family in ways that others can’t. For low income young woman at risk, a nurse is trusted, respected, and accessible figure.

As it was previously mentioned, nurses will be the leading members of this project. Administrative tasks such as hiring, budgeting, recording inventory, developing partnerships, and evaluating quality and performance, will be carried by the nurse manager. Delivery of prenatal care will be mainly performed by a team of CNMs and RNs. One CNM will be the primary care provider in charge of the complex cases presenting in the Prenatal Care Mobile. The scope of practice of the CNM allows patients to receive medical diagnoses and prescriptions that otherwise, could not be provided by a RN. A couple of RNs will be delivering most of the care for the uncomplicated patients, while also performing comprehensive assessments, screening or diagnostic tests,

Australia may be one of the safest countries in the world to give birth in, but it is far from reaching the needs of consumers (Dahlen, et al., 2011, p. 21). In Australia, three main settings are available for birthing mothers: hospital, home and birthing centres. The choice of a preferred birth setting is influenced strongly by (a) “belief Systems”, (b) “convenience” (c) finances and (d) “reputation” (Dahlen, et al., 2008, p. 24). There has been considerable discussion and criticism focused on personalised non-fragmented care outside bureaucratic

The birth of a sick infant and /or premature baby and the admission of the baby to the Neonatal Intensive Care Unit (NICU) is often an emotionally challenging and stressful time, stressing most families to the limit of their ability to cope (Bachman & Furlong, 1997). Common feelings of parents of a baby in NICU include feelings of grief, loss and trauma, with the added challenge of figuring out how to have a meaningful and rewarding relationship with a sick and often physically unresponsive baby (Davis & Stein, 2004). Having a baby admitted to NICU can have implications for the overall family functioning, relationship between parents, bonding and attachment, and the physical and mental well–being of the infant and their family (Barbosa, 2013).

Evidence shows that high maternal, neonatal and child mortality rates are associated with inadequate and poor quality maternal health care. Seventy four percent of maternal deaths can be prevented with access to the intervention for preventing or treating pregnancy and birth complications, especially obstetric care (UNFPA, 2012). As a result, the use of ANC, skilled delivery attendants and PNC services are pivotal for the betterment of maternal and child health (Babalola & Fatusi,

In 2005, hospital received the international recognition as a baby friendly birth facility from the World Health Organization (unknown author, 2007). The hospital is eligible to participate in Medicare and Medic aid and is in compliant with the program requirements.

This paper is summarizing the health, delivery, and plan of care for a first time mother and her twins while at St. Francis Hospital. The patient had a healthy pregnancy and was scheduled to have a cesarean section on August 16, 2015, but her membranes ruptured nearly two weeks prior to this date. One of the twins was taken to the NICU after delivery due to his small size, but both babies were doing quite well despite their early arrival. Although the patient had a successful, uncomplicated delivery, she faces multiple stressors when it comes to breastfeeding two babies, caring for a baby in the NICU, and facing a short 8-week maternity leave from work.