debswords

I think you should consider looking into puttin your report sheets in SBAR format...subject background assessment reccomendation/request..its a good way to organize the information. We use SBAR for much of our communication - email - report sheets - phone reports. Our SBAR sheets for designed by each unit for their specifics. Staff works together to make it what they want.

in respect to all you post partum nurses, could you please tell me if you use "BUBBLE" and the REEDA scale for assessing and documenting on your moms? I am working on changing our documentation and see the above referred to in text books but would like to know if indeed it is used in hospital documentation records.

Thank you for sharing your situation.

so you have a charge person and an admission nursery nurse, so you also have a charge postpartum nurse? How many deliveries a yr do you do? Do you wait to give the initial bath greater than 2 hours with a minimal temp of 98.3? Do you practice skin to skin warming and send the babies out to mom without the initial bath? What percentage of your mom's agree to rooming in? Just during the day and evening shift? Any others have input? thanks!

We had abbreviated version of couplet care and decided to trial the separation of care - back to the traditional role of Postpartum nurse and Baby Nurse. Now we are looking at a return to couplet care. Our previous problems were none equal distribution of workload. By that I mean, many of the postpartum nurses did not do their assigned baby assessments but relied on the admission nurse to do this for her while she was out with the mother. The nursery personal were very overwhelmed as you can imagine. So with the thought to return to couplets, do you all expect the nurse assigned to the couplet to complete the assessments on mother and baby? Who follows through with labs/vaccines/circ's for the baby? Do you have one person responsible for calling the various peds for lab reports? Tips welcome!