SlideShare ist ein Scribd-Unternehmen logo
Nicole Pendenza, RNC-NIC,BSN
Tanya DiGeorge, RN, BSN
Catholic Medical Center
Manchester, NH
Catholic Medical Center is a 330 bed
community hospital in Manchester, NH
In affiliation with Children’s Hospital at
Dartmouth, Catholic Medical Center
opened the Special Care Nursery
in April 2010
The Mom’s Place
at CMC
•1200 Deliveries per year
•14 bed LDRP, including 2 operating rooms
•Maternal Fetal Medicine Service
•12 bed Level IIB Special Care Nursery
•2 Methadone clinics within the city
Our mission is to provide
individualized, high quality, tender
care to each infant and their family.
This is achieved by providing an
optimal environment for
mother/baby attachment using the
neonatal couplet care model. This
model of care assists parents in
becoming primary caretakers for
their infants with the support of
our healthcare team.
Mission Statement
Neonatal Couplet Care is the next
step in Family Centered Care
Open Bay Neonatal Intensive Care Unit
“Pod” Style NICU’s
Single Family Rooms
Neonatal Couplet Care at Catholic Medical Center (CMC)
Family Care Suites
Postpartum Bed and NICU Bed in the same room
Neonatal Couplet Care at CMC
Family Care Suite
Special Care Nursery at CMC
Patient Population in the Special Care Nursery
 32 weeks or greater
 Short term ventilation (< 24 hours)
 CPAP, High Flow Nasal Cannula, Oxygen Hood
 Infants requiring “special care” (i.e. NAS, long term
antibiotics, etc.)
 Retro transfers from tertiary care facilities
What is Neonatal Couplet Care?
Care provided to
a postpartum
mother in the
same room as
Neonatal
Intensive Care is
provided to the
infant.
What is Neonatal Couplet Care?
 Families stay together from admission to discharge
 Minimized separation
 Early skin-to-skin contact
 Early parental involvement
 Parents feel confident to become primary caregivers-
comfortable at discharge
 Parent’s presence enables more prompt
responses/tuning in on the signals of the infant
How does it “really” work??
1. Infant born on The Mom’s Place (LDRP)
2. Stabilized in delivery room
3. Infant placed on mom or dad’s chest and transferred to the
Special Care Nursery into a Family Care Suite (FCS)
4. SCN nurse assumes care for the Couplet (post partum care
and neonatal care)
5. Couplet remains in FCS until mom is discharged
6. Infant transferred to SCN room until ready to go home
32 week infant stabilized in delivery room and skin-to-skin within ½
hour
33 week twins born by c-section and placed
skin-to-skin in the OR
Transferred to FCS for recovery/care
Labs drawn and
PIV started on 33
weeker while
breastfeeding
•Parents are encouraged to stay with
their babies 24/7 (when possible)
•Our philosophy is to have nurses act
as “coaches” to parents
•Parents feel confident to become
primary caregivers so they are
comfortable at discharge
Benefits of Neonatal Couplet Care
•Increases exclusive breastfeeding
•Increased amounts and durations of kangaroo care
•Parents are more prepared at discharge
•High job satisfaction ratings (NDNQI survey)
•Decreased staff turn over
•Decreased Length of Stay for NAS babies

Weitere ähnliche Inhalte

Andere mochten auch

Prematurity and Early Intervention: Prevalence, Issues, and Trends
Prematurity and Early Intervention: Prevalence, Issues, and TrendsPrematurity and Early Intervention: Prevalence, Issues, and Trends
Prematurity and Early Intervention: Prevalence, Issues, and Trends
earlyintervention
 
Theoretical framework of infant physiotherapy
Theoretical framework of infant physiotherapyTheoretical framework of infant physiotherapy
Theoretical framework of infant physiotherapy
Anwesh Pradhan
 
Neonatal ventilation
Neonatal ventilationNeonatal ventilation
Neonatal ventilation
Sujit Shrestha
 
European Consensus Guidelines- RDS in Preterm Newborns
European Consensus Guidelines- RDS in Preterm NewbornsEuropean Consensus Guidelines- RDS in Preterm Newborns
European Consensus Guidelines- RDS in Preterm Newborns
Dr Padmesh Vadakepat
 
Neonatal Ventilation
Neonatal VentilationNeonatal Ventilation
Neonatal Ventilation
Dang Thanh Tuan
 
Care of a Newborn
Care of a NewbornCare of a Newborn
Care of a Newborn
The Medical Post
 
Neonatal assisted ventilation
Neonatal assisted ventilation   Neonatal assisted ventilation
Neonatal assisted ventilation
Abdul Fatah Abro
 
Mechanical ventilation in neonates
Mechanical ventilation in neonatesMechanical ventilation in neonates
Mechanical ventilation in neonates
palpeds
 
8. ventilator nursing care
8. ventilator nursing care8. ventilator nursing care
Care of ventilated patient
Care of ventilated patientCare of ventilated patient
Care of ventilated patient
ajishkt
 
Nicu ppt
Nicu pptNicu ppt
Nicu ppt
vruti patel
 
Care of patient on ventilator
Care of patient on ventilatorCare of patient on ventilator
Care of patient on ventilator
Nursing Path
 
Preterm
PretermPreterm
Preterm
Aruna Ap
 
Baby friendly hospital initiative
Baby friendly hospital initiativeBaby friendly hospital initiative
Baby friendly hospital initiative
Rahul Dhaker
 
Principles of icu ventilators
Principles of icu ventilatorsPrinciples of icu ventilators
Principles of icu ventilators
ananya nanda
 
Ventilation: Basic Principles
Ventilation: Basic PrinciplesVentilation: Basic Principles
Ventilation: Basic Principles
Jamie Ranse
 
Nursing Care of Ventilated Patient
Nursing Care of Ventilated PatientNursing Care of Ventilated Patient
Nursing Care of Ventilated Patient
Jaber Nami
 
Mechanical ventilation ppt
Mechanical ventilation pptMechanical ventilation ppt
Mechanical ventilation ppt
Bibini Bab
 
Developmentally Supportive Care
Developmentally Supportive CareDevelopmentally Supportive Care
Developmentally Supportive Care
Zin04ka Roitman
 

Andere mochten auch (20)

Prematurity and Early Intervention: Prevalence, Issues, and Trends
Prematurity and Early Intervention: Prevalence, Issues, and TrendsPrematurity and Early Intervention: Prevalence, Issues, and Trends
Prematurity and Early Intervention: Prevalence, Issues, and Trends
 
Theoretical framework of infant physiotherapy
Theoretical framework of infant physiotherapyTheoretical framework of infant physiotherapy
Theoretical framework of infant physiotherapy
 
013
013013
013
 
Neonatal ventilation
Neonatal ventilationNeonatal ventilation
Neonatal ventilation
 
European Consensus Guidelines- RDS in Preterm Newborns
European Consensus Guidelines- RDS in Preterm NewbornsEuropean Consensus Guidelines- RDS in Preterm Newborns
European Consensus Guidelines- RDS in Preterm Newborns
 
Neonatal Ventilation
Neonatal VentilationNeonatal Ventilation
Neonatal Ventilation
 
Care of a Newborn
Care of a NewbornCare of a Newborn
Care of a Newborn
 
Neonatal assisted ventilation
Neonatal assisted ventilation   Neonatal assisted ventilation
Neonatal assisted ventilation
 
Mechanical ventilation in neonates
Mechanical ventilation in neonatesMechanical ventilation in neonates
Mechanical ventilation in neonates
 
8. ventilator nursing care
8. ventilator nursing care8. ventilator nursing care
8. ventilator nursing care
 
Care of ventilated patient
Care of ventilated patientCare of ventilated patient
Care of ventilated patient
 
Nicu ppt
Nicu pptNicu ppt
Nicu ppt
 
Care of patient on ventilator
Care of patient on ventilatorCare of patient on ventilator
Care of patient on ventilator
 
Preterm
PretermPreterm
Preterm
 
Baby friendly hospital initiative
Baby friendly hospital initiativeBaby friendly hospital initiative
Baby friendly hospital initiative
 
Principles of icu ventilators
Principles of icu ventilatorsPrinciples of icu ventilators
Principles of icu ventilators
 
Ventilation: Basic Principles
Ventilation: Basic PrinciplesVentilation: Basic Principles
Ventilation: Basic Principles
 
Nursing Care of Ventilated Patient
Nursing Care of Ventilated PatientNursing Care of Ventilated Patient
Nursing Care of Ventilated Patient
 
Mechanical ventilation ppt
Mechanical ventilation pptMechanical ventilation ppt
Mechanical ventilation ppt
 
Developmentally Supportive Care
Developmentally Supportive CareDevelopmentally Supportive Care
Developmentally Supportive Care
 

Ähnlich wie Neonatal couplet care

Family Centered Caesarean Recovery
Family Centered Caesarean RecoveryFamily Centered Caesarean Recovery
Family Centered Caesarean Recovery
Kaiser Permanente
 
Ashford and St Peter's NHS Foundation Trust- Supported discharge clinic- PEN ...
Ashford and St Peter's NHS Foundation Trust- Supported discharge clinic- PEN ...Ashford and St Peter's NHS Foundation Trust- Supported discharge clinic- PEN ...
Ashford and St Peter's NHS Foundation Trust- Supported discharge clinic- PEN ...
RuthEvansPEN
 
Kangaroo mother care (kmc)
Kangaroo mother care (kmc)Kangaroo mother care (kmc)
Kangaroo mother care (kmc)
DR MUKESH SAH
 
kangaroo mother care.pptx
kangaroo mother care.pptxkangaroo mother care.pptx
kangaroo mother care.pptx
Anju Kumawat
 
Kangaroo mother care
Kangaroo mother care Kangaroo mother care
Kangaroo mother care
Devi Pravallika Kagga
 
4 The rationale for skin to-skin contact at birth and rooming in
4 The rationale for skin to-skin contact at birth and rooming in4 The rationale for skin to-skin contact at birth and rooming in
4 The rationale for skin to-skin contact at birth and rooming in
Varsha Shah
 
TCHF - FOR GOOD Newsletter - Fall 2015
TCHF - FOR GOOD Newsletter - Fall 2015TCHF - FOR GOOD Newsletter - Fall 2015
TCHF - FOR GOOD Newsletter - Fall 2015
Glen W. Newhart, CFRE
 
Sherri-Jones (1)
Sherri-Jones (1)Sherri-Jones (1)
Sherri-Jones (1)
Sherri Jones
 
Capstone
CapstoneCapstone
Capstone
Catherine Fritz
 
KANGAROO MOTHER CARE ppt for nursing students
KANGAROO MOTHER CARE ppt for nursing studentsKANGAROO MOTHER CARE ppt for nursing students
KANGAROO MOTHER CARE ppt for nursing students
SakshiSrivastava472771
 
Kangaroo mother care
Kangaroo mother careKangaroo mother care
Kangaroo mother care
Pooja Rani
 
NICU CONCEPTS, STAFFING,PROTOCOLS, PHYSICAL LAYOUT
NICU CONCEPTS, STAFFING,PROTOCOLS, PHYSICAL LAYOUTNICU CONCEPTS, STAFFING,PROTOCOLS, PHYSICAL LAYOUT
NICU CONCEPTS, STAFFING,PROTOCOLS, PHYSICAL LAYOUT
Jonils Macwan
 
KMC - "Madre Canguro" - A Metodologia Mãe Canguru: 40 anos
KMC - "Madre Canguro" - A Metodologia Mãe Canguru: 40 anosKMC - "Madre Canguro" - A Metodologia Mãe Canguru: 40 anos
KMC - "Madre Canguro" - A Metodologia Mãe Canguru: 40 anos
Prof. Marcus Renato de Carvalho
 
Kangaroo Mother Care . neonate. newborncare
Kangaroo Mother Care . neonate. newborncareKangaroo Mother Care . neonate. newborncare
Kangaroo Mother Care . neonate. newborncare
Pooja Rani
 
UNMH Health Source July 2011
UNMH Health Source July 2011UNMH Health Source July 2011
UNMH Health Source July 2011
Tres Volcanes Neighborhood Association
 
Booklet on kmc
Booklet on kmcBooklet on kmc
Booklet on kmc
SunitaThakur22
 
Kangaroo Mother Care
Kangaroo Mother CareKangaroo Mother Care
Kangaroo Mother Care
Meenu Sheenu
 
Introduction to the "Bridge" - a new breastfeeding support tool
Introduction to the "Bridge" - a new breastfeeding support tool Introduction to the "Bridge" - a new breastfeeding support tool
Introduction to the "Bridge" - a new breastfeeding support tool
Leith Greenslade
 
Fairview Southdale Hospital NICU Information Presentation
Fairview Southdale Hospital NICU Information PresentationFairview Southdale Hospital NICU Information Presentation
Fairview Southdale Hospital NICU Information Presentation
scotterob
 
SMHCF Liaison - Birthing_Centre_
SMHCF Liaison - Birthing_Centre_SMHCF Liaison - Birthing_Centre_
SMHCF Liaison - Birthing_Centre_
Paulanne Jushkevich, M.A., CFRE
 

Ähnlich wie Neonatal couplet care (20)

Family Centered Caesarean Recovery
Family Centered Caesarean RecoveryFamily Centered Caesarean Recovery
Family Centered Caesarean Recovery
 
Ashford and St Peter's NHS Foundation Trust- Supported discharge clinic- PEN ...
Ashford and St Peter's NHS Foundation Trust- Supported discharge clinic- PEN ...Ashford and St Peter's NHS Foundation Trust- Supported discharge clinic- PEN ...
Ashford and St Peter's NHS Foundation Trust- Supported discharge clinic- PEN ...
 
Kangaroo mother care (kmc)
Kangaroo mother care (kmc)Kangaroo mother care (kmc)
Kangaroo mother care (kmc)
 
kangaroo mother care.pptx
kangaroo mother care.pptxkangaroo mother care.pptx
kangaroo mother care.pptx
 
Kangaroo mother care
Kangaroo mother care Kangaroo mother care
Kangaroo mother care
 
4 The rationale for skin to-skin contact at birth and rooming in
4 The rationale for skin to-skin contact at birth and rooming in4 The rationale for skin to-skin contact at birth and rooming in
4 The rationale for skin to-skin contact at birth and rooming in
 
TCHF - FOR GOOD Newsletter - Fall 2015
TCHF - FOR GOOD Newsletter - Fall 2015TCHF - FOR GOOD Newsletter - Fall 2015
TCHF - FOR GOOD Newsletter - Fall 2015
 
Sherri-Jones (1)
Sherri-Jones (1)Sherri-Jones (1)
Sherri-Jones (1)
 
Capstone
CapstoneCapstone
Capstone
 
KANGAROO MOTHER CARE ppt for nursing students
KANGAROO MOTHER CARE ppt for nursing studentsKANGAROO MOTHER CARE ppt for nursing students
KANGAROO MOTHER CARE ppt for nursing students
 
Kangaroo mother care
Kangaroo mother careKangaroo mother care
Kangaroo mother care
 
NICU CONCEPTS, STAFFING,PROTOCOLS, PHYSICAL LAYOUT
NICU CONCEPTS, STAFFING,PROTOCOLS, PHYSICAL LAYOUTNICU CONCEPTS, STAFFING,PROTOCOLS, PHYSICAL LAYOUT
NICU CONCEPTS, STAFFING,PROTOCOLS, PHYSICAL LAYOUT
 
KMC - "Madre Canguro" - A Metodologia Mãe Canguru: 40 anos
KMC - "Madre Canguro" - A Metodologia Mãe Canguru: 40 anosKMC - "Madre Canguro" - A Metodologia Mãe Canguru: 40 anos
KMC - "Madre Canguro" - A Metodologia Mãe Canguru: 40 anos
 
Kangaroo Mother Care . neonate. newborncare
Kangaroo Mother Care . neonate. newborncareKangaroo Mother Care . neonate. newborncare
Kangaroo Mother Care . neonate. newborncare
 
UNMH Health Source July 2011
UNMH Health Source July 2011UNMH Health Source July 2011
UNMH Health Source July 2011
 
Booklet on kmc
Booklet on kmcBooklet on kmc
Booklet on kmc
 
Kangaroo Mother Care
Kangaroo Mother CareKangaroo Mother Care
Kangaroo Mother Care
 
Introduction to the "Bridge" - a new breastfeeding support tool
Introduction to the "Bridge" - a new breastfeeding support tool Introduction to the "Bridge" - a new breastfeeding support tool
Introduction to the "Bridge" - a new breastfeeding support tool
 
Fairview Southdale Hospital NICU Information Presentation
Fairview Southdale Hospital NICU Information PresentationFairview Southdale Hospital NICU Information Presentation
Fairview Southdale Hospital NICU Information Presentation
 
SMHCF Liaison - Birthing_Centre_
SMHCF Liaison - Birthing_Centre_SMHCF Liaison - Birthing_Centre_
SMHCF Liaison - Birthing_Centre_
 

Neonatal couplet care

  • 1. Nicole Pendenza, RNC-NIC,BSN Tanya DiGeorge, RN, BSN Catholic Medical Center Manchester, NH
  • 2. Catholic Medical Center is a 330 bed community hospital in Manchester, NH In affiliation with Children’s Hospital at Dartmouth, Catholic Medical Center opened the Special Care Nursery in April 2010
  • 3. The Mom’s Place at CMC •1200 Deliveries per year •14 bed LDRP, including 2 operating rooms •Maternal Fetal Medicine Service •12 bed Level IIB Special Care Nursery •2 Methadone clinics within the city
  • 4. Our mission is to provide individualized, high quality, tender care to each infant and their family. This is achieved by providing an optimal environment for mother/baby attachment using the neonatal couplet care model. This model of care assists parents in becoming primary caretakers for their infants with the support of our healthcare team. Mission Statement
  • 5. Neonatal Couplet Care is the next step in Family Centered Care
  • 6. Open Bay Neonatal Intensive Care Unit
  • 9. Neonatal Couplet Care at Catholic Medical Center (CMC) Family Care Suites Postpartum Bed and NICU Bed in the same room
  • 10. Neonatal Couplet Care at CMC Family Care Suite
  • 11. Special Care Nursery at CMC Patient Population in the Special Care Nursery  32 weeks or greater  Short term ventilation (< 24 hours)  CPAP, High Flow Nasal Cannula, Oxygen Hood  Infants requiring “special care” (i.e. NAS, long term antibiotics, etc.)  Retro transfers from tertiary care facilities
  • 12. What is Neonatal Couplet Care? Care provided to a postpartum mother in the same room as Neonatal Intensive Care is provided to the infant.
  • 13. What is Neonatal Couplet Care?  Families stay together from admission to discharge  Minimized separation  Early skin-to-skin contact  Early parental involvement  Parents feel confident to become primary caregivers- comfortable at discharge  Parent’s presence enables more prompt responses/tuning in on the signals of the infant
  • 14. How does it “really” work?? 1. Infant born on The Mom’s Place (LDRP) 2. Stabilized in delivery room 3. Infant placed on mom or dad’s chest and transferred to the Special Care Nursery into a Family Care Suite (FCS) 4. SCN nurse assumes care for the Couplet (post partum care and neonatal care) 5. Couplet remains in FCS until mom is discharged 6. Infant transferred to SCN room until ready to go home
  • 15. 32 week infant stabilized in delivery room and skin-to-skin within ½ hour
  • 16. 33 week twins born by c-section and placed skin-to-skin in the OR
  • 17. Transferred to FCS for recovery/care
  • 18. Labs drawn and PIV started on 33 weeker while breastfeeding
  • 19. •Parents are encouraged to stay with their babies 24/7 (when possible) •Our philosophy is to have nurses act as “coaches” to parents •Parents feel confident to become primary caregivers so they are comfortable at discharge
  • 20.
  • 21. Benefits of Neonatal Couplet Care •Increases exclusive breastfeeding •Increased amounts and durations of kangaroo care •Parents are more prepared at discharge •High job satisfaction ratings (NDNQI survey) •Decreased staff turn over •Decreased Length of Stay for NAS babies