Objectives
• Identify optimal times for education
on Mother Baby unit.
• Identify three elements of discharge
process.
• Discuss implications of project
results to other patient areas.
Elements of Discharge
Maternal care info Shaken baby prevention
Infant care info Bottle-feeding info
Breastfeeding info Vaccinations
Infant CPR Birth certificate
Safe sleep video Signing of paperwork
Literature Review
➢ Teach when patient is more relaxed to increase retention
➢ Educate throughout patient stay
➢ Consider patient’s perceived discharge readiness
➢ Gen Y and Gen Z respond to technology-based learning
Staff
Education
Tasks will be completed at timed
increments,
versus all at once
before they go home.
How about a Pathway
to Discharge to help
get these things done
throughout their stay?
Labor and
DeliveryArrival to 2nd Maria
0-12 Hours
12-24 Hours
24-36 Hours and
Final Discharge Teaching
Staff
Education
What needs to be done to get a Patient home?
Baby: � Circumcision� 24 hour testing and PKU
Videos: � Room to Breathe� CPR� Shaken Baby
Paperwork:� Birth Certificate� Tdap Consent� Shaken Baby � Safe Sleep Waiver
Teaching:• Mom• Baby
Final Discharge:• MD Order • Discharge Instructions• Prescriptions
Staff
Education
Speed Bumps/Road Blocks
that have been removed…
VACCINES:
Per Dr. Oakman:
Tdap Vaccines can now be
given when they are available -
No need to wait until discharge.
Staff
Education
Speed Bumps/Road Blocks (cont’d)
Mom and Baby Teaching Videos
will now be available on the
iPads.
• Parents can watch at their own
convenience
• Saves time for the Nurse
Pregnancy Icon
Staff
Education
Questions?
This is an ongoing process.
We welcome any feedback,
suggestions or questions.
Jane Moeller and Christina Crook
Revised Pathway
Pat hw ay
t o
D isc har geEducational Videos
Introductory Videos
Caring for YourselfCaring for Your Baby
ImmunizationsTdap
Rhogam
Flu
MMR
Signed Paperwork
Shaken Baby
Birth Certificate
Safe Sleep
Tdap Consent
Shaken Baby
Room to Breathe
CPR
Conclusion & Implications
• Improved learning opportunities
• More efficient discharge process
• Decreased length of stay = cost
savings
• Buy-in essential for change
• Potential benefit for other patient
demographics
References
Ciaramella, J., Longworth, N., Larraz, L., & Murphy, S. (2014). Improving Efficiency,
Consistency and Satisfaction on a Mother-Baby Unit with the Discharge Nurse
Position. Nursing for Women's Health, 18(4), P. 333-339.
Logsdon, M. C., Davis, D., Eckert, D., Smith, F., Stikes, R., Rushton, J., … Sparks, K.
(2015). Feasibility of two educational methods for teaching new mothers: A pilot
study. Interactive Journal of Medical Research, 4(4), e20. doi: 10.2196/ijmr.4583.
Malagon-Maldonado, G., Connelly, C., & Bush, R. (2017). Predictors of readiness for
hospital Discharge after birth: Building evidence for practice. Worldviews on
Evidence-Based Nursing, 14(2), p. 118-127.
Shatto, B. & Erwin, K. (2017). Teaching millennials and Generation Z: Bridging the
generational divide. Creative Nursing, 23(1), 24-28. doi:10.1891/1078-
4535.23.1.24.
Suplee, P., Kelppel, L., & Bingham, D. (2015). Discharge education on maternal morbidity
and mortality provided by nurses to women in the postpartum period. Journal of
Obstetric, Gynecologic & Neonatal Nursing, 45(6), p. 894-904.