Download Unit Profile - Von Voigtlander Women’s Hospital Birth Center

Unit Profile - Von Voigtlander Women’s Hospital Birth Center
Nurse Manager
Clinical Nurse
Supervisor
Clinical Nurse
Specialist
Educational Nurse
Coordinators
Clinical Care
Coordinators
Brief Description of
the Unit
Common Medications
(Categories of Drugs)
Sue Kofflin, R.N., M.S.N.
764-3597 / Pager 9474
Linda Gobeski, R.N., B.S.N.
232-7985 / Pager 4324
Melissa Morgan R.N., B.S.N
232-7984 / Pager 3529
Anne Marie Piehl, R.N., M.S.N. 232-8926 / Pager 12664
Beth Woodward, R.N., B.S.N. 232-7977 / Pager 4508
Megan Bollinger, R.N., B.S.N.
232-3514 /Pager 35876
Gail Blakely, R.N., M.S.N.
232-7978 / Pager 4554
Melissa Cantrell, R.N., B.S.N.
232-???? /Pager 4280
Women’s Hospital is a 50-bed single-room maternity care unit with four OB
procedure (operating) rooms, a six bay pre/post-op area, and eight Triage rooms.
Women’s is designed to allow women to labor, give birth, recover while keeping
their baby(s) with them in one private room until discharge. The philosophy of
non-separation of mother and newborn is practiced whenever possible. Also
available are two nesting rooms that allow mothers who are discharged to stay
overnight with their still-inpatient newborn when necessary.
Our patient population consists of women of childbearing age. Our patients’
relevant life experiences are varied. Their health states can range from
obstetrically, medically or surgically high- or low-risk, antepartum and/or
postpartum. Some women are experiencing grieving processes related to the loss
of a pregnancy or newborn. Newborns who remain in the unit after the birth are
normal, healthy neonates and those with minor deviation from normal (ex.:
jaundice and rule out sepsis). Our patients have varied ethnic and cultural
backgrounds with Caucasian, Asian (particularly Japanese) and Arabic the more
prevalent ethnic groups.
1. Narcotics & non-narcotics
2. Tocolytics
Common Patient
Procedures
3. Uterine stimulants
4. Antibiotics
5. Vaccinations
6. RhoGam
1. Vaginal birth
2. Cesarean birth
3. Circumcision
4. Amnioinfusion
5. Ultrasound
6. Fetal and uterine monitoring
7. Glucose screening (neonatal & adult)
8. Transcutaneous bilirubin measurement
9. Phototherapy
10. Breastfeeding & pumping
11. Vaginal Exam
12. IV access/phlebotomy
13. Epidural
14. Neonatal resuscitation/stabilization
Common Unit
Practices
Common Medical
Diagnoses
Common Precautions
and Safety Measures
1. Rounding Standards: Labor patients-hourly until active labor then
progressively more frequent; Postpartum and newborn patients-every 2
hours; Antepartum patients-hourly
2. Communication Standards (i.e. SBAR)-yes.
3. Shift to Shift Rituals: Couplet & antepartum report is given in the team rooms;
labor report is given in the staff station or in the room dependent on the
patient status; triage report is given in the triage office; OR & recovery room
patient handoffs occur at the bedside. Team meetings are held daily.
4. Process and Contacts for calling a Patient Care Conference: Any nurse can call
a patient care conference. There is no formal coordinator.
Maternal
1. Labor
2. Spontaneous vaginal delivery
3. Forceps / vacuum vaginal delivery
4. Cesarean birth
5. Postpartum tubal ligation
6. Bleeding disorders
7. Premature onset of labor
8. Premature / prolonged rupture of membranes
9. Abortion, spontaneous, threatened, missed therapeutic
10. Intrauterine fetal demise
Newborn
1. Normal newborn
2. Risk for sepsis
3. Hyperbilirubinemia
1. Infant Security System (“Hugs/Kisses”)
2. Newborn/parent identity banding system
3. Newborn safe sleep practices
4. First time up to BR after delivery practices
5. Team Meetings
6. Birth Center pager
7. Hepatitis B (baby) and Tdap (mom) immunizations
8. Staff badging
9. Electronic provider order entry
10. “Time out” before procedures/surgery
11. Assessment of return of motor function post-labor epidural
12. Fall risk assessment