Abstract
To provide expert nursing care for transitioning at-risk newborns at their mothers’ bedside. Keeping at-risk newborns in the maternal-newborn dyad safe as well as facilitating a timely admission to NICU when appropriate. Development of a transitional nurse team (TNT) composed of NICU nurses who are deployed to and embedded in the labor and delivery unit and the mother-baby unit 24 hours a day. The TNT nurses are skilled practitioners, neonatal experts, who have been newly educated in the tenets of Baby-Friendly and lactation-assistance techniques. The TNT assists NICU mothers in the labor and delivery unit with pumping human milk within 1 hour of birth as well as early orientation of antenatal women with expected admissions to the NICU. Staff surveys pre- and postimplementation demonstrated a significant positive change in the perception of available resources for at-risk newborns. In addition, the unanticipated transfers to NICU for hypoglycemia, hypothermia, and other newborn transition symptoms have decreased. This model succeeded in meeting the needs of at-risk newborns while meeting family-centered care (decreased separation of the mother-newborn dyad) as well as Baby-Friendly standards.
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