KAMC Jeddah
Ante/Post Partum/Normal Newborn Nursery

No. Of Beds:
25 Ante Natal / Gynecology / Gynecological Oncology
20 Post Natal
16 Cots

Nurse Patient Ratio:
Ante Natal 1 : 6
Post Natal 1 : 6

Scope of Service:
All aspects of high risk ante natal care, post natal care and well baby care. Gynecological care is provided to women from adolescent to geriatric. Patients are managed collaboratively from admission to discharge by a multidisciplinary team within a cohesive framework of policies, procedures, protocols, guidelines and by-laws. Standard precautions are followed in the care of all patients. Isolation procedures may also be initiated based on the clinical status of the patient, the presence of specific diseases and in response to expert advice from the Infection Prevention and Control Department. During times of bed shortage, the unit may be required to accept overflow patients from another service. This is coordinated with Medical, Nursing and Admissions on a case by case basis.

Frequent Services/Functions/Procedures

• Patient assessment and intervention
• Medication delivery, administration and management
• Ultrasonography
• X-Rays
• CT Scanning
• MRI Scanning
• Endoscopic biopsy
• Foetal heart rate monitoring by CTG, sonic aid
• Uterine contraction monitoring
• Circumcision
• Blood sugar stabilization
• Preoperative and postoperative assessment and care delivery
• ERCP/TAHBSO/TOP
• Patient / Family Education
• Pain Management
• Blood Products Administration
• Discharge Planning
• Multidisciplinary Referrals

Hours of Operation

24 hours per day, 7 days per week.

Criteria for Admission to Service

• National Guard eligible dependents (Eligibility 2)
• Staff members and eligible dependents (Eligibility 3&4)
• Business Centre admissions (insurance cases or personally funded)
• Life or limb threatening (Eligibility 5)

Staffing Plan

Staffing is provided by registered nurses utilizing the perinatal guidelines of the American Academy of Pediatrics and American College of Obstetricians and Gynecologists. Registered Nurses are assisted by Patient Care Technicians, Unit Assistants and Health Educators. A charge nurse is designated for each shift. She is responsible for supervision and the quality of care delivered by personnel on her shift. The charge nurse will be required to provide patient care as needed to accommodate the fluctuating patient census and acuity.

Shift assignments are made each shift by the charge nurse and are based on the following criteria:

• Complexity of patients condition and required nursing care
• Dynamics of patient status, including the frequency with which the need for specific nursing care activities change
• Complexity of assessment required by the patient
• Type of technology employed in providing the nursing care
• Degree of supervision required by each nursing staff member based on her previously assessed level of experience and competence
• Availability of supervision appropriate to the assessed and current competence of nursing staff member
• Relevant infection control and safety issues

Method of Adjusting to Staffing Variances

When more staff are needed for the shift than has been scheduled, the nursing shift coordinator is notified of the additional numbers of staff required. Staff are then called in from home, or temporarily reassigned from other areas based on experience and competence. If the unit has an excess number of staff this is identified to the shift coordinator and documented on the shift report. These nurses are then utilized in other areas or banked with a view to rescheduling cover for future shortages. Ideally General Surgical nurses would float to other surgical units. However they may be floated to any service; again experience and competence are factors of consideration.

Staff Qualifications

• Registered Nurses
   - Current Registered Nurse License
   - Current BLS
   - Knowledge of Electronic Foetal Monitoring
• Patient Care Technicians:
   - Preference given to candidates with nursing experience
   - Saudi candidates are encouraged

Staff's Professional Development

Continuing education is offered through formal nursing education programs and at unit level as coordinated by the Nurse Manager of the unit and the Clinical Resource Nurse. Educational needs are identified through mandates, new treatment protocols, new research, new technology, new equipment, new products and as identified by individual need. Completion of competency checklists, continuing education, and current licensure are required for recontracting / annual performance appraisals.

Required Competencies

• Generic Competencies
• Unit Specific Competencies
• Arabic Language and Culture Week
• Annual Updates as Indicated

All new staff have 8 supernumerary shifts with a preceptor and a 90 day probationary period.