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Improving Communication and Coordination of Complex Perinatal Patients

Gordon, Sara RNC-OB; Aydam, Joan BSN, RN; Hamm, Kenna LMSW; Rocha, Morgan RNC-OB; Northcut, Andrea MAMFC, MARE, BCC; Roberson, Becky BSN, RNC-NIC; Shook, Marilyn BS, RN, CLNC

MCN, The American Journal of Maternal/Child Nursing: May/June 2015 - Volume 40 - Issue 3 - p 167–173
doi: 10.1097/NMC.0000000000000128
Feature

Pregnant women with complex medical problems require comprehensive communication among members of their healthcare team. Using the Magnet Hospital model, our Patient and Perinatal Interprofessional Team at Seton Medical Center Austin focused on improving communication and patient satisfaction by initiating Perinatal Patient Care Conferences. Pregnant women with medical or obstetric complications and their families became a part of care plan development prior to admission to promote consistent communication and excellent care. We report our 7-year history of proactive meetings with pregnant women and their families in a nonclinical environment to discuss diagnosis, treatment, and prognosis. A collaborative written plan of care is developed that accommodates the woman's needs and wishes and is then disseminated among the healthcare team. This process has decreased women's and caregivers' anxiety and supported a culture of safety across the continuum of care.

Pregnant women with medical or obstetric complications are in need of easy to understand information about their clinical condition and excellent individualized care. Family-centered perinatal care involves the pregnant woman and her family as full partners in the care planning process. The perinatal team at Seton Medical Center Austin describe their quality improvement project to improve communication and support family-centered care.

Sara Gordon is a Labor & Delivery Nurse, Seton Medical Center, Austin, TX.

Joan Aydam is Perinatal Case Manager, Seton Medical Center, Austin, TX.

Kenna Hamm is a Perinatal Social Worker, Seton Medical Center, Austin, TX. She can be reached via e-mail at kahamm@seton.org

Morgan Rocha is a Labor & Delivery Nurse, Seton Medical Center, Austin, TX.

Andrea Northcut is Perinatal Chaplain, Seton Medical Center, Austin, TX.

Becky Roberson is Neonatal Case Manager, Seton Medical Center, Austin, TX.

Marilyn Shook is Perinatal Case Manager, University Medical Center Brackenridge, Austin, TX.

The authors declare no conflict of interest.

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