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Sunday, September 26, 2010

Title: High Desirability of Keeping Mothers and Babies Together After Delivery

Theresa Liverman, RN, MN , Virginia Commonwealth University Health System, Richmond, VA

Discipline: Childbearing (CB)

Learning Objectives:
  1. Identify the steps that administration would have in planning a new model of care for this Mother/Infant Unit.
  2. Learn the steps that nursing take to obtain meeting the families request of "no separation" of the infant from the family.
  3. Describe the steps that two units and a multidisiplinary teams take to accomplish the desire goal of "no separation".
Submission Description:
It was the end of my working day and a mother had just delivered her first baby.  As the unit staff received report it was indicated that there was a desire that the parents not be separated from their new baby.  Not only was our unit busy, but I questioned if we had the staff to accomodate the desires of our new patient and her family.  Unit staff have their preferences of how work is to get accomplished during their working time and the was not part of the normal work flow for our unit.  As an administrative leader for our unit I knew that I had to come up with the right words and support that was needed to make this work.  One of the unit's Clinical Coordinators, who wants and does meet the patients needs and desires no matter what the demand took this request and showed the staff on that particular evening how we can and should make requests work out for the patients desire.  The next day this open the door for me as a unit administrator and educator to lead the staff in a new direction to provide rooming in, couplet care, or whatever staff wish to call it to form a new model of care that meets patient's desire to keep their new family member with them without separation.