This topic is of interest to me too. We actually seperate everything. Nursery nurse, special care nurse, labor nurse, postpartum nurse. If our census is low we may do couplette care. We do not do assessments in the room. If mom is bf then she may keep infant to nurse if the infant is stable. I appreciate some of the way we do it, but some of it I do not. A friend of mine who works on same unit different hospital, says that they have transition nurses who do the in between L&D to postpartum/nursery. I want to hear other ideas as well.