I'm a little hesitant to ask this, given the thread on asking questions in another forum
, but I'm a paediatric nursing student in the UK, and whilst I get a maternity placement and a NICU placement as part of my training, as far as I know we don't have well baby nurseries over here.
From what I can gather from reading on this board, couplet care is where the mother and baby remain in the same room, which is what happens over here too. The baby always remains in the postnatal unit with the mother, unless of course it's a preemie/ill etc, in which case it will go to either a special care baby unit (less acute) or a NICU.
I've heard people talking about well baby nurseries, but because they are commonplace in america and non-existant over here, at least in my county, I still don't really understand when, why or how long babies go there for.
Would anyone be kind enough to explain to me the basics of the function and role of a well baby nursery?
Thank you very much.
Jan 17, '03
The reason I stated there is no well-baby nursery is cause we are not staffed for it, period. PKUs, pictures, footprints can all be done in the mother's room, at her bedside w/the equipment we have, if she so chooses. Otherwise, we do take the baby out to do these things, at her request. The nurse who is caring for the couplet (mostly nights), does all the PKU's, prints, cord clamp removals, etc. for her mom-baby couplet. If they do elect to have firstfoto pkg done, then we do have to take the baby to the nursery for this. But there is generally NO ONE to staff for wellbabies. If a mom is that sick, oftentimes she goes to a higher level of care e.g. another hospital or, yes we suck it up and watch her baby. But this is accomplished by the staff we have (that does couplet care) taking turns watching her baby. There is no staffing for well babies alone, outside the realm of couplet care.
If there is a special care baby in our SCN, (we have Level II capability only), then there is a nurse assigned specifically to that baby's care and she remains in the nursery. It's at that point the other babies may come in and be watched there while moms sleep, rest whatever. But we never promise we can take a baby out of the room for certain. If it's slow and I have the time, I am more than happy to take a fussy baby out and rock him/her so mom and dad can get rest and gather sanity. I feel for them and want to help out. But oftentimes, we just don't have staffing for it. It's unfortunate.
Last edit by SmilingBluEyes on Jan 17, '03