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  • Welcome to Sibley Hospital. Introduction of self and welcome. Refer to maternity tour information sheet in folder Remind participants that this is a facility tour and if have specific questions please refer to the appropriate phone numbers on the reference sheet in their folder. Always call you physician prior to coming to the hospital. The doctor will tell you when to come to the hospital. If you are unable to call the physician due to an emergency, please inform the admission’s clerk as soon as you arrive. The physician calls Labor and Delivery to tell them you are coming and then they call the admissions department. Everyone then knows to expect you!
  • Entering the hospital- All door to the hospital are open 5:30am – 9:00pm (Need to change this for H1N1 stuff) Between the hours of 9:00pm and 5:30am only the ER doors are open Families see the security officer in the ER to be escorted to the Family center units after hours.
  • The volunteer desk may assist you with questions that you may have pertaining to Sibley Hospital. Volunteers are not always in attendance at the desk.
  • You must stop at the Admissions desk to sign all necessary forms before going upstairs to the 3 rd floor. ( L&D.) If you have an advanced directive, bring it with you. You will receive an identification band around your wrist. If you feel you must go to L&D, go there first, but your significant other may need to return to admissions after you are settled in the room.
  • Admissions department will transfer you to L&D by wheelchair or walking, whichever the patient can do. Use main elevators. Describe layout of floors and how to enter them. Families may wait in lobby area while patient is in labor
  • All nurses working on the obstetrical units wear light green uniforms. This is a security measure. This will differentiate them from the rest of the hospital. Only people wearing green scrubs and green name tags, are able to handle babies. All babies will be transported in their crib. All staff associated with the OB department have a green badge with a green line going through it. This also is different from the rest of the hospital.
  • The mother stays in the same room for labor, delivery and recovery, unless she has a c/section or difficult delivery which would require her to be moved to the delivery room. All of the rooms have bathrooms and showers. There are two triage rooms available to check patient’s labor status and for c/section admission and recovery. The room contains a adjustable bed, a fetal monitor, IV pump, and wall unit with the instruments for delivery. Mother can receive anesthesia in this room Anesthesiologists are in the hospital 24 hours a day, 7 days a week for epidurals and csections. Partners stay with the mother throughout the entire labor. Other visitors is between patient and doctor. Maximum should be 2 at a time. If there is c section or difficult delivery, the mother is moved to the delivery room then back to the triage rooms. The labor and delivery nurse assesses and cares for the mother during this time.
  • The baby assessment table and scale are also in the labor room. The baby stays with the mother and father for the recovery period which is approximately 2 hours after delivery no matter what type of delivery. A neonatal assessment nurse (NAN) from the SCN will assess the baby and provide care during this time. The baby will stay with the parents and the baby will move to postpartum with the mother. If the baby is having medical difficulties, the baby will be taken t the Special Care Nursery. Baby identification bands will be placed on the baby and the parents in the birth room before the baby leaves the room. One band on mother, one on partner, and two on baby – arm and 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. Green is the color of security. Only employees with green scrubs and badges may handle babies. Babies ALWAYS travel outside the parents room in the assigned bassinet. Do not wonder out of the room with the baby in your arms. That is an alarm to all the staff. Bands are not to be removed during the hospital stay.
  • The obstetric operating room is an efficient, sterile room where mothers are taken to have their baby by cesarean section. The mother will be attended by her physician, obstetric nurses, anesthesia and neonatology. Following the cesarean process, the mother is taken to the triage room for recovery. The mother will be transported by stretcher to her postpartum room following the recovery period.
  • After hours, families, must see security officer in the ER to be escorted to the unit. They will be given a visitor pass. (This is only after 9:00PM)
  • Special Care Nursery: It is for babies with special or intensive care needs. Level II special care nursery (babies 32 weeks for singletons and above or 34 weeks for multiples and up) Blinds will be down for privacy and confidentiality (HIPPA) Parents have open visitation.
  • There are 11 Private rooms and 4 semi-private rooms in the 3 West wing. For security reasons all postpartum units are locked and video taped. To enter, ring the door bell and a staff member will release the door so that you can come in. Another security measure is that every bag big enough to hold a baby, must be inspected by a staff member prior to leaving the unit. Please tell your guests to expect for their bags to be checked.
  • There are 14 Private rooms in the 3 East wing. This unit is also locked.
  • 7 West
  • This is a private post partum room on the third floor. You will be moved here from the Labor suite either in a wheel chair or bed depending on type of delivery. You are encouraged to ask all staff members to wash their hands so that you can watch them.
  • An admission packet is given to each mother upon arriving on the postpartum floor. It contains important information about the birth certificate, social security number, and testing information for the baby. Encourage the parents to look at the folder soon after they have arrived in their room. Birth certificate information will need to be filled out while in the hospital. The certificate will not automatically be mailed, you will need to request a copy, with fee, from the Bureau of vital statistics in the District of Columbia. The cafeteria is open during the day at select times. Parents may order carry out as well. Dietary will send menus to be filled out. Any special dietary requests will need to be directed to the dietary department as well as to the staff nurse.
  • All three nursing units have nurses stations. A nourishment center is located in each station. Juice, crackers, coffee are available. Nurses will be available to assist you in the event you have questions while in the hospital.
  • There is a normal newborn nursery on both units. Babies can stay in the mother’s room as little or as much as you like. Mothers may send their babies to the nursery as needed. All postpartum units are locked and video taped for security purposes. Babies usually go to the nursery for physicals, procedures such as circumcisions and hearing screening.
  • The Women and Infant’s Services nursing staff is professional and caring. The goal of the department is to provide our mothers and babies with the highest quality care while meeting the individual needs of each patient and family.
  • Lactation Suite – Room 304 on east side. 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. The nurse or physician will refer the mother to the lactation consultant if problems are occurring. A breastfeeding class is offered every day at 11:00am in the conference room in the lobby of the 3 rd floor.
  • 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 appropriately. This fee for service program is available weekdays by appointment.
  • This is the main entrance of the hospital. Upon discharge, pull the car to the curb to meet the staff person who is pushing the mother and baby out of the hospital.
  • Have patients fill out evaluations and give them to you. Thank them for their interest in Sibley. We would like to assist them in any way that we can. If they have specific questions, refer to resource list of numbers that they can call to assist them. AGAIN, THANKS TO EACH OF YOU FOR DOING SUCH A GREAT JOB!!! Revised 03/30/08

H:\2010 web updates\maternity tour3 Presentation Transcript

  • 1. Welcome to Sibley Hospital’s Maternity Tour
  • 2. 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!
  • 3. 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.
  • 4.  
  • 5. 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.
  • 6. SIBLEY PARKING LOT
  • 7. 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
  • 8.  
  • 9. 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
  • 10. 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.
  • 11.  
  • 12. Admissions department will transfer you to L&D by wheelchair or walking, whichever the patient prefers. Use the main elevators .
  • 13. 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.
  • 14.  
  • 15. Third Floor Lobby Where family and friends wait
  • 16. 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.
  • 17. LABOR AND DELIVERY
  • 18. Nurses Station in Labor and Delivery
  • 19. 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.
  • 20. Labor, Delivery and Recovery Room (LDR)
  • 21. Fetal Monitor in every Labor room
  • 22. Scale and bed for infant weight and assessment
  • 23. 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.
  • 24. 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.
  • 25. Nutrition Center Ice, juice, jello, coffee and crackers for partners and postpartum mothers
  • 26. 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.
  • 27. Procedure Room
  • 28. 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.
  • 29. 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.
  • 30. 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.
  • 31. 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.
  • 32. 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.
  • 33. 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
  • 34. SPECIAL CARE NURSERY
  • 35. 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.
  • 36. Special Care Nursery
  • 37. 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.
  • 38. Special Care Nursery Infant Isolette
  • 39. POSTPARTUM UNITS
  • 40. Entry doors to Postpartum Unit – 3 West
  • 41. Entry doors to Postpartum Unit - 3 East
  • 42. Entry doors to Postpartum Unit – 7 East
  • 43. 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.
  • 44. 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.
  • 45. 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.
  • 46. 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.
  • 47. Private Room
  • 48. Semi Private Room
  • 49. Unit Nursing Station
  • 50. 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.
  • 51. Unit Nursery
  • 52. 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.
  • 53. 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.
  • 54. What You Want…When You Want It!!! Coming to Sibley mid 2010
  • 55.
    • 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
  • 56. Postpartum Lactation Suite
  • 57. 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.
  • 58. Lactation Services Office
  • 59. 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.
  • 60. 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.
  • 61. 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.
  • 62. 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.
  • 63. 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.
  • 64. 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
  • 65. THANK YOU