Prenatal Hospital Tour

Prenatal Hospital Tour

Preparing for baby Packing for labour list of what to bring to the hospital is available in the Healthy Parents Healthy Children - Pregnancy and Birth book This book along with the Healthy Parents Healthy Children - The Early Years are useful resources packed with information from prenatal through to age 6 The books are available online at www.healthyparentshealthychildren.ca or in hard copy from your doctor or local Community Health Clinic

Welcome to the QEII Hospital 10409-98st Grande Prairie

Parking Visitor Parking When arriving at the hospital between 6:30 a.m. and 8 p.m., please park in the visitor parkade Rates are based per ½ hour, daily, or per week Parking is paid at dispensers located at the main and emergency entrances

Main entrance Main entrances are locked at 10 p.m. till 6 a.m. Wheelchairs are available at all entrances if needed

After Hours Parking If you arrive at the hospital after these hours, you may park in the Emergency lot and enter through the Emergency Department entrance Please stop and register your vehicle with security. Your vehicle may remain in the ED lot for a limited period of time and then must be moved to the parkade

Hospital Admission On arrival at the hospital, you should stop at patient registration Patient registration is open from 7 a.m. to 4:00 p.m. Monday to Friday at the main entrance Outside of these hours, on weekends, and holidays, admitting is done at the ER department Pre-registration is not necessary or available

Registration You will need your AB Health Care card and Picture ID to register A helpful hint: have mom s name, birth date, AB Health care number, current address and phone number, and your OBGYN s name written down on a separate piece of paper to help the registration process Admitting clerks will give you admitting forms and directions to 2South (Labour & Delivery)

Gift Shop The QEII Auxillary Gift Shop has a variety of gifts, snacks, reading materials, and flowers and money raised is donated to the QEII Foundation The gift shop is open: o Monday Friday 9 a.m. 7 p.m. o Saturday 10a.m. -4 p.m o Closed Sundays and holidays

Cafeteria Located on the lower level of the hospital Hours of Operation o Monday to Friday - 7:30 a.m. to 7 p.m. o Weekends - 7:30 a.m. to 6:15 p.m.

ATM ATMs are located on the main level by the north elevators, as well as next to the cafeteria

Elevators QEII has north and south visitor elevators OB triage, Labour & Delivery and Maternity units are located on 2 South (second floor)

Proceed to the 2 nd floor, turn right as you exit the elevators to go to OB triage

OB Triage Entry doors are locked for security reasons Pick up the phone and press the call button. A staff member will answer and instruct you to come in. The door will then be unlocked and you have to pull on the door to enter the unit

OB Triage Patients will be assessed in this room before being admitted. Non Stress Tests and inductions are also done here Assessment may include a vaginal exam and use of external fetal monitor (assess baby s heart rate and contractions). Mom s heart rate, blood pressure, temperature, height and weight will also be taken If a mom is not in labor or in early labor, she may be sent home and to return when contractions get more intense or if her water breaks If it is established mom is in labour, she will then be admitted to a Labour and Delivery room

OB Triage The bottom of the beds in triage do break away and delivery can be done if needed There is also an infant care center in triage if needed

OB Triage - Labour lounge Lounge is available for support people Only two support people are encouraged and can stay with mom in triage

Labour and Delivery Entrance Entry doors are locked for security reasons. Pick up the phone and press the call button. A staff member will answer and instruct you to come in. The door will then be unlocked and you have to push on the door to enter the unit It is policy that only two coach/support persons (ex. spouse, doula, family, etc) are on Labour and Delivery with mom Other support people or visitors are advised to stay on the main floor of the hospital

Nurses Station You will be met by a staff member at the nurses station which is in close proximity to all rooms Please request friends and family NOT call the unit seeking information All information is considered confidential, you are a provided a phone in each delivery room to make calls as you wish

Labour and Delivery Rooms There are four private labour and delivery rooms The telephone in each room is for outgoing calls only. Calling card or collect calls can be made for long distance calls Mom and coach will stay in this room for labour, birth, and approximately 1-2 hours after delivery In the rooms are infant care centers and fetal heart monitors

Infant Care An infant care centre is in each room beside the bed For normal deliveries when baby is vigorous, baby will be placed skin to skin with mom. This is encouraged for the first hour with minor interruptions for assessment by physician If baby is not vigorous at delivery, the baby will be moved to the infant care center for further assessment and care A heater allows the baby to be examined in a warm space and all care items and resuscitation equipment is readily available Baby will receive 2 leg bands that matches mom s wrist band prior to leaving the room. Both are left on for identification until discharge. If one or both fall off, staff should be notified immediately If breastfeeding, it is encouraged baby have a feed in the labour and delivery room

Fetal Heart Monitors Fetal Heart rate monitors are beside each bed Monitors are held in place with stretchy belts on the mother s abdomen and record the baby s heart rate and mother s contractions Wireless monitors are available which allows mom to be monitored while in the shower and up walking on the unit

Labour and Delivery Beds Beds are electric and are able to be adjusted in many ways for comfort and position changes Beds have hand grips and foot rests Squatting bars are available The lower third of the bed can be lowered or removed for delivery of the baby

Labour and Delivery Room A cot can be provided for coaches Hospital gowns are available for moms. See the What to Bring to the Hospital List for more info Call bells are used if assistance is needed. They are located by the bed and in each bathroom Each room has a bathroom Meal trays are delivered at breakfast, lunch, and supper just for mom

Bathrooms Bathrooms are equipped with showers and handheld shower nozzles Shower head is removable to allow specific placement of spray At this time, a tub is not available on labour and delivery Support person should bring a change of clothes or shorts for assisting in the shower

Peanut Balls It is shaped like a peanut and used for women who have an epidural and are in bed The narrow part of the ball is placed between mom s knees, keeping mom s pelvis open, which allows babe s head to move down to help progress labor

Birthing balls and birthing stools Birthing balls and birthing stools are available in each room to help with labour

Operating Room The OR is on the same unit as Labour and Delivery Planned c-section patients will be admitted on the maternity ward and taken by stretcher to the OR. Mom will visit the pre-admission clinic a head of time and be admitted in the morning of the surgery to be prepped (catheter, consent, pre-op medication) One support person can be in the operating room for a planned c-section. The support person will be given scrubs to change into, OR hat, booties, and mask. They will be directed to a waiting area and admitted to operating room suite once mom is ready After baby is born you will be moved to a recovery area where you will be monitored for 1 hour then be admitted to postpartum

Postpartum Room After delivery of your baby, you will be transferred by wheelchair with your baby to the maternity (postpartum) ward The majority of rooms are private. At times when there is a increased number of deliveries semi-private rooms are opened Very rarely a new mom and baby may have to share a room with another mom and baby, though every effort is made to avoid this For a uncomplicated vaginal delivery, mom and baby stays for 1-2days and 2-3days for uncomplicated c-section delivery

Postpartum room TV and phone can be hooked up for a fee Newborn photo services are available Welcome Wagon Representative visits the maternity ward to offer a package 1 Lactation Consultant is available Monday thru Thursday, 8am-4pm with the exception of her being on holidays or sick Mother sleeping signs are available for your door to help mothers get some rest Each room has a bathroom with shower Cots are available for one support person to stay with mom and baby

Postpartum Baby stays with mom 24hours a day and sleeps in a open bassinet (as pictured here) If walking with baby, push in bassinet; for safety reasons DO NOT carry baby in arms Babies may be taken to the assessment room for a weight check or for bloodwork For safety, do not leave baby unattended in the room. Babies are not allowed to leave the floor until discharge Parents should always ask to see photo identification of hospital staff who ask to take baby from the room Parents have the right to remain with their baby at all times if they wish

Phones Payphones are located throughout the hospital Cell phones may be used: o Outside the hospital o In the main floor lobby area o In patient rooms if it is not disruptive to others

Family Lounge A large family lounge is available to use. Rocking chairs, a TV, and vending machines are for use in the room General visiting hours are 2 p.m. - 8 p.m. daily

Postpartum-Nurses Station The Nurses Station is next to the public elevators Nurses will offer breastfeeding support, baby care, and self care education. A baby bath demo will be done before discharge For discharge home, you will need an approved care seat and going home outfit for baby. The car seats need to be brought to the hospital on the day of discharge. Nurses will help check that baby is in the car seat properly

Car Seats According to Alberta law, infants must travel in an approved rear-facing car seat. Purchase this seat before your baby is born, and read both the manufacturers instructions and your vehicle owners manual for correct installation. For more information go to http://www.healthyparentshealthychildren.ca/secondtrimester-the-middle/planning-ahead/buying-baby-suppliesfor-home/child-safety-seats/

Kitchenette For use by Labour and Delivery patients and Postpartum patients Kitchenette is available for patient use and is supplied with tea, coffee, juice, milk, and bread You may put your own items in fridge with your name and date are on them A water/ice machine is also available

NICU NICU is on the 3 rd floor on the pediatric unit It is a secured unit and parents are given access cards Parents have 24-hour access to be with their baby Siblings and grandparents can also visit but extra caution is used during cold and influenza season

NICU Babies can be monitored for a variety of reasons Premature babies that are 32+weeks and babies staying for other types of care are on this unit Babies may stay in a incubator (as pictured here) and may have a IV if required

NICU Hands MUST be washed thoroughly before entering unit Sink unit is available at the NICU entrance

Hostel Rooms A limited number of hostel rooms are available for mom of NICU babies. Moms who are breastfeeding and live out of town are given priority It is free, however meals are not included

Checklist for the Hospital For Mom Alberta Personal Health Care Number Other insurance cards if applicable (eg. Blue Cross) Housecoat, slippers, 2 nightgowns/pajamas, loose fitting comfy clothes 5-6 panties (no thongs) and 2 bras (nursing bras if breastfeeding) and breast pads Toiletries: toothpaste, toothbrush, floss, kleenex, shampoo, 1 package of sanitary pads Cell phone, coins for payphone, phone numbers, cell phone charger Camera, SD card and charger Any labour aids, such as hard candies, massage aids Healthy Parents Healthy Choices Pregnancy and Birth book

Checklist for the Hospital cont For Baby 3-4 receiving blankets 3-4 undershirts 4 sleepers or night gowns 1 package of infant diapers (and wipes if wanted) Hat or toque 1 warm blanket If bottle feeding, bring your own formula and bottles Baby clothes for going home: T-shirt, outfit, hat, receiving blanket, outer blanket Approved car seat Nursing pillow (at mom s preference)

For Dad Checklist for the Hospital cont Clothes, including pajamas and swimming shorts Pillow Sleeping bag Toiletries Snacks These items are not provided: Diapers and baby wipes Pads Baby blankets Mesh underwear Soothers/pacifiers

Best Wishes to you, your baby, and your new family! For more information or to register for prenatal classes contact: Health Link Alberta at 811 Contact your local Public Health Centre. The phone numbers and locations are available at www.albertahealthservices.ca (Search Public Health Centre) A free online AHS Prenatal class is available at www.online.birthandbabies.com