BIRTHING CENTER ASSESSMENT OUTLINE

RISK ASSESSMENT

 

                        1.         Qualified Personnel

 

                        2.         Frequency

 

                        3.         Recommendations

 

                        4.         Are Changes Monitored For Effectiveness    

 

NURSING PROCEDURES / POLICIES / UNIT SECURITY

                        1.         Written Policy

 

                        2.         Policies Enforced

 

                        3.         Who Has Participated

 

                        4.         Review Of Adequate Staffing (all shifts)

 

                        5.         Staff Educated On All Aspects Of Infant Security

 

                        6.         Primary Care Nurse Assigned

 

                        7.         Babies Leaving Unit Accompanied By Unit Nurse       

 

                        8.         Infants Transported By Bassinet - Not Carried

 

                        9.         Are Over- Flow Babies Placed Outside of Unit

 

10.             Only Surnames Used In Public Areas

 

11.      Mother-Baby Matching

 

STAFF IDENTIFICATION

                        1.          Photo I.D. Required

 

                        2.          I.D. Tamper Resistant

 

                        3.         Photo Background Different

 

                        4.         Photo I.D. Badges Worn At Chest Level

 

                        5.         Are Employees without I.D. badges Challenged

 

                        6.         Unique Uniforms

 

                        7.         Uniforms Secured In A Locked Location

 

                        8.         Second Form of Identification for Newborns

 

                        9.         Are All Non-Staff Who Visit Required I.D.

 

 

INFANT / MOTHER / IDENTIFICATION

 

                        1.         Strict Policy To Place I.D. Bands On Newborns

 

                        2.         With Name, DOB, Sex, Mother’s Name, Pt. I.D.

 

                        3.         I.D. Band Checked Before Infant Leaves Unit

 

                        4.         Are All Non-Employees that Hold Babies Issued and I.D.

 

                        5.         Birth Records Contain Color Photo, Foot Prints

 

                        6.         Infant’s Foot Print Contain All Areas Of Foot

 

                        7.         Are Staff Trained In Foot Printing

 

                        8.         Complete Description of Infant on Record

 

                        9.         Records Signed By Staff / Mother W Thumb Print

 

PARENT IDENTIFICATION

 

1.                  Are Fathers & Significant Others issued an I.D.

 

                        2.         Are I.D. Numbers Changed When Bands Are Lost

 

                        3.         Are All I.D. Bands Locked In A Secure Location

 

                        4.         Are Extra I.D. Bands Not Used Destroyed

 

STAFF / PATIENT / FAMILY / EDUCATION

                        1.         Policy Annual Training Of All Staff On Security

 

                        2.         Employees Trained on NCMEC “Psychological Profile”

 

                        3.         Are All Hospital Staff Trained on Infant Security

 

                        4.         Parents Informed in “Low Key” On Unit Security

 

                        5.         Mom Acknowledges Her Responsibility (written)

 

                        6.         Are Parents Briefed On All Aspects Of Security

 

                        7.         Are Parents Warned Of Risk Of “Birth Adds”

                       

 

VISITATION

 

                        1.         Policy Addresses Visitation Hours, Passes, No.

 

                        2.        Visitors Badges contain (expiration date / time)

 

                        3.         Required To Sign-In & Out at Nurses Station

 

                        4.         Pass For Vendors (expiration date / time)

 

                        5.         Visitation To Mothers Room Limited

 

 

ADMISSION / DISCHARGE

 

                        1.         Preadmission Security Briefing For Patents

 

                        2.         Parents Informed Of Risk After Leaving Hospital

 

                        3.         Is Cord Blood Taken For DNA Records

 

                        4.         Is Cord Blood Stored At Least Until Discharge

 

PHYSICAL SECURITY / ELECTRONIC SURVEILLANCE

 

                        1.          CCTV In Birthing Center

 

                        2.         Equipped With Time-Lapse Video

 

                        3.         Exits And Emergency Egresses Secured

 

                        4.         Nursery Secured w/ Self Closing/Locking Doors

 

                        5.         Elevators That Can Be An Escape Route Secured

 

                        6.         Emergency Exits Locked At All Times

 

INFANT ALARM SYSTEM

 

                        1.          Infant Electronic Protection System

 

                        2.          Equipped With Active Tag & Alarm Band

 

                        3.         Can The Infant TAG Be Shielded

 

                        4.         Written Protocol w/ Nurses Trained On System

 

                        5.         Is There A Plan For System Failure

 

CRITICAL INCIDENT RESPONSE PLAN

 

                        1.         Written Plan To Assist In Recovery

                       

                        2.         Address Responsibility For Notification

                       

                        3.         Address Internal Responsibility

                       

                        4.         Use Of Incident Event Log

                       

                        5.         Search Protocol (in-side and out-side)

                       

                        6.         Establishment Of A “Hotline”

                       

                        7.         Relocating Mother / Protecting Crime Scene

                       

                        8.         Notifying Other Moms, Family Members, & Staff

                       

                        9.         Recovery / Debriefing / Critique

 

                        10.       Is the Plan Exercised To Test For Effectiveness


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