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Maternal, Child Health and Neonatal Nursing

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2018

Neonatal Care

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Development Of A Nurse Practitioner Newborn Hospitalist Service, Kristi Gordon, Elizabeth Simpson, Sarah Forge, Eileen Almon Jan 2018

Development Of A Nurse Practitioner Newborn Hospitalist Service, Kristi Gordon, Elizabeth Simpson, Sarah Forge, Eileen Almon

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Background/Problem

•In 2012, our hospital expanded obstetrical services resulting in the delivery over 3700 infants per year.
•Approximately 35% of these infants had no relationship to a primary care physician with privileges at our hospital.
•These infants were either uninsured, Medicaid insured or privately insured but whose primary care physician did not have hospital privileges.
•Private Pediatricians “on call” were given these unassigned infants and were attempting to evaluate infants in the mornings, prior to seeing their scheduled office patients
•This resulted in an unmanageable daily census for them.
•This led to Pediatrician dissatisfaction, delayed medical evaluations of some infants, …