Mother Baby Unit / Gynecology

The Mother Baby Unit, on the 3rd and 9th floor of UF Health Shands Hospital, consists of 41 private inpatient beds for postpartum, early gestational antepartum and GYN patients, with 1 treatment area for newborns.

Transitional care of the newborns is provided at the mother’s bedside. Anticipated bed occupancy is 50%. Monitoring capabilities include the use of the remote telemetry and centralized patient monitoring. Special patient care requirements include utilization of two isolation rooms on the unit. Patients requiring close observation are placed as close to the nursing station as possible. Room assignments are based on the acuity of the patients.

Mothers experiencing fetal deaths are assigned a private room or are given the option of being placed on another unit whenever possible. Care is provided 24 hours a day, 7 days a week.

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Description of Patient Populations

Unit 6E specializes in the delivery of comprehensive care to GYN, antepartum, and postpartum women and to the stable neonate.

Obstetrical average length of stay is 2.01 days.The average length of stay for patients having a vaginal delivery is 24-48 hours; for cesarean section delivery the average length of stay is 48-72 hours.

Antepartum patients have a length of stay averaging 5-10 days. The average length of stay for the neonate is approximately 48 hours (2.10 days). The average length of stay for GYN is 48-72 hours.

Nursing Care

Nursing care is focused on the assessment, diagnosis, treatment and evaluation of GYN, normal and high-risk obstetrical patients as well as the newborn neonate. Other nursing activities are directed toward assessment of pain and provision of pain relief, comfort measures, education, and preparing patient for discharge.  Stable newborns will be transitioned at the mother’s bedside. The work of supporting the philosophy of family centered care is acknowledged and valued by the nursing staff as evidenced by the teaching of normal newborn care, family dynamics as related to the newborn, lactation education, and maternal/infant bonding.

Health Care Team

Unit 6E population consists of 3 services: Gynecology , Obstetrics, and Pediatrics. Each service provides medical direction and supervision for the medical care of the patients by the residents. Direct supervision of the residents caring for the neonate, is provided by the general Pediatric Attending. All services provide coverage 24-hours a day, 7 days a week. There is one private community physician, a Certified Nurse Midwife and a private community pediatrician also utilizing hospital privileges. Multidisciplinary, comprehensive care of GYN, obstetric and neonatal patients and families on 6E is provided by medicine, nursing, social work services, pastoral care, food & nutritional services, pharmacy, and other health care providers as indicated by the patient’s health status and identified needs.

Nursing management for the unit includes registered nurses in the position of Nurse Manager and Clinical Leader. The Nurse Manager has 24-hour accountability for unit operations and outcome focused care. The Clinical Leader provides clinical expertise and support to the staff and shares in the responsibility for unit coverage and staffing. An Administrative Assistant and Unit Assistant provide support regarding budget, tracking, and administrative support. Staff include: registered nurses, licensed practical nurses, patient care assistants, student assistants, and unit clerks.

Responsibilities of the RN include initial and ongoing assessment of the all patients on the unit, infant care education, preparation for discharge, and follow-up for gyn patients, mothers and babies. The nurses are trained in the recognition of normal and abnormal physical and emotional characteristics of GYN patients, the mother and newborn. The LPN, PCA, and SA provide support and attend to the personal comfort of the patients under the direction of the RN.

Registered Nurses and Licensed Practical Nurses on the Mother/Baby Unit meet the basic requirements for registered staff nurses and licensed practical nurses in accordance with the unit based job descriptions, as described in the Hospital Plan for Nursing Care. Additional requirements for registered nurses include the completion of neonatal resuscitation and remote telemetry.

Patient Care Assistants, Student Assistants, and Unit Clerks meet the basic requirements of their positions and function in accordance with their unit-based job description, as described in the Hospital Plan for Nursing Care.

A positive attitude toward family centered care and patient satisfaction is a focus of the OB/GYN and Perinatal Care team. The ability, willingness, and interest to work with the age-appropriate need of all patients, is an additional requirement for all that work on 6East. Orientation for nursing staff is coordinated by the Clinical Leader and usually lasts 6–8 weeks. This program is accomplished with the assistance of the Nurse Manager and staff nurses who serve as Preceptors. The professional staff on 6E have been, or are in the process of being cross-trained, to assist with limited functions in Labor and Delivery (ie: Recovery of the surgical and non-surgical patient, and antepartum care) as well as to normal care in the NICU II.

Patients who become unstable, are assessed by the registered nurse and medical staff. Should transfer become necessary based on the patient’s response to interventions, most often the mothers are transferred to Labor and Delivery; the neonate may be transferred either to NICU II or III based on the needs of the baby and GYN may be transferred to higher level of care. Newborn circumcisions are performed in the Newborn treatment area. Phototherapy may be initiated there as well or at the mother’s bedside. Mothers having bilateral tubal interruption are transferred to the Labor and Delivery OR for the surgical procedure and returned to 6E following the immediate recovery period.