Nursery essay

There are several ways of how the process can be improved. First of all, pre-registration and registration of mothers should be done either at the entrance, or preliminarily, in order to avoid extra transfers of the pregnant woman inside the hospital. Secondly, pregnant women awaiting contractions are sent to walk around the hospital, and this might result in them getting lost or confused. Evidently, this is extra stress for future mothers, and some separate room or an assistant should be provided to future mothers while they are trying to stimulate contractions. Thirdly, if the baby is born en route, the process of registering and admission should be performed later than placing the mother and baby in the labor and delivery triage room. Finally, assessment of pregnant women should take place also on the 2nd floor, where the Labor and Delivery room is; if there is no factual need for the transfer from 8th to 2nd floor, the Labor and Delivery room should be placed close to Labor and Delivery Triage room.

There are several ways of how the process can be improved. First of all, pre-registration and registration of mothers should be done either at the entrance, or preliminarily, in order to avoid extra transfers of the pregnant woman inside the hospital. Secondly, pregnant women awaiting contractions are sent to walk around the hospital, and this might result in them getting lost or confused. Evidently, this is extra stress for future mothers, and some separate room or an assistant should be provided to future mothers while they are trying to stimulate contractions. Thirdly, if the baby is born en route, the process of registering and admission should be performed later than placing the mother and baby in the labor and delivery triage room. Finally, assessment of pregnant women should take place also on the 2nd floor, where the Labor and Delivery room is; if there is no factual need for the transfer from 8th to 2nd floor, the Labor and Delivery room should be placed close to Labor and Delivery Triage room.

 If a mother is scheduled for a Caesarean-section birth (i.e., the baby is removed from the womb surgically), how would this flowchart change?

The flowchart will have additional choice points (Langabeer, 2007), such as the decision whether the pregnant woman will deliver naturally or by Caesarean section and medical assessment of the pregnant woman in order to determine whether she needs C-section. Thus, the flowchart will have one more main branch with C-section sub-process described, and several choice points.

If all mothers were electronically (or manually) pre-registered, how would the flowchart change? Redraw the chart to show your changes.

Provided that all mothers are preregistered, the flowchart will not have the pre-registration sections.

Describe in detail a process that the hospital could analyze, besides the ones mentioned in this case.

One of the processes that the hospital could analyze is artificial fertilization (with a surrogate mother). Infertility is a common problem, and the analysis of this process might be very useful for the clinic. This process includes the following steps (Teman, 2010):

1)              Thorough assessment of the prospective mother is performed

2)              Interview with mental health coordinator takes place

3)              If steps 1 and 2 are successful, the prospective mother is matched with the intended parents. If either of steps 1 or 2 is not successful, the woman is not allowed to become a prospective mother.

4)              The woman (intended mother) will choose whether the embryo should be implanted into the genetic mother, or whether surrogate mother will become pregnant naturally. If the intended mother chooses the latter, she passes to step 6

5)              Surrogate mother becomes pregnant in a natural way

6)              An embryo genetically belonging to the intended parents is implanted into the surrogate mother

7)              After the baby is born, intended parents take the baby

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