Labor and Delivery Tour Script:
Plan for four separate small videos- introduction, triage, admission/induction, and cesarean section
On Screen Talent: Ms. Monica Burton
1) Introduction:
[Open outside in front of the Hospital, between the main entrance and the Emergency Room Entrance]
Talent: Hello and welcome to Martin Army Community Hospital. We are excited to take care of you and your family during this special time. Today we are going to take you on a tour of our Labor and Delivery unit starting with arrival to the hospital, where to park, and how to find us in the facility.
[Pan to Emergency Room Entrance/drive up loop] The emergency room entrance behind me is open 24/7. If you use this entrance, please make sure you use one of the emergency room parking spots directly in front or utilize the patient parking garage as there is no parking in the drop off loop.
[Pan to main entrance/ drop off loop] Our hospital main entrance is open from 0600-1800 Monday through Friday. Please be aware these doors are locked on nights, weekends, and holidays so plan to use the ER entrance at these times.
[Back to talent] We are proud to reserve Stork Parking spots for our pregnant patients, they are designated by a blue sign with a white stork and baby carriage [Overlay a photo of the stork parking sign]. These spots are found on the ground floor of the patient parking garage and are located next to the ground floor exit closest to the facility for your convenience.
[Back to talent] Whichever way you enter the facility, take the elevators to the 5th floor for all Department of Women’s Health and Newborn Care services. Click on the next video and we will take you through our Triage processes.
2) Triage
[Open outside double doors in 5th floor waiting room next to CPT Neely’s office]
Talent: Triage is the outpatient component of your care for acute and pressing needs. For non-immediate concerns you can call the Women’s Health clinic, call the Tricare Nurse Advice line or send a message your provider through the MHS Genesis Patient Portal.) If you have an emergency before 20 weeks gestation, please report to the front desk of the Emergency Room on the 1st floor. Even past 20 weeks gestation, if you have a traumatic injury or emergency that threatens your life, limb, or eyesight we may have to clear you in the Emergency Room first. The OB team can check on baby while you are cared for in the ER.
Just down the hall from the Women’s Health clinic on the 5th floor, you will find our waiting room and entrance to Labor and Delivery and Mother Baby. This waiting area is where you will find our closest vending machines, restroom, and is located just down the hall from one of our facility breastfeeding rooms.
[Talent pushes through and walks to the Labor and Delivery main entrance]. To visit one of the inpatient units you will push through these doors and move through the lobby. The Labor and Delivery entrance is immediately to the front, The Mother Baby Unit is to the right down the short hallway. Please utilize the doorbell on the wall to request access. If you’re visiting, you’ll need to know the name and room number of the patient you are here to see.
[Talent badges in and walks to triage room]
In Labor and Delivery, we treat patients 20 weeks gestation and greater. Obstetric triage is available 24/7 via a direct phone line to one of our registered nurses or in person.
[Talent enters triage room where a patient is being assessed by a nurse, patient is lying on stretcher and the nurse is attaching them to the fetal heart monitor]
While in labor and delivery triage, we will assess both you and baby. These assessments are dependent on what brought you into the hospital, but they may include a targeted questionnaire, fetal Non-Stress test, labs, cervical exam, speculum exams, ultrasounds, etc.
Labor and Delivery Triage is also where you will report if you OB provider schedules you for sequential blood pressure checks, and it is also where we do pre-op encounters the day before scheduled cesarean sections.
For more information on when you should come into triage, please review our guidance for preterm patients from 20 to 36+6 weeks, and another for term patients 37 weeks and greater.
Martin Army delivers infants 35 weeks gestation and greater. We do not have a Neonatal intensive care unit here in the hospital, which means the safest choice may be transfer to another hospital Columbus if we anticipate a preterm delivery.
3) Admission and Induction of Labor
[Talent is standing in front of Triage Room, walks to labor and delivery room and stands in front of door]
There are many reasons you may be admitted to labor and delivery; the most common reasons are for active labor, if your water breaks, or if your provider recommends an induction of labor. Often the conversation about an induction will start in the OB clinic during one of your scheduled appointments. You may be given a date and put on our induction schedule- it’s important to keep in mind that this date and time is not a hard and fast appointment. We cannot project how full our labor rooms will be on your given day, we ask you to be prepared but also be patient with us and stay flexible on timing. Added below this video is our induction instruction sheet which includes when and where to call to the morning or evening of your scheduled induction for confirmation of room availability.
4) Labor/Delivery and Recovery
[Talent in front of L&D room]
Once you are admitted to labor and delivery in active labor or for an induction of labor, our team of labor and delivery nurses, family medicine residents, and OB providers and midwives will develop a plan of care specific to your situation and needs. This is a great time to have your birth preference sheets from your 32 or 36 week appointments readily available for us to review. We do have twenty four hours, seven day a week in house coverage from anesthesia in case your birth preferences do involve an epidural, and we also have 24/7 in house OB coverage in case an urgent or emergent cesarean section is needed.
[Talent moves into Labor room]
MACH has 5 spacious labor rooms all with beautiful views of the rolling Georgia hills. Our facilities are not equipped to accommodate hydrotherapy in a tub, but each private room as it’s own bathroom with a shower with a detachable showerhead and space for a birth ball for hydrotherapy.
[Show shot of bathroom, then move into the labor room itself]
Each room also is outfitted with an infant warmer if resuscitation is needed for baby. Both wired and wireless fetal monitoring available depending on your situation. We also have a variety of birth positioning options including birthing balls, peanut balls, hard and inflatable birth stools. We also offer squatting bars that attach to our labor beds and we do have a pushing mirror available if that is your preference. There are multiple lighting arrangements available for overhead lighting, and our hospital cable service does have a relaxation channel that offers calming music and visuals. If your birth preferences include something you do not see here, such as aromatherapy or massage tools, please feel free to pack them in your hospital bag and we will do our best to assist.
After delivery, expect to stay with us in your room for approximately two hours before we transfer both you and baby to continue your recovery on the Mother Baby Unit.
We do our very best to keep visitation and mask wearing as open as possible during your labor experience, but we are subject to national, local, and post wide infection risk guidelines. For the most up to date information with mask wearing and visitation please call the Labor and Delivery triage phone number.
5) Cesarean Section
[On screen talent standing in front of double doors to PACU]
Whether your cesarean section is planned or unplanned, we are here to take care of you! Planned cesarean sections start in the clinic when your provider will discuss scheduling your case. Unplanned cesarean sections follow much the same process as we will discuss here except for pre-op process which is much shorter.
The day before your scheduled procedure you will report to labor and delivery triage for pre-op labs and consent forms with our anesthesia providers. We will give you a Cesarean Section instruction sheet, which we will also link below this video for awareness. The morning of your surgery you will call labor and delivery at approximately 0500 to confirm your surgical time and be prepared to arrive at labor and delivery triage between 0500-0530 to finish your pre-op requirements. We work a little differently than a normal operating room schedule because your same labor and delivery team is also caring for any scheduled or unscheduled labor patients we have. Bearing that in mind, we cannot project how full our labor rooms will be on your given day, we ask you to be prepared but also be patient with us and stay flexible on timing.
[Talent moves to the OR]
When it’s time for your surgery, you will be escorted from L&D triage to our operating room. We have operating rooms on both the 5th floor and the 2nd floor in the main OR, either way your team will escort you to the correct area and get you set up for your spinal. During the spinal placement we will have your support person wait outside until your catheter is inserted, your skin is prepped, the surgical drapes are up, and your surgeon confirms you are numbed adequately for the surgery to start. We can support having one support person in the OR with you during most cases, unless the cesarean section must be done under General Anesthesia then your support person will wait for you in the recovery area. When baby is born, we provide initial resuscitation in the room if needed and then get baby over to you and your support person as soon as possible.
[Talent moves to the PACU]
From the OR we will move you and baby to your PACU area for the initial surgical recovery. That recovery period can vary widely on your needs, but a good average is anywhere from 1-2 hours before we transfer you and baby to continue your recovery on the Mother Baby unit.
| Date Taken: | 08.23.2023 |
| Date Posted: | 10.10.2023 15:01 |
| Story ID: | 455449 |
| Location: | FORT MOORE, GA, US |
| Web Views: | 47 |
| Downloads: | 0 |
This work, Welcome to Labor and Delivery, by Ronald Mooney, identified by DVIDS, must comply with the restrictions shown on https://www.dvidshub.net/about/copyright.
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