postpartum patient discharge

  1. Who discharges your moms/babies at your hospitals? How involved are they in making sure the baby is in the carseat correctly and in the car okay? NOT to install the seat, but just to make sure the infant is rear facing, etc. Or do you just wave goodbye and let them fend for themselves? Just wondering. Thanks!
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    Joined: Nov '01; Posts: 48; Likes: 54


  3. by   mark_LD_RN
    the nurse escourts them down and makes sure they put baby in carseat correctly. we do not install the car seat or place the baby in it though
  4. by   mother/babyRN
    Same with us Mark, however I have noticed at my newest facility that it is not always the nurse who goes down with the patient so they have taught the techs to observe the car seat placement...
  5. by   NICU_Nurse
    Our nurses also escort patients down and help latch the baby in the car seat (if parents are leaving without one they have to sign a waiver), but do not actually install the car seat. Our hospital offers a drive-thru service in the parking lot on Thursdays, where parents can drive into the parking lot and have their car seat assessed by certified techs for safety, etc., and be shown how to properly lock it in. They will then lock the car seat in themselves while being watched by the techs. Great service, but sadly, most of our population doesn't take advantage of it. ;>(
  6. by   mommajoe
    At the hospital I work at, we--the nurses--ck for placement and make sure the infant is in the seat properly. We have many many hispanic/lower socioeconomic patients who purchase older car seats, so it is very necessary to ck placement of the baby and also in the car. It is a hassle sometimes but can be life saving for the infant.
  7. by   SmilingBluEyes
    The discharging nurse is the one who ensures a baby is placed in a carseat properly where I work. And I have seen some doozies!
  8. by   Spidey's mom
    Deb . . . doozies . . . me too.

    A couple of weeks ago I walked new parents out to their car. The carseat was forward facing in the front seat and the Dad asked if Mom could just hold the baby on the way home.

    I installed the car seat. Placed the Babe inside. I had a feeling that as they drove down the road, they were gonna stop and take the baby out. sigh . .

    Also about two years ago I walked another set of parents out to their car . . in the backseat was a huge ugly Rottweiler right next to the carseat. Well I refused to let them put the baby back there all by herself. No amount of "oh our dog is the nicest dog you'd ever want to meet" could make me put that baby in there. I explained that dogs are animals for goodness sake and this dog had never seen this baby and who the heck knows what he would really do?!?? . . I was imaging him taking a big bite out of the poor baby's face. I finally convinced them to put the dog in the front seat and have the mom sit in back. I prayed hard for that baby.

    We should start a thread on this . . . Oh, the nurses or the CNA's take the parents out to their car and check on carseat placement.

  9. by   dawngloves
    I'd be careful about installing car seats in vehicles unless you are a liscensed Car Seat tech. Heaven forbid something happened and the baby was hurt, even if you installed it correctly you would be held liable.
    I give specific instructions on how to install a seat and I observe the parents placing the baby in a carrier,but I would'nt touch it except to make sure the straps are tight enough and then I tell the parents to tighten them.
    It's a shame, but this is our society.
  10. by   Spidey's mom
    Dawngloves . . good advice! But these parents were "AIRHEADS" . . . . and I have a good friend who is a certified car seat person . . . who gave me lessons with my toddler's carseat. Sometimes ya gotta take a chance and help people.

  11. by   dawngloves
    You guys just made me think.......
    Worst car seat you've ever seen?
    I had a woman bring one in and the bar across the back that holds the straps was gone and the straps were tied together!!!!!
    We gave her a new one.
    Also heard about one that had roaches crawling out of it!!!!!!! We threw it away, called enviromental and gave her a new one. Hey! Do you think it's a scam or are there really people that think that this is acceptable?
  12. by   New CCU RN
    My vote is for a scam.........
  13. by   Spidey's mom
    My vote is that SOME of these people really are that . . . . hmmmm . . . . uninformed.

    Have ya ever watched "Jay Walking" on Leno's show?

  14. by   SmilingBluEyes
    ROFL---->stevielynn. I am with you when I see a situation that is HIGHLY dangerous, I WILL STEP IN AND CORRECT IT. Maybe I should get my certification in car seats? I dunno, but sometimes, you think ----OUTSIDE THE BOX---- in desperate situations where you know if you don't step in and help, something BAD could happen to an innocent baby...... Or, do you let it go for legal safety, dawngloves? Just wondering....

    and the worst car? OH I HAVE SOME STUFF LEMME TELL YA. Worst in recent memory---hmm--- it had to be the one with 1/2 the floor missing in back....yep I am telling the truth was a rustbucket filthy old cadillac full of old dirty clothes, old soda cans and garbage strewn, burnt cig butts all over and YES, a rotted out floor. I was appalled, wondering what kind of horrible HOME awaited this poor innocent baby. It did make me wonder why they even bothered with a car seat, it was so obviously unsafe.