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Q1: Sarah asks you if she can see her baby again. You kindly arranged a video call an hour ago as Baby Theo is still in another hospital.
What would you do?
Make a phone call to the other hospital to see if this is possible, as you know this is a difficult situation and must be hard for Sarah.
You decide to have a discussion with Sarah with the curtains closed around the bed. You explain to her that you have already organised a video call today and that she needs to rest and stop worrying. Her baby is being looked after and the nurses need to be allowed to do their jobs without being interrupted all the time. You will ask the nurse on shift tomorrow to organise a video call.
Let Sarah know that you have heard her request and you will get back to her once you have
finished helping all the other patients.Q2: Sarah is still on the ward away from her newborn baby. As you walk past you can see
that the curtains around the bed space are closed and you can hear crying. No other staff are around.
What would you do?
Keep walking as the curtains are around for a reason and she is upset. She must want time on her own.
Ask Sarah if you can come into the bed space and offer to support her. Listen to her concerns and put a plan of action in place for how her concerns can be better managed.
Open the curtains and ask Sarah to explain what her concerns are.Q3: Sarah calls you over and informs you that she is going to self-discharge and go to see her baby at the local hospital.
What would you do?
Tell Sarah that this will not be happening and that she is not ready to be discharged yet
and needs to stay where she is.
Explain to Sarah that it would not be in her best interests to leave the hospital at the moment due to her current medication, post-operative condition and health. Agree to have a chat with her and the ward manager about how you can facilitate more contact with Baby Theo to ensure they are bonding as much as possible.
Ring security and tell Sarah that they are on their way.1) Make a phone call to the other hospital to see if this is possible, as you know this is a difficult situation and must be hard for Sarah. – doing my best to reassure Sarah will help her feel less anxious of the unknown. Calling the hospital will provide up to date information on how baby Theo is and Sarah knowing for sure whether she can see her baby will help her cope better with the situation.
2) Ask Sarah if you can come into the bed space and offer to support her. Listen to her concerns and put a plan of action in place for how her concerns can be better managed. – This will give reassurance to Sarah that something is being done and there is support and people she can talk to and there are things that can be done to ease her worries.
3) Explain to Sarah that it would not be in her best interests to leave the hospital at the moment due to her current medication, post-operative condition and health. Agree to have a chat with her and the ward manager about how you can facilitate more contact with Baby Theo to ensure they are bonding as much as possible – Sarah needs to understand that leaving the hospital would put her health at risk and may deteriorate if she doesn’t stay and get the treatment required for her to get better. Delayed recovery may lead to prolonged period in hospital and thus make it even longer for her and baby Theo to unite.
Question 1: I would make a phone call to the other hospital to see if this is possible, as you know this is a difficult situation and must be hard for Sarah.
I would prioritise my duties and contact the other hospital as soon as I was able to, I would explain this to Sarah. I would acknowledge how Sarah was feeling and would want to try and help her reduce her stress and anxiety as much as possible, therefore would try my best to facilitate the video calls.
Question 2: Ask Sarah if you can come into the bed space and offer to support her. Listen to her concerns and put a plan of action in place for how her concerns can be better managed.
I would ask Sarah if I could enter her room rather than just opening the curtains, this is to ensure that she wanted me to enter as she may have wanted time to herself. I would provide time to listen to Sarah’s concerns and develop a plan of action with her to ensure her concerns are being addressed. This would hopefully help Sarah feel supported by the team and feel able to communicate any worry’s or concerns than she is experiencing.
Question 3: Explain to Sarah that it would not be in her best interests to leave the hospital at the moment due to her current medication, post-operative condition and health. Agree to have a chat with her and the ward manager about how you can facilitate more contact with Baby Theo to ensure they are bonding as much as possible.
I would ensure that Sarah was aware of her current situation and the risks, if she chose to self-discharge. I would want to explore the reasons she wanted to leave and help address these. By Sarah leaving it could delay her recovery therefore may prolong the period until she can care for her baby, I would ensure that Sarah was made aware of this as she may be feeling overwhelmed and only focusing on the here and now rather than the future.
Every woman looks forward to giving birth and holding there bundle of joy in there arms. As we all know Pregnacy its a journey that no one can determine how the journey will end. At this point in sarah’s life this would not have been a journey she expected nor envisaged and so because of this, The situation will be very challenging and traumatic for sarah. Futhermore after child birth most woman go through what is called baby blues and alot of hormonal changes in there body, Some go thorugh post natal depression some are aware of this while others can not tell they are going through it. Therefore it will be difficult for sarah not to be able to see her baby. In helping sarah to resolve this i will put a call across to the hospital and tell them of sarah’s request. I will ask them if we can call with the hospital’s ipad so that sarah can see theo. Also i will findout what time is appropraite and best for such a call and what there procedures are for such request and the best way they hope we can both resolve it so that sarah can see and speak to theo. Sarah needs alot of resassurances and support. I will ensure i follow this up and see if a time table can be mapped out for sarah for this and how often she can speak to theo. If Sarah’s situation is not managed properly she can have a mental break down remembering the fact that her C section didnt go well too and she is still in pain and also recuperating from the C section. Subsequently Sarah request needs to be granted so that a part of her that feels emprty because of the absence of her child can be fulfilled and she will be reassured that her baby is in good hands and well taken care of in the hospital where he is presently. This will help sarah to cope and adjust to her situation.
Question 2. I will seek for consent from sarah if i can come into her bed area and speak to her i wont want to speak to her from the curtains. I will empathise with her and let her know that i can see that the situation she is in its very hard, If there is a sit near her i will ask her if i can sit near her. I will listen attentively to all her fears and worries, I will speak to her as much as i can and also give her all the necessary reassurances and support she deserves. I will try and plan the way forward with her and an action plan that will assist her in looking for a coping strategy to manage her concerns. Hence Sarah might find better avenues of communicating her needs and ensuring that those needs are met and she is given all the support and care she deserves.
Question 3 I would try and speak to Sarah by reassuring her and making her understand that her decision to self discharge herself will not be in her own self interest. I will have a one to one chat with Sarah explaining to her the risk involved in such a decision reminding her that she has just had a C section and she was injured in the process and she needs to heal properly before she can be discharged and also the fact that she can be exposed to infection that might not be good for health and this will post some complications to her health. I will try work with her to create an action plan with her so that it can be passed to the head nurse, So that her concerns can be treated and we can find a way forward in assisting her to see her son more. Furthermore this will give Sarah some support and reassurance and it will also reduce her level of frustration. All this will help Sarah to adjust properly and get well quickly so that she will have the strength to care for her son when they are both discharged home from the hospital.
Q1: Sarah asks you if she can see her baby again. You kindly arranged a video call an hour ago as Baby Theo is still in another hospital.
What would you do?
I would explain to Sarah that I will liaise with the nursing team to determine how soon she will be strong enough post surgery to leave and make the journey to visit her baby. I would encourage her to also discuss this herself with the nurse in charge and remind her of the importance of following her post-operative care guidance, as she needs to be recovered well enough before undertaking any strenuous activity – eg climbing stairs. I’d explain that the doctor would be able to give further advice about this in the morning during their ward round.Q2: Sarah is still on the ward away from her newborn baby. As you walk past you can see that the curtains around the bed space are closed and you can hear crying. No other staff are around.
What would you do?Without opening the curtains, I would explain who I was and ask if I could come round, as I just wanted to check that she was alright.
If she gave consent, I would come in and sit near the bed, explain that I can see she’s really upset and ask “Is there anything else you need right now, or can I do anything else to help?” (I’d probably offer her a cup of tea.)
If it seemed appropriate and her body language was open, I may give her a gentle rub on her shoulder and try to be empathetic to whatever she said. I’d acknowledge how difficult it must be for her at this time and be willing to listen to her responses.Q3: Sarah calls you over and informs you that she is going to self-discharge and go to see her baby at the local hospital.
I’d calmly, but firmly explain that that really wouldn’t be a good idea, as the doctors haven’t said she is medically fit for discharge yet and she may also need to await any prescribed medications. I’d explain that while I could not stop her from leaving, that it really wouldn’t be helpful for her and she may find herself getting more unwell, possibly risking an infection, and having to return and be separate from her baby for longer. I’d remind her that her partner would be able to be with Theo soon and that I’m sure he’d be in touch shortly to give an update.I like the idea of making a plan of action in no2 to see how her concerns could be addressed – Sarah would feel supported by this.
Also in no3, getting Sarah to think about the future rather than doing something rash.I like how you’ve thought through the enormity of what Sarah has gone through to get to this point and considered hormonal influences etc – good points, and helpful to consider such things before talking to a patient like Sarah who’s very distressed.
Q1
I will get in contact with the neonatal unit ,try and find out why nobody has responded to the video call request I arranged an hour ago. find out if the baby is doing okay so you can pass the information to the mother of the child. I want to appear very transparent and honest.Q2
I won’t just walk in, but rather ask for consent outside the curtains, ask if it’s okay for me to come in because she might need some time for herself and by doing so, I might be invading her privacy. if she invites me in it is my job to find out what is going on by showing empathy, and find out what her concern is and how best I can help her.Q3
A soft approach must be used in this scenario, I will kindly explain to the patient what her options are, explain to her it is not safe to discharge herself with such mental stress and her current condition. Secondly kindly explain it would rather do more harm than good. Lastly, inform the ward manager what the patient’s intentions are, perhaps she can arrange an alternative solution to solve the problem.
Q1: Sarah asks you if she can see her baby again. You kindly arranged a video call an hour ago as Baby Theo is still in another hospital.
What would you do?
I will explain to Sarah that I have arranged a video call an hour ago but will check why no one has responded to the video call and get back to her. However, I will also explain to Sarah how busy the nurses might be, attending to all patients needs just to reassure her that she has not be forgotten.Q2: Sarah is still on the ward away from her newborn baby. As you walk past you can see that the curtains around the bed space are closed and you can hear crying. No other staff are around.
What would you do?
I would stay outside the curtains, introduce myself and ask if I could come in. If she gave me her consent to come in, I will be showing empathy by letting her know that I understand she is upset and is if there is anything I can do to help. Meanwhile, I will also offer her cup of tea. I will listen to her and also let her understand that Baby Theo is in capable hands and she will be seeing him as soon as either of them get better.Q3: Sarah calls you over and informs you that she is going to self-discharge and go to see her baby at the local hospital.
What would you do?
I will explain to Sarah that her decision to self-discharge is not the best decision. I will be explaining the importance of post- operative treatment to Sarah and let her understand that discharging herself would be cause delay in her recovery process. However, I will inform the ward manager what Sarah had just told me so that necessary measures could be put in place. .Q1: Sarah asks you if she can see her baby again. You kindly arranged a video call an hour ago as Baby Theo is still in another hospital.
I would explain to Sarah that my plan is to make a phone call to the other hospital to see if this is possible, as I can see this is a difficult situation and must be hard for Sarah. I would also be transparent and explain that I will need to prioritise this request with the needs of everyone under my care and I might not be able to achieve the phone call immediately. I would reassure Sarah that I will come back and update her on progress. During the phone call with the other hospital I would also ask the other hospital if they have a policy re virtual visiting hours so I could share this with Sarah and the nurse in charge to maximise the opportunities for Sarah to see Theo.
Q2: Sarah is still on the ward away from her newborn baby. As you walk past you can see that the curtains around the bed space are closed and you can hear crying. No other staff are around.
I would seek consent from Sarah to enter into the bed space and offer to support her. I would ask if now was a good time to speak with her as I can see she is upset and also offer to make a call to family or a friend with the view that she may prefer support from them. If Sarah was happy to talk I would actively listen to her concerns and offer to see how the care plan could be adjusted to better manage her concerns. I would reiterate the support that is available in hospital and from partner agencies. If there was another patient on the ward in the same position I would discuss with the nurse in charge if it would be appropriate to offer an introduction (with consent from both parties). I would document and hand over to other staff that Sarah appeared upset and what the outcome of my interaction was.
Q3: Sarah calls you over and informs you that she is going to self-discharge and go to see her baby at the local hospital.
I would have a discussion with Sarah about her concerns and try to identify why she wants to self discharge. I would explain the reasoning why she is being advised to stay in hospital. I would confirm she understands both the reasoning for staying and the risks of self discharge. I would ask her if she wanted to speak with anyone else in the team for further information. I would confirm she understood the expected timeline for being reunited with Theo. I would see if anything could be facilitated to alleviate Sarah’s concerns and reasons for wanting to self discharge. I would notify the ward manager and nurse in charge of Sarah’s stated intention.
Q1: Sarah asks you if she can see her baby again. You kindly arranged a video call an hour ago as Baby Theo is still in another hospital.
A1: Make a phone call to the other hospital to see if this is possible, as you know this is a difficult situation and must be hard for Sarah.
providing good quality care means being empathetic. there’s no harm in checking if Sarah is able to video-call Theo and it would be nice for Sarah to see Theo as well as for Theo to keep hearing his mother’s voiceQ2: Sarah is still on the ward away from her new-born baby. As you walk past you can see that the curtains around the bed space are closed and you can hear crying. No other staff are around.
A2: Ask Sarah if you can come into the bed space and offer to support her. Listen to her concerns and put a plan of action in place for how her concerns can be better managed.
listening to patients is good person-centred care therefore asking for consent before entering is respecting Sarah’s autonomy and listening to her concerns means you are prioritising people.Q3: Sarah calls you over and informs you that she is going to self-discharge and go to see her baby at the local hospital.
A3: Explain to Sarah that it would not be in her best interests to leave the hospital at the moment due to her current medication, post-operative condition and health. Agree to have a chat with her and the ward manager about how you can facilitate more contact with Baby Theo to ensure they are bonding as much as possible.
Doing this would preserve Sarah’s safety, prevent harm and keep both Sarah’s and Theo’s best interest at the centre of the care provided.Q1: Sarah asks you if she can see her baby again. You kindly arranged a video call an hour ago as Baby Theo is still in another hospital.
What would you do?
Let Sarah know that you have heard her request and you will get back to her once you have finished helping all the other patients.
In this way, I’ve acknowledged Sarah (rather than dismissing her because she’s just recently had a video call), and I’ve said that I will get back to her. At the same time, it’s impossible to immediately respond to one patient’s requests, so I think it’s reasonable to explain gently that I need to check in on other patients first. But I would add – whatever is said to Sarah at this point should be in a kind and compassionate tone of voice with open body language, rather than bluntly or grumpily. I’d say that I’ll try to look into her request as soon as possible.Q2: Sarah is still on the ward away from her newborn baby. As you walk past you can see that the curtains around the bed space are closed and you can hear crying. No other staff are around.
What would you do?
Ask Sarah if you can come into the bed space and offer to support her. Listen to her concerns and put a plan of action in place for how her concerns can be better managed.
I think it’s important to respond to Sarah’s crying, even though she hasn’t pressed the call button. It’s showing compassion and care to offer a listening ear and support, and also shows respect and maintains her dignity by seeking consent. I’d close the curtains during any discussion, to maintain privacy.Q3: Sarah calls you over and informs you that she is going to self-discharge and go to see her baby at the local hospital.
What would you do?
Explain to Sarah that it would not be in her best interests to leave the hospital at the moment due to her current medication, post-operative condition and health.
I stated more about this in my response above. Think it’s crucial that Sarah has the correct information about the impact her decision to leave early may have.Ok, so was initially confused and just made up my own replies here. See my other post (9210) for multi choice responses.
Also here, I thought Q1 meant actually ‘see’ in person, having only had a video call. Realise it meant see again video link.I like how you have mentioned how you would communicate with the team so you could try and find out how long Sarah should expect to be in hospital for. I’m sure by giving her a potential timeframe might help with her with some anxiety’s she may be experiencing. It is also good than you mention you would introduce yourself – I forgot to mention than I would do this on my post!
SO most people chose to make the phone call about another video call in Q1. That was my initial thought, but if she’s just had one an hour ago, would it be practical to request another so soon? I think Helen (apologies if not) mentioned finding out the hospital’s policy for video call frequency – sounds like a good idea. I think you can’t necessarily fulfil a patient’s request immediately, so chose option to let her know I’ve heard her request and will get back to her. I think this is realistic for the ward setting, though it’s all about communicating in a kind and compassionate way, taking care to sound dismissive or abrupt.
Good points in post #9187 about introductions and reassurance in about the care Theo is receiving.
Made me think that in addition to video calls, perhaps regular updates about Theo from the other hospital at handover times that could then be passed onto Sarah would be beneficial and easily facilitated.In post #9183 Derrick mentions contacting the ward manager re Sarah’s intentions to leave. That’s a good point, as the ward manager could take the time to explain things more in detail, especially if as nurses, we’re responding to other patients needing immediate attention.
I feel that if we are keeping in mind person-centred care the focus should be on both patients, the mother and the baby. if there is no harm in facilitating video calls between the mother and the baby then it should be done so as long as the other hospital is also able to make it happen however we also need to keep in mind factors that may effect this happening such as time and staff; if there are staff available to facilitate this and if we can arrange suitable times to carry this out that would suit all parties involved (the mother, staff and the other hospital staff). We need to ensure communication and transparency with the mother when we are unable to facilitate the call and explain why.
#9219
I agree with Annie and Helen in the fact that we have to be realistic as wards can be busy and we need to keep in mind that we would have to also be able to reach the other hospital so maybe being honest with Sarah and letting her know we’ll get back to her with an answer is not ideal but it is a more realistic answerQ1: Sarah asks you if she can see her baby again. You kindly arranged a video call an hour ago as Baby Theo is still in another hospital.
What would you do?
Let Sarah know that you have heard her request and you will get back to her once you have
finished helping all the other patients – When reassuring Sarah that I have listened to her request I will explain that I have other patients to see and a duty of care for everyone but will look into her request more once I have finished as I completely hear how hard being ill herself and having her new baby unwell at a different hospital is but that she needs to rest and get better herself.Q2: Sarah is still on the ward away from her newborn baby. As you walk past you can see
that the curtains around the bed space are closed and you can hear crying. No other staff are around.
What would you do?
Ask Sarah if you can come into the bed space and offer to support her. Listen to her concerns and put a plan of action in place for how her concerns can be better managed – Gain informed consent to begin with from Sarah (whilst still behind the curtains), explaining that you are here to listen and help her and enter if consent is gained. Sarah will be feeling many different emotions and frustration from not being heard which can make matters worse. Offering Sarah the opportunity to voice her concerns and then put together a plan of action can help significantly. This will also show Sarah that we are prioritising her wishes where we can, subsequently making her feel more confident and comfortable about Theo being in the care of the neonatal nurses.Q3: Sarah calls you over and informs you that she is going to self-discharge and go to see her baby at the local hospital.
What would you do?
Explain to Sarah that it would not be in her best interests to leave the hospital at the moment due to her current medication, post-operative condition and health. Agree to have a chat with her and the ward manager about how you can facilitate more contact with Baby Theo to ensure they are bonding as much as possible – This would be the first option in this situation. Sarah’s current priority is baby Theo so we need to make it clear to her that her health needs to improve before she can leave as this would not be helping herself or baby if she were to self-discharge. Sarah may simply feel that more contact with Theo will help and therefore more facetime calls need to be arranged. It is again imperative that Sarah feels listened to throughout these difficult times.Question 1
I would firstly discuss and explain the complexities involved in Sarah’s situation. i will explain to Sarah that I understand her plight but however, it might not be possible to have calls as regularly as she wants as it can be very busy in wards and also baby could be in distress, , sleeping, feeding at certain times. I will also explain that I will be calling the hospital where baby Theo is and discuss to see how we can organise this for her. i will contact the Hospital where baby Theo is and discuss with them about the possibility of facilitating video calls between Sarah and the baby, during the call I would also ask the hospital how they manage virtual calls then go back to Sarah with feedback.Question 2
Seeing that the curtains are closed and Sarah is crying I would walk past and give her some space. i would check on her at some point to see how she is doing.Question 3
Explain to Sarah why it’s important for her to remain in hospital to complete her treatment and emphasise she will be no good to er baby if her health is jeopardised.Q1: Sarah asks you if she can see her baby again. You kindly arranged a video call an hour ago as Baby Theo is still in another hospital.
What would you do?Firstly, I would ensure Sarah knows I have herd her request and will work to ensure she can get another video call from the other hospital.
Next I will call the other hospital to choose a time Sarah can video call her baby again. Neonatal nurses make it their priority to ensure parents are able to interact with their babies when they are separated so I know they will priorities Sarahs request. I will also request Theos schedule and find out from Theos nurse, when are the best times to video call Theo throughout the day. This will give Sarah specific times to look forward to throughout the day.
I will also reassure her that Theo is well taken care of in the Neonatal Unit.Q2: Sarah is still on the ward away from her newborn baby. As you walk past you can see that the curtains around the bed space are closed and you can hear crying. No other staff are around.
What would you do?
Ask Sarah if you can come into the bed space and offer to support her. Listen to her concerns and put a plan of action in place for how her concerns can be better managed.Q3: Sarah calls you over and informs you that she is going to self-discharge and go to see her baby at the local hospital.
What would you do?Explain to Sarah that it would not be in her best interests to leave the hospital at the moment due to her current medication, post-operative condition and health. Agree to have a chat with her and the ward manager about how you can facilitate more contact with Baby Theo to ensure they are bonding as much as possible.
Q1) : Sarah asks you if she can see her baby again. You kindly arranged a video call an hour ago as Baby Theo is still in another hospital.
In this situation, I would make sure that i have heard Sarah request about a video call and can arranged another video call from another hospital. I will also reassure Sarah that i have listened to Sarah request, and also explain that I have other patient that i need to see and provide a duty of care for everyone. Once i have finished with the thing i need to do with other patients, I will then looked into the request as it is hard for a new mother being away from her newborn child, especially his newborn being unwell and in the different hospital. I will then make sure that a phone call to the other hospital to see if this is possible, as you know this is a difficult situation and must be hard for Sarah and will be requesting to provide an up to date information on newborn baby Theo.
Q2: Sarah is still on the ward away from her newborn baby. As you walk past you can see that the curtains around the bed space are closed and you can hear crying. No other staff are around.
I would seek consent from Sarah to enter into the bed space and offer to support her. I would ask if now was a good time to speak with her as I can see she is upset and also offer to make a call to family or a friend with the view that she may prefer support from them. If Sarah was happy to talk I would actively listen to her concerns and offer to see how the care plan could be adjusted to better manage her concerns. I would reiterate the support that is available in hospital and from partner agencies. If there was another patient on the ward in the same position I would discuss with the nurse in charge if it would be appropriate to offer an introduction (with consent from both parties). I would document and hand over to other staff that Sarah appeared upset and what the outcome of my interaction was.
Q3: Sarah calls you over and informs you that she is going to self-discharge and go to see her baby at the local hospital.
I will be explain to Sarah that it would not be in her best interests to leave the hospital at the moment due to her current medication, post-operative condition and health. Agree to have a chat with her and the ward manager about how you can facilitate more contact with Baby Theo to ensure they are bonding as much as possible. By doing this, it will maintain Sarah’s safety, prevent harm and keep both Sarah’s and Theo’s best interest at the centre of the care provided.
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