Giving Birth in Prince George...NICU zSiblings of the newborn can visit zSwipe card or Buzz in entry...
Transcript of Giving Birth in Prince George...NICU zSiblings of the newborn can visit zSwipe card or Buzz in entry...
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Giving Birth in Prince George
A Virtual Tour of the Maternity Ward and How to
Access it
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ParkingOptions for short and long term parkingIf you are unsure if you are in labour paying for only short term parking might be a better idea
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Entering the buildingThere are two entrances to the building
– Main entrance, open between 6am and 8:30 pm– The Emergency entrance open at all times
Women suspecting that they are in labour should go straight to the maternity floor. If you enter through Emergency, the staff will send you to the maternity floor.
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Main Entrance
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Finding the Maternity Ward from the Emergency entrance
Follow Emergency signs to the back of the hospital
After entering through Emergency doors, inform Emergency nurse that you think you are in labour. DO NOT WAIT IN EMERGENCY. The nurse will send you to the Maternity unit, follow yellow signs on the wall or ceiling. The Maternity unit is on the same floor as Emergency
After hours, security guards may assist you to find the Maternity unit
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Finding the Maternity WardGo through these doors after entering the emergency entrance and go right
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We offer Family Centered Maternity Care
This means that:
• Care provided is based on research evidence• Birth is a celebration, a normal healthy process• Pregnancy and birth are unique for each woman• Relationships between women, their families, and health
care providers are based on mutual respect and trust• We encourage open communication and information
sharing• You will have the information you need to care for your
baby at home when you leave
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Welcome to the Maternity UnitMaternity entrance doors close some time after 8:00 pmThere is a phone on the right hand side, press “maternity”button so nurses can buzz you inNurses have a pager that allows them to buzz people into the unit even if they are busyIf leaving after hours from the unit remember to push green exit button on your right to open doorsPublic bathrooms are available in the family waiting areaUHNBC has a no scent policy, because some people have severe allergic reactions.
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What to bring with you to the hospitalSuggested for labour
– Baby’s Best Chance– Lip balm– Warm socks for mom– Extra clothing layer for partner– Additional snacks– Partner’s swimsuit– Music and player– Camera and film– List of important phone numbers– Slippers– Dental, hair and skin products– Own clothes if desired– Padlock for cupboard
These items can be brought later– Car seat, baby has to be secure in
the car seat prior to leaving the hospital (two receiving blankets are needed for the car seat)
– Clothes for baby and mom to wear home
– Extra blankets/clothing (depending on weather)
– Change of clothes for the partner
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NICU Assessment Rooms
Delivery Rooms
Postpartum rooms
1
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Family Waiting Area
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Fridge in Family Waiting Area
Public washroom with change table
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TV and Eating Area in Family Waiting Area
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NICU
Postpartum Rooms
Assessment Rooms
Delivery Rooms
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Nurse’s Conference Area
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Nursing StationIf front desk is empty nurses may be in the team room doing workDo not be afraid to knock on team room doors if they are closed Nurses work 12 hours/day – shift changes are at 7am and 7pm
– This means that nursing staff are always available to assist during labour and the postpartum period
– The nurses may not always be visible since they may be in another patient room
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Assessment Rooms 3NICU
Postpartum Rooms
Delivery Rooms
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Assessment RoomsWhen you first arrive on the Maternity unit, you will go to an assessment room where your nurse will do an overall check up of the mom andbaby
– There are four rooms availableAssessment may include
– Non-stress test, fetal heart monitor, vaginal exam, determining progress of labour, inductions, etc.
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Shower, bathrooms are available in each assessment room for individual use
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Fetal Monitoring EquipmentFetal monitoring equipment is used to measure baby’s heart rate and contractions, picture on the rightThe Doppler is used more often to assess fetal heart rate, the picture on the left is a Doppler
QuickTime™ and a decompressor
are needed to see this picture.
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Nourishment CentersFood/water stations, including a fridge and microwave, are available throughout the unit for patient use onlyThere are three stations at different locations on the unit
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Assessment Rooms
NICU
Postpartum Rooms
Delivery Rooms
4
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Labour Rooms - General InfoLocal calling is free from the phones in the rooms. Long distance is not, but phone cards can be purchased in the gift shop. Cell phones are allowedInternet access is not available for public usePartner or other family member/friend can cut the umbilical cordafter birthFamily members are free to take pictures during labour, permission from the physician is needed for photos during the delivery (Please ask staff for permission for photos with them)The baby stays in the room with the family, this is called “rooming in”Any support person the mother wants present can be in the delivery room
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General room layout
Sterile Supplies for the Delivery
Infant Warmer
Bassinet
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Room ControlsYou are able to regulate the amount of light and the temperature of the room
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Storage of extra suppliesDiapersGownsFace clothsTowels
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Personal StorageArea for you to store personal belongingsFridge so you can bring your own foodStool to assist you in and out of bed if neededThere is a refrigerator, phone, and television in each room (Television has to be paid for)Padlock can be placed on this storage area
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The patient bed has various settings for the comfort of the mother.
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CD player is available in most of the rooms
Phone can be used for local calls
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For your comfort during labour, position changes are helpful
The bar attaches to the bed to allow different labour positions
The Ball allows for more positions and can help with back labour
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Rocking chair
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All of the rooms have their own bathroom with a tub that can be used during labour
Recommended that the stool is used to get in and out of the tub
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Pain Relief MedicationsThis system found in all the delivery rooms provides Nitrous Oxide for pain reliefOther pharmacological methods for pain relief include narcotics and epidurals
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Bed for partner to use to stay overnight
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Baby BassinetThere are supplies in the shelves below the bassinet, diapers, soap
The bassinet is on wheels, for safety, please use the bassinet to move the baby outside of the room
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Water Births
One room has a large bath tub for water birthsCurrently this service is only available for midwifery clients
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Nourishment Station by the labour rooms
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Assessment Rooms
NICU
Postpartum Rooms
Delivery Rooms
OR
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The PlacentaAfter birthing the placenta will be checked to make sure it is intact and then it is stored in specially designed refrigerators.
Families may take the placenta home if they wish. If not, the placenta is disposed of in the hospital’s incinerator.
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After Delivery/Post Partum CarePresently after delivery, the mom and baby are moved into a postpartum room that is very similar to the delivery room
– These rooms have all of the same equipment, a closet stocked with gowns, reusable panties, and a peri bottle as well as a bassinette for baby
– All the rooms are single rooms with their own bathroom
The maternity nurses and lactation consultants are available to assist with breastfeeding if neededMothers can wear their own clothing throughout their stayIn the future the unit will feature single room care where moms will deliver and recover in the same room. No room switching will be required
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For Cesarean Delivery
If a cesarean section (C-section) is required the mom will be taken to the operating room (OR). Most of the time, a C-section delivery will be done with a spinal or epidural anesthetic and mom is awake.
If the mom is awake for the surgery, the father or support person can watch the birth but will enter the operating room with the nurse.
The person accompanying the mom into the room will be required to wash their hands and put on the special scrubs provided by the nurse.
After the delivery, the father or other family member can bring the baby back to the room once an assessment has been done by the doctor.Babe must be transferred in a bassinet. The mom may not hold thebaby until she is out of the operating room.
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OR Prep for MothersCatheter and IV have to be inserted, they may be inserted on the floor or in the OR.
Typically the mother is awake but not able to feel pain from the spine down to their toes
– Usually a spinal anesthesia is given to the mother
There is a drape that prevents the mother from seeing the surgery for her own comfort, her support person may be able to see over the drape
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The operating room is very close to the delivery rooms
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OR SuppliesJust outside the doors to the OR are scrubs and a hand washing station for the physicians and nursesThere also are incubators for the infants with all necessary equipment. These are checked every shift, and are similar to warmers in the delivery rooms
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If baby needs special care they might be placed in the NICU
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Entering the NICUOnly parents or designated family/friends can enter the NICUSiblings of the newborn can visit Swipe card or Buzz in entry is used to enter the NICUPlease do not visit the NICU or Maternity Ward if you are unwell
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NICU Nursing Station
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The NICU has private rooms, with a bed so a family member can stay with the baby and assist with care
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Food and GiftsThere is a coffee shop
– Hours 6:30am till 8:45pmCafeteria
– Hours 8am till 6pmGift ShopAll three are on the main floor and the coffee shop and gift shop are in the main lobby
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Discharge
When it’s time to go home the nurses will do a final check on mom and babyThe cord clamp might be removed, if the cord is driedParents will be provided with information and resources such as Registration of Birth which much be sent in to receive the BirthCertificateThe baby cannot leave the hospital unless he or she is secure ina baby carseat which must be checked by the nurses before leaving the unitBaby carseats can be rented from the Gift Shop in the main lobby of the hospitalA public health nurse will be calling all families within the first few days of discharge, for follow up and to offer a home visit
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ToursMaternity unit tours are available for the public every first and third Wednesday of each month from 1pm to 2pm.
You may drop in for the tour. Please meet to begin the tour in the family waiting area of the maternity unit.
Anyone who is taking prenatal classes will be offered a maternity unit tour as part of your class.
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Additional InformationIf you think you might be in labour phone the maternity ward at (250) 565-2331
– Only use this number if you have questions about your pregnancy or labour– You can also call your physician for an assessment
If you have questions while pregnant or after you are home from the hospital call the Public Health Nurse on-call (250) 565-7478
For consultation with a registered nurse anytime call 811 (HealthlinkBC)
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Credits
Presentation created by:4th year UNBC Nursing students, Samendeep Bhatti, Sarah Chisholm, Robyn DhaliwalWith preceptor, Karen Warner, PHN with the Prenatal Registry Program