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Nicole Pendenza, RNC-NIC,BSN
Tanya DiGeorge, RN, BSN
Catholic Medical Center
Manchester, NH
Catholic Medical Center is a 330 bed
community hospital in Manchester, NH
In affiliation with Children’s Hospital at
Dartmouth, Catholic Medical Center
opened the Special Care Nursery
in April 2010
The Mom’s Place
at CMC
•1200 Deliveries per year
•14 bed LDRP, including 2 operating rooms
•Maternal Fetal Medicine Service
•12 bed Level IIB Special Care Nursery
•2 Methadone clinics within the city
Our mission is to provide
individualized, high quality, tender
care to each infant and their family.
This is achieved by providing an
optimal environment for
mother/baby attachment using the
neonatal couplet care model. This
model of care assists parents in
becoming primary caretakers for
their infants with the support of
our healthcare team.
Mission Statement
Neonatal Couplet Care is the next
step in Family Centered Care
Open Bay Neonatal Intensive Care Unit
“Pod” Style NICU’s
Single Family Rooms
Neonatal Couplet Care at Catholic Medical Center (CMC)
Family Care Suites
Postpartum Bed and NICU Bed in the same room
Neonatal Couplet Care at CMC
Family Care Suite
Special Care Nursery at CMC
Patient Population in the Special Care Nursery
 32 weeks or greater
 Short term ventilation (< 24 hours)
 CPAP, High Flow Nasal Cannula, Oxygen Hood
 Infants requiring “special care” (i.e. NAS, long term
antibiotics, etc.)
 Retro transfers from tertiary care facilities
What is Neonatal Couplet Care?
Care provided to
a postpartum
mother in the
same room as
Neonatal
Intensive Care is
provided to the
infant.
What is Neonatal Couplet Care?
 Families stay together from admission to discharge
 Minimized separation
 Early skin-to-skin contact
 Early parental involvement
 Parents feel confident to become primary caregivers-
comfortable at discharge
 Parent’s presence enables more prompt
responses/tuning in on the signals of the infant
How does it “really” work??
1. Infant born on The Mom’s Place (LDRP)
2. Stabilized in delivery room
3. Infant placed on mom or dad’s chest and transferred to the
Special Care Nursery into a Family Care Suite (FCS)
4. SCN nurse assumes care for the Couplet (post partum care
and neonatal care)
5. Couplet remains in FCS until mom is discharged
6. Infant transferred to SCN room until ready to go home
32 week infant stabilized in delivery room and skin-to-skin within ½
hour
33 week twins born by c-section and placed
skin-to-skin in the OR
Transferred to FCS for recovery/care
Labs drawn and
PIV started on 33
weeker while
breastfeeding
•Parents are encouraged to stay with
their babies 24/7 (when possible)
•Our philosophy is to have nurses act
as “coaches” to parents
•Parents feel confident to become
primary caregivers so they are
comfortable at discharge
Neonatal couplet care
Benefits of Neonatal Couplet Care
•Increases exclusive breastfeeding
•Increased amounts and durations of kangaroo care
•Parents are more prepared at discharge
•High job satisfaction ratings (NDNQI survey)
•Decreased staff turn over
•Decreased Length of Stay for NAS babies

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Neonatal couplet care

  • 1. Nicole Pendenza, RNC-NIC,BSN Tanya DiGeorge, RN, BSN Catholic Medical Center Manchester, NH
  • 2. Catholic Medical Center is a 330 bed community hospital in Manchester, NH In affiliation with Children’s Hospital at Dartmouth, Catholic Medical Center opened the Special Care Nursery in April 2010
  • 3. The Mom’s Place at CMC •1200 Deliveries per year •14 bed LDRP, including 2 operating rooms •Maternal Fetal Medicine Service •12 bed Level IIB Special Care Nursery •2 Methadone clinics within the city
  • 4. Our mission is to provide individualized, high quality, tender care to each infant and their family. This is achieved by providing an optimal environment for mother/baby attachment using the neonatal couplet care model. This model of care assists parents in becoming primary caretakers for their infants with the support of our healthcare team. Mission Statement
  • 5. Neonatal Couplet Care is the next step in Family Centered Care
  • 6. Open Bay Neonatal Intensive Care Unit
  • 9. Neonatal Couplet Care at Catholic Medical Center (CMC) Family Care Suites Postpartum Bed and NICU Bed in the same room
  • 10. Neonatal Couplet Care at CMC Family Care Suite
  • 11. Special Care Nursery at CMC Patient Population in the Special Care Nursery  32 weeks or greater  Short term ventilation (< 24 hours)  CPAP, High Flow Nasal Cannula, Oxygen Hood  Infants requiring “special care” (i.e. NAS, long term antibiotics, etc.)  Retro transfers from tertiary care facilities
  • 12. What is Neonatal Couplet Care? Care provided to a postpartum mother in the same room as Neonatal Intensive Care is provided to the infant.
  • 13. What is Neonatal Couplet Care?  Families stay together from admission to discharge  Minimized separation  Early skin-to-skin contact  Early parental involvement  Parents feel confident to become primary caregivers- comfortable at discharge  Parent’s presence enables more prompt responses/tuning in on the signals of the infant
  • 14. How does it “really” work?? 1. Infant born on The Mom’s Place (LDRP) 2. Stabilized in delivery room 3. Infant placed on mom or dad’s chest and transferred to the Special Care Nursery into a Family Care Suite (FCS) 4. SCN nurse assumes care for the Couplet (post partum care and neonatal care) 5. Couplet remains in FCS until mom is discharged 6. Infant transferred to SCN room until ready to go home
  • 15. 32 week infant stabilized in delivery room and skin-to-skin within ½ hour
  • 16. 33 week twins born by c-section and placed skin-to-skin in the OR
  • 17. Transferred to FCS for recovery/care
  • 18. Labs drawn and PIV started on 33 weeker while breastfeeding
  • 19. •Parents are encouraged to stay with their babies 24/7 (when possible) •Our philosophy is to have nurses act as “coaches” to parents •Parents feel confident to become primary caregivers so they are comfortable at discharge
  • 21. Benefits of Neonatal Couplet Care •Increases exclusive breastfeeding •Increased amounts and durations of kangaroo care •Parents are more prepared at discharge •High job satisfaction ratings (NDNQI survey) •Decreased staff turn over •Decreased Length of Stay for NAS babies