1. Maternity Center presentation Vision: Delivering Patient -Family-Centered Maternity Care through a caring team.

2. Mission Statement The Gettysburg Hospital Maternity Center Team of Nurses are working together to assure quality, compassionate care to the people we serve. We are striving to achieve a healthier community. Vision Statement Delivering Patient/Family-Centered Maternity Care through a caring team.

3. We Deliver 550-600 babies Per year

4. STEEEP PRINCIPLES S = SAFETY T = TIMELINESS E = EFFECTIVENESS E = EFFICIENCY E = EQUITY P = PATIENT CENTERED

5. Utilizing the STEEEP Principles in NON-SEPARATION Begins immediately after birth via kangaroo care and continues for the duration of the stay Allows for teaching as a family unit By minimizing separation of mother and baby we create a SAFER environment Nurses utilize their TIME better because they do couplet care which is EFFEFCTIVE and EFFICIENT EQUITY – Nurses take ownership of the care that they give as well as parents take ownership of the care they give their infant Care is PATIENT/Family CENTERED

6. We Are Asking For Your Help By donating to the Employee Giving Campaign you will be helping us to minimize separation of mothers and their infants All of our equipment needs are geared toward lessening separation of our couplets during their hospital stay The equipment requested is non-invasive, accurate, promotes bonding and non-separation of the couplet

7. BILICHECK METER Screening tool not a diagnostic tool Non-invasive procedure to check for jaundice in the Newborn (NB)

8. JAUNDICE Build up of bilirubin in the blood caused by excess red blood cells being broken down causing a yellow appearance of the skin It takes several days for the infant’s liver to get better at removing this waste If levels become too high or are not treated kernicterus can occur causing debilitating brain damage (this is rare but can occur)

9. Evaluation of Jaundice in the NB Prior to having the meter there was a visual exam by the Pediatrician on the AM of discharge A serum blood test was done and resulted after the MD left the hospital, then the conversation took place between the patient and the nurse

10. CURRENTLY The 11-7 RN uses the meter to check the level, then plots the value on a curve which assesses the risk of becoming significantly jaundice Any NB at a high or high-intermediate range will be followed with a serum level MD’s will have the serum results at the time they do rounds and can discuss a plan with the parents for follow-up if needed Every NB is screened on the shift prior to discharge

11. neoBLUE Phototherapy

12. How neoBLUE works….. Uses blue LED lights, whereas older phototherapy lights used UV light There are no known risks of LED lights but UV light can cause painful eye injury, skin burn, premature skin aging or skin cancer LED lights do not emit light in infrared range reducing potential risk of fluid loss All translate to SAFE patient care “LED’s emit blue light in the spectrum which corresponds to the peak absorption wavelength at which bilirubin is broken down”

13. BENEFITS ARE: Family centered care – infant can undergo light therapy in the patient room, less intimidating for parents due to their smaller size Promotes continued bonding Can be done in an open crib One light can be used as single or double banking by flipping a switch Saves Biomed costs because the lights need only be checked once every 6 months instead of every month

14. INFANT SCALES Infants are weighed at birth and everyday while in the hospital

15. WHY YOU ASK? The first thing every parent wants to know is how much their infant weighs, new scales are SAFER due to elevated sides and smooth, rounded corners on the unique Newborn Safety Tray Weight is a major physical parameter for assessing normal growth and weight loss in the newborn period; therefore, accuracy is of utmost importance These scales are accurate to 1 gram NB are susceptible to cold stress, new scales can be preheated to prevent cooling in the NB Older scales can no longer be maintained Again, minimizes separation of mother and infant

16. The Bottom Line is……..

17. We desire to: Provide safe, timely, effective, efficient care that is equitable and patient/family centered Minimize separation of the mother/infant dyad to promote bonding, parental learning and breastfeeding Change the culture and practice of maternity/newborn nursing in the 21 st century