Women's and Infants Services Specialties
Women's Services perform an average of 4,000 deliveries each year. With our nationally-recognized NICU, patients with high-risk pregnancies and complex circumstances receive expert, compassionate care. Our unique program, Special Moms & Special Babies, coordinates the delivery of mothers whose babies require more specialized care by Children's Hospital National Medical Center, including conjoined twins, cardiac abnormalities and other conditions requiring neonatal surgery immediately after delivery.
The Women's and Infants' Services team has been acclaimed for several evidence-based perinatal safety projects, including Critical Event Team Training, daily multi-disciplinary huddles and extensive advanced education for all patient care providers. Additionally, several members have presented innovative posters and given lectures at local and national nursing conferences, and this team includes nationally-published authors and researchers. The successful, interdisciplinary L&D Council provides shared governance, empowering unit staff to identify issues, then develop and implement strategies to improve all aspects of patient care.
Nursing Residencies cover the spectrum of our women's and infants' services, and include ACCN-courses in fetal monitoring & Advanced Practice Strategies' modules, labor support, high risk pregnancies and deliveries, circulating in the O.R., certification in neonatal resuscitation, breast feeding, postpartum care of mothers & normal neonates, & care of preterm or sick neonates.
Labor & delivery
The labor and delivery suite consists of 4 observation/triage rooms, 3 observation/recovery rooms, 12 labor/delivery/recovery rooms, 3 operating rooms and 1 observation/recovery area with 5 bays. Nurses provide proficient, compassionate family-centered care for women 16 weeks pregnant and beyond. We provide comprehensive clinical care and support for antepartum, intrapartum, and postpartum patients with needs that range from uncomplicated to those with the most complex physical and emotional issues. These include patients with mild to severe preeclampsia, diabetes, kidney disease, cardiac disease, hematologic/oncologic disease, obesity, congenital disorders, etc.
Working collaboratively with Children's Hospital National Medical Center, our "Special Moms, Special Babies" program coordinates the deliveries of babies requiring the immediate attention of the specialists at CHNMC.
We have an extensive bereavement program for patients and families experiencing fetal or neonatal loss. Our nurses are trained to circulate on surgical cases, including Caesarian sections, tubal ligations, and D&Cs, as well as recovering these patients, including those who have received general anesthesia.
Mother/Baby and High-Risk Antepartum
These inpatient units include 36-bed ante-partum and post-partum units and a 17-bed newborn nursery. Nurses provide both ante-partum and postpartum care on both units. We provide care for diabetic patients, preterm labor surveillance, gestational hypertension surveillance and other conditions that require acute or extended hospitalizations.
We offer an environment where there is a family centered focus with great emphasis on providing excellent support and education to the mother and family in the care and well being of the newborn. We provide excellent support and education in exclusively breastfeeding to provide the very best start for our smallest patients. The nursing staff is supported by the clinical expertise of Clinical Care Facilitators (CCF).
The newborn nursery is used for normal newborns undergoing assessments and procedures (such as circumcision), as well as the care of newborns with hyperbilirubinemia & other minor complications.
Neonatal Intensive Care Unit
Nurses are a critical member of the multidisciplinary team in the Ambulatory Care Areas. Nursing care is provided by the clinical nurse coordinators who coordinate assessment and care of patients, and supervise the Medical Assistants who provide much of the direct patient care. The clinical nurse coordinators assess and educate patients, troubleshoot problems, coordinate care for patients and serve as a liaison between clinical staff and patients and community resources. Other services provided by referral include nutritional assessment and counseling, psychiatric assessment and counseling, MedStar VNA, home infusion, PT, OT and speech therapy. Nurses assist with specialized procedures which are performed in the clinic areas such as IV infusions of iron and infliximab, endocrine testing, and oral surgery procedures.
Patient education is an important component of care provided in the ambulatory care, with most education provided one-to-one, based on assessment of patient needs and possible barriers to learning. Services also include patient education and information packets, resource materials and support group information. Group classes for diabetic patients are provided in the Medical Ambulatory Clinic, which are linked to the inpatient and home care diabetic teaching program. Preoperative education is provided in the Surgical Clinic. The transplant clinic provides specialized education and patient support groups.
Provides diagnostic and therapeutic services, interdisciplinary care coordinator, patient education and community support services, and palliative and supportive care.
Medical & Medical Specialties Clinics
Provides interdisciplinary primary care for adult patients in the ambulatory arena. In addition to the general medical clinics, there are specialty clinics for Rheumatology, Geriatrics, Endocrinology, Cardiology, Pulmonary, Nephrology, Infectious Disease, and Gastroenterology. A special team approach has been established for managing the care of patients with the diagnoses of CHF, Stroke, Diabetes, and HIV.
Oral Surgery Clinic
Provides comprehensive oral surgery health care that includes evaluation, immediate care, pre- and post-operative care out-patients. The range of services extends from the management of simple tooth abscesses to the replacement of teeth with dental implants, to the treatment of severe facial infections, facial trauma, facial malformation, and tumors of the jaw.
The surgical clinics provide management of those patients that are pre and post surgical procedures, as well as ambulatory diagnostic, treatment and education to patients with a variety of problems. The surgical clinic offers programs in orthopedics, general surgery, urology, bariatric plastics, ostomy, neurosurgery, vascular, podiatry, trauma and pain.
The ENT Clinic provides surgical pre and postoperative follow-up and ambulatory diagnostic; treatment and education. Patient's ages range from adult to geriatric adult. Patients are referred with a wide variety of ear, nose and throat problems. Many patients have multiple or chronic medical and social problems, which experience frequent hospitalizations, and are followed in more than one clinic at MedStar Washington Hospital Center
Provides care for both pre and post transplant patients. The multidisciplinary team provides:
For more information. please contact Human Resources at 202-877-7447.