Suffolk County Community College
School of Nursing
NUR248
Orientation to St Catherine of Siena Hospital
The Woman Child Care Center
Address: Route 25A
Smithtown, New York 11787
Directions: posted on the College web site
Security: Jim Johnson




Telephone Number: 862-3300
All staff members wear badges with a Red Heart on this unit
Students are not permitted to transport newborn to and from the nursery
Alarms on ankle of all newborns
Both parents will wear ID bracelets till discharge
The Woman Child Care Center: 24 beds/ 24 bassinets – 1500 deliveries/year
Telephone Number: 862-3128
MaryAnn Gulutz, RN Director
Sinead Suszczynski, RN Clinical Nurse Specialist
Jennifer Giordano, Lactation Specialist
Diane Rettig, RN ANCC on PP
Carolann, Unit Clerk
Special Care Nursery (NICU): 7 isolettes (Neonatologist on call 24/7)
Donna Deak, RN ANCC
Labor & Delivery: 5 birthing rooms, 2 delivery rooms
Mary Olsen, RN ANCC
Entrance to the Woman Child Care Center: Must ring in
Visiting Hours: Fathers - 10 am to 10 pm
Grandparents – 1 pm to 8 pm
Siblings – 2 to 8 pm
General – 6:30 to 8 pm
Special Care Nursery Hours – check with staff
Fire Procedure: Alarm pulls and extinguishers are in all areas. Pull alarm. Operator will
call “Code Red” and will announce the unit on the public address
system.
Crash Cart: Kept near nurses station on PP
1
Other Important Information:
 Pre-conferences – report to the staff cafeteria by 8:00 am
 If absent or late: please call my cell # 948-7416 the night before 10 pm, or in the
morning call the obstetric unit by 6:45 am at 862-3128. Leave me a message with
the reason for absence or lateness.
 Please keep your phone chain handy as you will be responsible to notify your
designated classmate if you are called for school closing or late start.
 There are no lockers. Do not bring valuables to clinical
 Eat breakfast before clinical. Your body needs it.
 Charting and signing of the charts: use black ink only. Please show us your
notes before putting them in the patient’s chart. I must co-sign all notes and
medication sheets. SCCC/SN should follow your full first and last name
Dress Code:
 As per school policy, wear SCCC photo ID
 Change into scrubs (will be provided for you)when assigned to L&D
Charting:
 I&O sheets are to be filled every hour we are here (located outside rooms)
 Clinical Pathways are specific for Vaginal delivery, C/S delivery, Vaginal
Newborn Care and C/S Newborn Care
 Pain Management (pink sticker on Progress sheet) and I&O sheet can be found in
the Medication section of the chart
 Focus charting will be done when necessary
Medication System: MAR (Medication Administration Record) in separate book
 Medications are prepared in the med room then carried into the patient’s room
 IVPB schedule is 12 am/ 6 am/ 12 pm/ 6 pm
 IV site, tubing and dressing are changed q72h, if not done document why it was
not done
 IV tubing 15gtts/cc (Horizon Pumps only for C/S and certain meds)
 SASS method used for saline lock – 1cc saline flush, administer medication, and
then follow with 3cc saline flush. Every shift a 2cc saline flush is administered if
NO medication is given. (Hospital has pre-filled syringes)
 Special Med sheet kept on clip board at nurse’s station if patient received
epidurals – evaluated q4h and all info charted
 Remember to chart all IVPB medications on the I&O sheet
Post Partum and Newborn Protocol
MD’s Orders are pre-stamped on orders sheet
All Parents must view “Shaken Baby Video” prior to discharge
Supplies:
2


Found in clean utility room
Each infant is given its own individual equipment and supplies – obtain from
newborn nursery
Isolation Room: Room 103
Handwashing:
 Must do 3 minute scrub in Newborn nursery before starting care unit with special
soap (red dispenser next to sink in newborn nursery)
 Leave jewelry at home
 May wear wedding band
 Absolutely no acrylic nails
 Nail polish permitted if light colors are used
Bathing:
 Vaginal deliveries shower as soon as stable or 4 hours after delivery
 C/S complete bed bath on admission, shower next AM
 Newborns bathed only when temperature stabilizes above 98O F
Perineal Care:
 Void or catherize q6h for distension
 Peri-bottle using warm water after each void or BM
 Pat dry with tissues then apply sanitary pad
 Dermaplast/ Nupercanial ointment/ Tucks pads
 Sitz baths if ordered
C/S Patients:
 VS every 15 min. x 4, then every 30 min. x 4, then every 1 hr. x 2, then every 4
hrs. times 24 hrs. and as indicated
 Mefoxin 2 gm. IVPB at cord clamping
 IV Lactated Ringer’s with Pitocin
 PCA Fentanyl for 24/48 hours (Demerol and Morphine alternative choice)
 Surgical dressing generally removed by MD, may be removed by nurse with MD
order
 Foley catheter removed 24 hours following procedure
 OOB to chair ASAP
Labs:







H&H on 1st PP day
Rhogam if eligible
Rubella vaccine if titer 1:10 or less (May be giving MMR)
Flu vaccine/ TDap vaccine
Additional labs as ordered
PKU (newborn metabolic screening) heel stick is done before discharge
Cord blood is taken from all infants at time of delivery for type, Coomb’s if
needed
3

Possible bilirubin workup – phototherapy isolette with bili-lights, cover eyes,
keep uncovered except for diaper, rectal temps taken q4h
All newborns should be placed on their backs at all times
NICU (You will be an observer in this area unless the RN is willing to mentor you)
Vital signs:
 Newborn done every ½ hour x 2 hrs. after birth, then once a shift
 Rectal temp done at admission on all newborns then axillary temps q4h
 Head and chest circumference with complete newborn assessment done at
admission to nursery
 Pulse Ox taken on day of discharge on all newborns, must be <95% before
discharge
Newborn Weights:
 Done initially in L&D for then every night till discharge
Blood glucose testing:
 Will not be done by students, ask RN for results and use this information is
patient (mother) needs to be given insulin coverage
 Done at admission on all newborns (heel stick) Should be between 45-90
 Hypoglycemic protocol (review hospital policy) may be initiated for newborn –
keep infant warm and feed frequently
Newborn Feedings:
 NPO for 4 hours, then sips of water followed by formula q3-4h
 Advance Similac 20 calories/ fluid ounce
 If Breast feeding, may begin in L&D – on demand schedule
 Record Intake
Cord Care:
 On admission count vessels
 No other cleaning necessary while in hospital
 Keep exposed to air and dry
 Most MD’s instruct their patient’s to use alcohol to cleanse area when at home
Circumcision Care:
 Circumcision usually done on day shift
 “Time Out Right Patient”
 MD gets consent signed
 Lots of A&D ointment on day of circ to avoid sticking to diaper
 Must void before being discharged
Elimination:
4



Observe and record first stool and all subsequent stools for color, amount, and
frequency
Record first void and all subsequent voids
Notify staff if no output (check every two hours)
Drugs:
 Hepatitis B vaccine (IM)
You are responsible for:
 The mother and/or newborn
 Identification of mother and newborn
 Helping parents with feeding, diapering, general care
 Charting intake and output for both mother and infant
 Observing the parent/infant interaction
 Answering questions, ongoing education
 Parents viewing “Shaken Baby” video before discharge – view with parents if
possible
 Assessment of infant or mother, charting findings
 Reporting abnormalities to staff ASAP & instructor
 Discharging mother or infant
 Hepatitis Birth Dose given before discharge to newborn – need consent
L&D Protocol (You will be an observer in this area unless the RN is willing to
mentor you)










Obtain history and assessment
Urine sample tested for U/A, protein
NPO, ice chips or clear fluids as per MD order
IV’s started as per MD order
Fetal monitoring applied for baseline strip for 15 minutes, then encourage walking
if ordered or continuous monitoring if in active labor as per MD order
Vaginal exam sterile to assess station, effacement, and dilation, to AROM
(rupture artificially membranes)
Medications most frequently used : Pitocin, Fentanyl, Bupivacaine, Bicitra,
Demerol, Phenergan, MgSo4, Terbutaline, Toradol, and Cervidil
Medications given to Newborn after delivery: Vitamin K (IM) and Erythromycin
ointment (to eyes)
Weight of newborn/ APGAR score of newborn
4th stage of labor (first hour after delivery)
5
6