Patient Information At Avista Adventist Hospital

Today I will inform you about the everyday obligations of neonatal nurses, the explanations of deficiency of staff and the impacts a sufficient number of neonatal nurses can cause in a baby’s life.

After the delivery, the heat from the mom’s body can warm the baby and maintains the baby’s body temperature. For instance, when nursing students were at the operating room at Saint Peter’s Hospital during the C-section delivery, as soon as the baby was out, the doctor placed the newborn on the mother’s chest. When the mother was alert and awake during the C-section made it possible for the baby to stay on her chest on the first hours after the birth. It was one of the most beautiful moments in life. Nevertheless, there was another C-section birth of diabetic mother. She was not fully awake during the C-section and the doctor only did not promote skin-to-skin mother and the newborn. The doctors and nurses at Saint Peter’s Hospital support and encourage skin-to-skin for mother and newborn right after the birth if there is no complication on mother or baby or when the condition is possible. Saint Peter’s Hospital has policy for vaginal delivery, “all infants that meet the criteria for initiate skin-to-skin care shall have skin-to-skin care implemented as the standard of care immediately after birth and as needed thereafter regardless of feeding preference”. They promote skin-to-skin contact between mother and baby immediately after delivery. However, mothers and babies have a physiologic need to be together during the minutes, hours, and days following birth, and this time together significantly improves maternal and newborn outcomes.

I am interested in NICU nursing, mainly due to my own personal experience of having, had an infant in the NICU. My experience was life changing and very positive because of the incredible nurses that cared for my baby. I found an interesting article about (Ryan) the importance of including parents in plan of care for infants in the NICU. The article dicusses how it can be difficult for parents with children in the NICU because there is so much medical intervention taking place that threatens to take away their control or autonamy, as parents. I can attest to the fact that having a sick baby is scary. My baby was born in Portland, Maine. The nurses spent a great deal of time educating me on what to expect on a daily basis. They did have a couple of full time patient advocates to help educate and console families. There was just so much to learn. They had to teach me how to care for my child in the NICU setting. This was my fourth baby, the nurses were so patient. They allowed my baby’s older siblings to come and visit their little brother. They not only taught my children how to wash and gown up, but, helped them begin a relationship with their brother. They

Through our presentation at the Women’s Resource Center the information provided will have an immediate on the community involved. Seeing that a community is defined as, “a group of persons living in a specific place or geographic region or a group of people having common interests”(Etzioni, 2001), the resource center is involved with the expecting or new mother community. Within our presentation our group plans to provide attendees with information regarding causes and ways to prevent SIDS and Shaken Baby Syndrome.

She had instructed the nurses about her plan to have a natural birth to which the nurses responded by encouraging her throughout the labor. Doing this, the nurses demonstrated the acceptance and understanding of their patient’s cultural norms, which signifies nurses’ knowledge on cultural uniqueness; hence, respecting the individual (Etowa, 2012). Alice also mentioned that she called her friend, Lisa, to play the role of a birth companion. In their paper, Sioma-Markowsa, Poreba, Krawczyk, and Skyzypulec-Plinta cite a source explaining the importance of presence of the father during birth in order to support the pregnant woman and to prepare both the “spouses for conscious parenthood” (2015). However, the father of the child did not come to the hospital as he was drunk and could not drive to the hospital in time. Nonetheless, Alice remembers the day very vividly; she remembers the nurses who held her hand and rubbed her back during each contraction, she remembers the nurse who coached her about right breathing techniques, she remembers how comfortable she felt even during one of her mostly vulnerable moments of her life. These are the things that helped Alice to cope with the pain associated with the labour. She said her labor lasted for ten hours during her first

The goal is to increase our HCAPHS scores. To achieve this goal, the unit will implement the Perinatal Quality Collaborative of North Carolina (PQCNC) survey “How’s your Baby” on the unit at discharge. This is an anonymous survey for parents developed by PQCNC to assess patient care and readiness for discharge. A committee of three to four nurses, as part of a green belt project to revamp the unit’s discharge process, will take charge of the “How’s your Baby” initiative for the unit. The discharge committee will make sure that information on “How’s your Baby” is in the discharge packets and provide follow up with families once the infant is discharged from the hospital. The committee will provide education on the “How’s your Baby” initiative during staff meeting and provide feedback for staff on the

Set up nursing care plan and intervention related to the mother and her newborn situation.

A comparison of the literature search findings supports the intervention to improve nurses’ knowledge about discharge education and planning. In neonatal nurses at a level IV NICU will providing education increase their understanding of the discharge education and planning? is the clinical question the intervention will address. The intended outcome is improving nursing knowledge to improve the discharge process and improve parental perception of discharge readiness at the project site. Findings demonstrate that educating nurses about the discharge process improves their provision of an effective discharge process which enables positive perception of discharge readiness (Galarza-Winton, Dicky, O’Leary, Lee, and O’Brien, 2013; Graham, Gallagher, and Bothe, 2013; Lamiani & Furey, 2009; Suzuki et al., 2012).

After speaking with Teresa Posada, Director and Lead Educator for Yakima Memorial Hospital’s Birth Education Department, she has agreed to allow me to attend and observe one, Child Birth Education Course. This course is typically 8 hours in length and occurs over the span of one day. During our conversation, she understood my background in early intervention experience (which spans over fifteen years) my undergraduate education, and that I was working toward my Graduate degree in Family and Human Development. We spoke loosely about my interest in attachment and prenatal support. She appeared excited to hear of my passions and how I wish to use them in our valley.

This 55-bed facility is part of a large children’s hospital with a family-centered care philosophy that strives for good patient outcomes and satisfaction. Family-centered care includes parental involvement, education, and hands-on experience which starts as early as possible in the hospital stay (Raines & Brustad, 2012). A more structured discharge process based on family-centered care should include thorough documentation, nurses who are knowledgeable in parental education, and a functional discharge process to address the decline in parents’ perceptions of discharge readiness (Adama, Bayes, & Sundin, 2016). The described NICU will be the project site and improving the nurses' knowledge regarding effective discharge preparation will be

Rocking the pre-mature baby I just resuscitated in my arms, I began to reflect on how and why I sat in a resource limited outpatient clinic in Tanzania sweating more than I have ever imagined but still smiling; the answer, I love making a difference in global health. In the past 6 years, I have made 7-week long trips to a small region in Guatemala caring for the underserved Mayan populations and a two-month medical mission to the small underdeveloped town of Moshi at the foothills of Kilimanjaro, where in the 1st week I identified a need for neonatal education. To that end, I designed and implemented a program called Karibu Duniani, in Kiswahili means Welcome to the World. The program consisted of classes for the nursing staff teaching exam techniques and their necessity, maternal education encouraging weekly follow-ups for both mother and child to ensure continued health, and continuous staff testing culminating in a final written and practical exam. At the end of seven weeks, I was able, with confidence, to certify five of the nine nursing staff as proficient in basic neonatal exam techniques and ensured sustainability of the program by confirming at least one of the certified staff was capable of teaching. The program worked! The data proved an increase in the number of weekly neonatal visits and a decrease in the overall number

Infants within the neonatal intensive care unit (NICU) are one of the most vulnerable patient population in the hospital. The quality and safety of these patients are at top priority because of their immune systems have not fully developed yet causing them to be at the highest risk for infections. According to the Institute of Medicine (IOM, 2001), quality is defined as “the degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge” (Masters, 2005). The Quality and Safety Education for Nurses (QSEN) defines safety as, “the minimization of risk of harm to patients and

Within this model, the obstetrician is the sole caregiver of the childbearing woman. Obstetricians have more of a reductionistic approach focusing primarily on delivery of the newborn. The expectant mother attends prenatal visits and checkups in an office where she meets with her obstetrician briefly and is provided limited options regarding the birthing process (Symon et al., 2016). These limitations include the environment of the delivery room or the number of individuals present. The obstetrician care model also implicates different healthcare workers throughout the different stages of labor. Nursing care plays an important role throughout a women’s pregnancy in obstetrician-led model (Symon et al., 2016). Nurses are focused on the comfort of the patient, educating the patient, and communicating to the obstetrician for the patient. Whereas midwives are the primary source of direct communication in making sure the needs of the woman are met. Exposure of the obstetrician-led care model and the midwife-led care model can result in an array of maternal and fetal

Childbirth, also known as labor and delivery, is ending of pregnancy by one or more babies leaving a women uterus. It is a life changing event in which a woman goes through a lot of biological, social and emotional transitions(1). During facility-based childbirth giving compassionate, and respectful maternity care can profoundly affect the future well-being of the mother and new born, and her relationship with the baby, family and health professionals (2).

The couple’s first experience of having newborn babies came unexpected amidst severe warnings of a hurricane at 5:20 AM; the mother’s water had broken and the baby was being born 13 weeks early. The delivery was high risk, not only due to the premature nature of the newborns, but also because the pregnancy was multiple-birth (twins). As this is a high-stress moment for any future parent, and ones with complex situations in particular, the overall service experience should be as easy, informational, safe, and stress-free as possible.