Infant admission at bedside

  1. 0
    Has anyone successfully implemented infant admissions at the bedside? I'd be interested to know your process and staffing. This is a huge patient satisfier but we currently can only accomodate this during low census. Thank you in advance!

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  2. 11 Comments...

  3. 0
    At my current job, that's the only way we do it. And that's the only way I've done it for about the past 20-25 years. In fact, it takes less nurses to do so. We only have 2 nurses on duty no matter what's happening. I am at a rural access hospital but we still get the same pts the big hosp do. Last job was a much bigger hosp & we still admitted babe w/ mom. Just have your paperwork, meds together & just do it! Most of the babies I admit are done on mom's chest & breastfeeding. There is no need to remove the baby unless there is a problem. And unless baby is really bad sick, it stays in mom's room. we just don't have the staff to dedicate to a nsy. Good luck! Hope it goes well.
  4. 0
    Thanks for the feedback. I agree...we should just go for it! Can I ask are you a L&D or PP RN?
  5. 0
    Big hospital here. L&D brings babe over in mom's arms. Admit nurse comes to room to ID baby and assess, do vit k and drops, measure, etc. Once initial assessment is done, mother/baby RN takes over care of the couplet. Our nursery is only for sick babies or to keep baby if mom is ill. Our couplet ratio is usually 1:3-4. We used to admit babies in nursery but we really do like this way better....took some adjustment but was worth it.
  6. 0
    We do our band checks bedside in post partum and Mom follows along on her bands to verify. Babies are technically admitted (to a bed in the computer) at birth from L&D and bands are double signed by RNs there as well. I'm not quite sure how else that could happen--unless you mean admission assessments? I do those skin to skin
  7. 1
    We do everything, here! I've even mopped floors on a bad night. :-)
    Last edit by losbozos on Jan 8, '13 : Reason: Sp
    Mermaidblues likes this.
  8. 0
    We call it "transition nurse". If L&D nurse only has one pt, she usually does it herself. We keep a baby cart stocked that gets brought to the LD room near delivery time that has everything but meds in it for the NB. after the delivery,once we have wt,time of birth, etc, the info is given to the secretary who admits the baby, then meds can be pulled from the Pyxis. Baby stays with Mom unless there is a low apgar score, or some other reason not to. We have a level II nurse who an attend deliveries if a complication is anticipated. Nursery has the chart made by secretary. Only thing babies go to the NSY for is hearing screen or illness. It does take preplanning and cooperation with other areas like pharmacy, admissions and Peds to work out all the kinks, but it can be done. The benefits for mom/baby and continuity of care speak for themselves.
  9. 0
    At my hospital, once the baby is born-the L&D nurse drys/stimulates, applies armbands, takes the weight, and helps mom initiate breastfeeding if wanted!!. We immediately call Nursery and within the hour, a nursery RN will come over and administer vitamin k and eye gel right there in the room. Each L&D room has a built-in warmer and basic resuscitation equipment. After the mom recovers for an hour in L&D she can choose "family place" or "nesting place." family place- the mom has a separate nurse from the baby, and the baby can go to and from the nursery as much as the mom wants. nesting place is where the baby must stay in the room with the mother, and the two have the same nurse. family place and nesting place are different units with different staffs of nurses. It works pretty well!
  10. 0
    Interesting, what is the size of your "family" and "nesting" unit? Guessing that you must have a large facility to be able to offer two different postpartum units.
  11. 0
    We have "admit" nurses staffed (usually two) just handle baby admissions. All admits are done at bedside by the admit nurse and she keeps the baby until the mother is recovered and they're both handed off to the couplet nurse. The only time a brand newborn goes into the nursery for anything is if there is TTN or something that requires close watching. Then, the baby either goes back out to the mom, or down to the NICU.

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