H:\2010 web updates\maternity tour3

Welcome to Sibley Hospital’s Maternity Tour

Welcome to Sibley
Always call your physician prior to coming to the hospital. He/she will tell you when to come to the hospital
If you are unable to call the physician due to an emergency, please inform the person in admissions as soon as you arrive.
The physician calls Labor and Delivery to let them know that you are on your way. Labor and Delivery will then inform the admissions department.
Everyone then knows to expect you!

Coming to Sibley
It isn’t a bad idea to become familiar with several ways to approach Sibley due to unforeseeable road or weather conditions.
The entrance to Sibley is located off Loughboro Road.
Enter the hospital drive at the light.
The parking lot is on the right.

Parking
When you arrive, park in the visitors lot.
If you are unable to walk to the building, your driver can drop you off at the emergency room entrance. The emergency room staff will care for you while your partner parks the car in the parking lot.
There is a fee for parking.
If you park in the lot when you first arrive and stay in the lot for more than one day without leaving, you will be charged only the one day fee.
If you leave the parking lot and plan to come back the same day, ask for a parking pass and you will be charged only the daily fee.

SIBLEY PARKING LOT

Entering the hospital
Entering the hospital- Select doors to the hospital are open 5:30am – 7:30pm
Between the hours of 7:30pm and 5:30am only the ER doors are open.
After hours patients enter through the Emergency Room.
You will be admitted through the ER
The security officer in the ER will direct you to the Labor and Delivery unit.
During Influenza Season: Access to the Hospital buildings for visitors, staff and volunteers will be limited to:
Main entrance
ED walk-in entrance
Hayes Hall entrance adjacent to the ED
The Renaissance portico entrance
Cancer Center/Radiation Oncology entrance (for patients only)
Safety and Security entrance

The volunteer desk is located in the main lobby. The volunteers can assist you with questions pertaining to Sibley Hospital. The volunteers are not always in attendance at the desk

Admission
You must stop at the Admissions desk to sign all necessary forms before going to Labor and Delivery.
If you have an advanced directive, please bring it with you.
Please bring a valid form of identification (driver’s license or passport) and your insurance information. The names on these two items must match.
An identification band will be placed around your wrist. If you have any allergies you will also receive a band for that as well.
If you feel you must go straight to Labor and Delivery, your partner will need to return to admissions.

Admissions department will transfer you to L&D by wheelchair or walking, whichever the patient prefers. Use the main elevators .

After hours admission When coming to the hospital after hours, enter through the Emergency Room entrance. You will be admitted here prior to going to Labor and Delivery.

Third Floor Lobby Where family and friends wait

Unit Security
Doors to Labor and Delivery, Postpartum and Special Care Nursery are locked. Visitors must ring the door bell for admittance.
To prevent infant abduction, upon leaving the units all bags, large enough to hold a baby, will be searched by the nursing staff prior to exiting the locked unit doors.
Only employees with green name tags may handle babies.
Babies ALWAYS travel outside the parents room in the assigned bassinet. Do not leave the room with the baby in your arms.

LABOR AND DELIVERY

Nurses Station in Labor and Delivery

All staff associated with the OB department have a white badge with green Sibley logo and a green line going through it. This also is different from the rest of the hospital. Only staff with this white name tag are able to handle babies.

Labor, Delivery and Recovery Room (LDR)

Fetal Monitor in every Labor room

Scale and bed for infant weight and assessment

Labor, Delivery and Recovery Room (LDR)
The mother stays in the same room for labor, delivery and recovery, unless she has a cesarean section or difficult delivery which would require her to be moved to the procedure room.
All of the rooms have bathrooms and showers.
There are two triage rooms available to check patient’s labor status and for cesarean section admission and recovery.
The room contains an adjustable bed, a fetal monitor, IV pump, and wall unit with the instruments for delivery.
Partners can stay with the mother throughout the labor. Other visitors may visit at the discretion of the patient, nurse and doctor.
If there is cesarean section or difficult delivery, the mother is moved to the procedure room then back to a triage room for recovery.

Anesthesia
The mother can receive anesthesia in the Labor, Delivery and Recovery room.
Anesthesiologists are available 24 hours a day, 7 days a week to administer epidurals and assist with cesarean deliveries.
When and what anesthesia is to be administered is decided upon by the mother, physician and anesthesiologist.

Nutrition Center Ice, juice, jello, coffee and crackers for partners and postpartum mothers

Obstetric Procedure Room
The Obstetric Procedure Room is where mothers are taken to have their baby by cesarean section.
The mother will be attended by her physician, obstetric and neonatal nurses, an obstetric technician, anesthesia and neonatology physicians.
Following the cesarean process, the mother is taken to a triage room for recovery.
Mothers usually are in the recovery area for 2 hours.
The mother will be transported by stretcher to her postpartum room following the recovery period.

Procedure Room

Following Delivery
As long as the baby and mother are doing well:
The baby will stay with the mother throughout the recovery period, approximately 2 hours after delivery. This occurs for vaginal births as well as cesarean sections
If the mother desires to breastfeed, the baby will be put to breast during this period of time.
The labor and delivery nurse assesses and cares for the mother during this time.
The baby will be transferred to the postpartum unit with the mother.

NAN Nurse
A Neonatal Assessment Nurse (NAN) will come directly to your birthing room within the first hours of birth to perform a complete initial assessment as well as give your baby its first bath.
You and your baby are never separated.
If the baby is having medical difficulties, the baby may be taken to the Special Care Nursery for observation and treatment.

Infant Identification
Identification bands will be placed on the baby, mother and another designated person before the baby leaves the delivery area.
One band will be placed on the mother, one on the partner, and one on baby’s arm, another on the leg. Identification is important.
The same bold number is on the bands of the baby, mother and partner. The nurse should confirm the number EVERY time the baby is brought to the parents.
The bands are not to be removed from anyone during the hospital stay. If re-banding is required, this involves re-identification of mother, baby and partner.

Postpartum Room Assignments
Rooms are assigned on a first come, first serve basis at the time of delivery.
Insurance usually covers the cost of a semiprivate room.
There is a hospital fee for a private room.
If you are assigned to a private room, a patient representative must go to admissions to complete paper work and acquire a receipt.
The yellow receipt must be presented to the Labor and Delivery nurse prior to transfer to a private room.
If you have questions about the fee, please call the admissions or finance department to speak to a representative.

LABOR AND DELIVERY VISITING HOURS
Family and friends wait in the 3 rd floor lobby area outside of the Labor and Delivery unit.
The partner has unlimited visitation.
Visiting hours are 24 hours a day.
Visitors are limited.

A fter hours, families, must be cleared by the security officer in the Emergency Room. They will be given a visitor’s pass. Visitors After Hours

SPECIAL CARE NURSERY

Special Care Nursery
Special Care Nursery is for babies with special or intensive care needs and are 32 weeks and above for singletons or 34 weeks and above for multiples.
All infants in the Special Care Nursery are cared for by the Neonatology team. Parents have open visitation.
Two visitors are allowed at a time. One must be wearing an infant identification band.
Visiting hours are anytime except 7:00am-7:30am and 7:00pm – 7:30pm.

Special Care Nursery

Neonatology
Georgetown Neonatologists are in-house 24 hours a day 7 days a week
Neonatologists are physicians specializing in the care, development and diseases of newborn infants.
Neonatologists and neonatal nurses attend difficult deliveries and cesarean sections.
The neonatologists care for normal newborns whose pediatrician does not have privileges at Sibley or if there is no pediatrician assigned
They will give report on the status of the infant as well as a discharge summary, to the parents to take to their private pediatrician.

Special Care Nursery Infant Isolette

POSTPARTUM UNITS

Entry doors to Postpartum Unit – 3 West

Entry doors to Postpartum Unit - 3 East

Entry doors to Postpartum Unit – 7 East

POSTPARTUM VISITING HOURS
Partners who are banded have unlimited visitation except in the semi private rooms.
ALL other visitors can visit from 11:00am to 8:30pm.
Only 2-3 visitors are allowed in the mother’s room at a time.
Siblings of any age are permitted to visit during regular visiting hours.
Children OVER the age of 12 are permitted as visitors within the hospital setting.

POSTPARTUM VISITING HOURS
For the health, safety and well being of our infants, please limit visitors to 2-3 visitors at a time.
Instruct family and friends with colds or other transmittable illnesses to refrain from visiting the hospital and at home until they are free from symptoms for 24 hours.
One of the best defenses against the spread of illness is good hand washing. Ask all visitors (including siblings) to wash their hands before holding the baby.
We appreciate your assistance in our efforts to ensure that you and your family have a healthy and happy stay with us.

Private and Semiprivate Rooms
All rooms have a television, a telephone, and chairs for visitors.
Private rooms have a sleep chair for the partner and a shower in the bathroom.
Semiprivate rooms have a bathroom and available showers are across the hall from the room.
Expect to have a roommate in a semiprivate room
Partners are expected to leave during the night from 10:00pm to 8:00am.

Your Postpartum Room
Upon arrival your nurse will examine you and your baby.
You will be given a folder with important papers for you to read and or complete prior to discharge.
These papers include birth certificate, social security card, information.

Private Room

Semi Private Room

Unit Nursing Station

Unit Nursing Station
All three nursing units have nurses stations.
A nourishment center is located on 3 East and West nursing stations. On 7 East it is located in a designated room. They all include a refrigerator and microwave.
Evening snacks are kept in the refrigerator in each nutrition center for patients.
To protect patient confidentiality, we ask that you remain outside the nursing station.
Snacks and drinks from the nutrition centers on 3 East and 3 West are available by request from a staff member.

Unit Nursery

Unit Nursery
There is a normal newborn nursery on all postpartum units.
We encourage mothers to keep their babies with them to enhance bonding.
Babies may be taken to the nursery when necessary.
Babies are usually taken to the nursery for physicals and procedures such as circumcisions and hearing screening.

Professional and Caring Nurses The goal of the Women and Infant’s department is to provide our mothers and babies with the highest quality care while meeting the individual needs of each patient and family.

What You Want…When You Want It!!! Coming to Sibley mid 2010

What It Is . . . What It Does
Enhances the patient experience by allowing patients to order “what you want . . . when you want it!”
Modeled after hotel style room service
A restaurant style menu resides at the patient’s bedside
Patient ordering information is printed on the menu
Patients utilize their bedside telephone for placing orders
Patients may order any item (on their diet) at any time
Food orders are entered into an automated computer system
Meals are cooked-to-order and delivered within 45 minutes
Coming to Sibley mid 2010

Postpartum Lactation Suite

Postpartum Lactation Suite
Sibley’s Lactation Consultants are certified by the International Board of Certified Lactation Consultants .
Lactation consultants round on breastfeeding mothers seven (7) days a week.
They are available to assist mother’s and babies who are having breastfeeding difficulties .
The nurse caring for the patient is expected to assist the mother with normal positioning and latching beginning at birth.
The nurse or physician will refer the mother to the lactation consultant if problems are occurring.
A postpartum breastfeeding class is offered every day at 10:30am in the conference room in the lobby of the 3 rd floor.

Lactation Services Office

Lactation Services
Lactation Services offers a variety breast feeding bras, breast pumps and breast feeding supplies for sale.
A representative from the Lactation department will be available to help you with a selection of items suited to your needs.
Outpatient lactation visits are available for those mothers and babies having difficulty with breast feeding following discharge.
Each visit is a personalized session with one of our Certified Lactation Consultants.
Follow up visits are often encouraged to assure that the baby is growing and gaining weight appropriately.
This fee for service program is available weekdays by appointment.

Getting Ready for Discharge
The baby will need to have a test for metabolic screening and a discharge physical exam.
A certified 5 point car seat for the baby is mandatory for babies leaving by car.
It is recommended that the car seat undergo a safety inspection at a certified car seat inspection station (www.seatcheck.org. and http://fems.dc.gov/fems/site/default.asp )
Parents will place the infant in the car seat and the car seat in the car.
Staff members DO NOT assist with placement in the car.
A discharge class is offered every evening for those parents who are being discharged the next day.
All parents are strongly encouraged to attend.
The class will provide information necessary to understand discharge process from the hospital.
Discharge is at 11:00 AM daily.

Upon discharge, a patient representative must settle the hospital account with the cashier. You will be asked to pull the car to the curb of the main hospital entrance. A staff member will push the mother and baby out of the hospital in a wheelchair to the waiting car.

Answers to Frequently Asked Questions
Upon admission you will be asked to change into a hospital gown.
Bring labor tools including birth balls.
Have a pediatrician name and information upon admission.
If your pediatrician has privileges at Sibley he/she will examine your baby within 24 hours after delivery.
If your pediatrician does NOT have privileges at Sibley, your baby will be cared for by Sibley Neonatologists.
It is highly recommended that you arrange a pediatric appointment with your pediatrician within 2-3 days following discharge, earlier if medically necessary.

Continued Frequently Asked Questions
Clothing and diapers are provided for your baby while in the hospital.
You will need to bring clothes for you and baby, baby blankets and an approved 5 point car seat for discharge.
It is recommended that you have the car seat installation inspected prior to coming to the hospital.
Sibley does have free internet service.
Sibley will provide a breast pump if needed while you are in the hospital.
To pre-register for your admission, see the link on Sibley’s website at www.sibley.org.

Resource List
Questions regarding:
Finance and Insurance: Financial Counselor
202-537-4160
Anesthesia Department: 202-243-2280
Finding a physician: Sibley website
Women and Infant’s Services:
Director: 202-537-4499
Childbirth Education: 202-537-4076
Lactation Services: 202-243-2321 – warm line

THANK YOU

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