1. Shannon Arender December 2 nd, 2008 MTSU School of Nursing

2.  Lebanon, Tennessee  Originally opened in 1979, with only 65 beds  Now a 245 bed, 2 campus acute health care facility  Sole provider of health care service in Wilson County, TN

3.  Consists of labor and delivery, postpartum, and newborn nursery  4 birthing rooms  Newborn nursery and isolation nursery  16 bed postpartum unit  Women’s Pavilion also includes specialized programs in osteoporosis and menopause, mammography, minimally invasive hysterectomy and breast biopsy

4.  One nurse manager for OB unit- Laurie Kaudewitz ◦ Promote a positive work environment ◦ Maintain budget ◦ Resolve conflicts between staff and patients ◦ Payroll ◦ Schedule ◦ Certified lactation consultant

5.  Poster presentation  In-service to staff  Seven important points on breastfeeding basics  Research from AWHONN

7. 1. Educate staff on important facts about breastfeeding basics 2. Provide a visual reference, including research, that highlights key points on breastfeeding basics 3. Promote confidence and increase knowledge in staff to enable them to promote breastfeeding rather than bottle feeding

8.  Excellent leadership style ◦ Involved and concerned about staff ◦ Approachable ◦ Caring and helpful to everyone  Nurse manager meeting  Witnessing births

9.  Excellent management  Small unit: tight-knit staff that work well together  Competent and compassionate nursing staff  Personalized service

10.  Gossiping ◦ About each other, as well as patients  Communication with doctors  Organization and maintenance of equipment

11.  Express feelings to each other rather than talking behind backs and gossiping  Maintain a good relationship with all the doctors ◦ Communication  Keep track and replace equipment used

12.  In OB patients, what is the effect of disposal TOCOs transducers on fetal monitoring compared with permanent TOCOS transducers.