So our (high volume, it’s normal to have 20-30 births per day) hospital has a transition nursery. There is a physical location, but it’s more of a home base for the transition nurses. Occasionally, well-babies who are teetering the line will be observed here for up to 6 hours and then either return to mom or go to the NICU.
There are a handful of transition nurses on each shift (4-5). The transition nurses are called to all non-NICU births. They attend the birth, and assume care of the infant until the couplet is transferred to M/B. The transition nurse gives report directly to the M/B nurse. If all of the nurses are assigned to a baby, then the one with the oldest baby goes and will have 2 babies at the same time for a short period.
The transition nursery is run by and staffed by the M/B department. They have dedicated nurses who were MB nurses for at least 2 years, applied (competitive), and received additional training.