COVID-related visitor restrictions prompt creative response by Women & Children’s Center for safe baby viewing.
Nobody wants to see their Grandpa Joe climbing a ladder or Aunt Helen perched atop a wobbly chair outside the windows of the Women & Children’s Center trying to get a glimpse of the latest addition to their family.
A version of those scenarios has played out, however, outside the windows of patient rooms where mothers have been bonding with their newborns since precautionary visitor restrictions were imposed due to the COVID-19 pandemic.
Prior to Coronavirus, an expectant mother could have up to several visitors at a time while in labor and delivery and an unlimited number of visitors once moved into the mother/infant rooms after giving birth. Once the virus became a factor, expectant mothers were permitted one support person – a spouse, significant other or another family member, for instance – during labor and delivery and for the remainder of their hospital stay to prevent the spread of Coronavirus to Adena’s littlest patients.
The change in protocols produced a considerable and concerning outcome as families had to change how they viewed their new baby.
“We were seeing that families were attempting to view babies through the (patient room) windows in maybe not the safest manner because the windows on the outside aren’t level with what’s on the inside – so they would have a chair or a ladder or some other type of item that they would just have in their car and they were trying to stand on it and look in the window,” said Tasha Turner, nurse manager of pediatrics and the nursery. “We were really concerned someone was going to get hurt. (It was happening) almost every day.”
While safety was a critical part of the problem, it wasn’t the only concern. Turner explained that Women & Children’s leadership were concerned that a family member may accidentally look in the wrong window.
The challenge was to find a way for families to safely view their newest loved one without having to enter the ward to do so.
“We discussed how we can allow families to see the new baby because we know that’s important to families, so we started thinking is there another area we can use to make this possible?” Turner said.
Since infant safety is one of the ward’s top priorities, its leadership knew they had to be careful with their decision. They had a few meetings on the issue and walked the unit looking for the best option.
“We found this one area out on Mother/Infant -- it’s a large window facing out toward the parking lot, and we thought if we could do something to make the outside area (leveled) up to the inside area, then we would easily be able to have the family look in at the baby.”
They worked with Jeff Mundhenk, Facilities Director, to develop a plan to achieve this. The result is a newly constructed wooden ramp leading to a platform outside that window just off the northeast corner of the hospital. With signage and guidelines posted, families are able to schedule a time to stand on the platform and look at the new baby resting in a crib by the window. Times will be arranged between the new mothers and their family members, then ward staff will be informed when times are confirmed.
“We want to make sure that we’re keeping an eye on that area to make sure everyone is safe, especially in the beginning,” Turner said.
Staff on the Women & Children’s Unit will assist moms and their support person to make sure babies are being kept safe on the inside as well.
Keeping ward staff in the loop on scheduled times also will help prevent a backlog of families from congregating outside the viewing area during periods in which the ward is handling a large number of births. When multiple families are awaiting a turn on the platform, social distancing will be observed between families and a time limit of 15 minutes at the window will be in place.
With the platform now in use, security will be monitoring activity around it “just so they can check and make sure people are using it safely,” Turner said.
The platform is the latest example of the type of out-of-the-box thinking about patient-centered care – in this case going beyond patients themselves to include their extended families – that helped earn Adena a spot this summer on Newsweek’s 2020 list of Best Maternity Care Hospitals. Only 231 hospitals across 36 states were selected to receive the honor.