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Sonoma County, a diverse county of over one million acres, is famed for its agriculture, industry and recreation, boasting a booming economy and unique lifestyle for its citizens. Described by the same Luther Burbank as the chosen spot of all the Earth, Sonoma County is the place to

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live, work and play as we move into the 21st century. Led by the forward looking philosophy of its governing bodies, Cinema Counties, 340,000 residents are, Ah, harmonious, successful blend of ethnic and economic backgrounds. We invite you to take a closer look at Sonoma County in the

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nineties with your host, Rich McGlinchy. How you doing? Everybody. Welcome to another edition of Sonoma County in the nineties. You know, in our ongoing effort to feature Community Hospital, we have been bringing you programs about the services there and the people who work at Community Hospital.

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A tremendous number of people on some great programs, and we have another store for you today. I'm going to talk to two women who were involved in the maternal child services program we talked to in the left your screen Madrone Williams, whose perinatal education coordinator and

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in the middle as always, is Nazi terHorst, and she is a patient care manager of labor and delivery. And it's nice to have you both here his first time. You this good? Um, I put those lovely names over there. What kind of jump back and forth,

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Then ask one of your question in any other. And if either of you have something to add to the other ones, answer by omens. Jump in. I'll start with you, Nancy. The practice of obstetrics That's certainly undergone some radical changes in the last few years. Maybe

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you could tell already is what changes our and how they might impact an expected family. In other words, is birth control different than it was 10 years ago? Well, I've been in this situation dealing with birthing for 20 years, and I've seen quite a few changes.

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I think in the last 10 years, the most significant one that I've seen is the fact that we're offering the public the families Ah, much better situation for birthing. We offer them a family oriented birthing situation, meaning the family, not just the mother or mother and

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father, but the entire family is welcome into the birthing scene. We've made awards more available to the families. We've offered Mawr programs and education for the entire family, not just for the parents. And there seems to be more of a relaxed and welcomed feeling in our

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departments because of this. I remember the day when the only person that was allowed in to visit a mother who's just had a baby are the grand parents. And I would find many very young brand parents visiting the patients just so they could get in the

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door. Thank goodness we've changed. That s, Oh, there's been some really positive changes. I remember I was on vacation. Yes, it was. And it wasn't really that long ago that we did that of Madrid. What makes community hospitals are skeptical. Service is unique. There's several things

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I think that make our service is unique and may be different from even some of the other hospitals in the area. Um, we have physicians that are on call at our hospital in house 24 hours a day, which means we always have a physician available. Should

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somebody come in and deliver before their physician can make it there. There'll be a physician that will be able to attend them, which makes a lot of people feel comfortable. We have on intensive care nursery at our hospital. That's the highest level in this area, which

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means we can handle the sickest babies. Which makes both parents and physicians feel comfortable delivering at our hospital because they know they'll get the best care both in the obstetrics all area and in the intensive care nursery. You've been known at community for having good maternal

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maternity operation. How you should freeze that up turning operation. But if I recall correctly, I've got a complimented many times how you're keeping the tradition going or even enhancing, right? I've been here about at community about two years, and one of the things that I really

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think stands out is the excellent excellent nurses that we have in our department nurses that are fully trained but also very warm and loving so that they really give the kind of care that I would I like to see a mother get. Ah, and child. Um,

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so I think that makes it unique to, uh, Nancy stay with you for a moment. Uh, how many babies or delivered a community hospital? Let's say each month. Well, we seem to average about 180 babies a month, and that's quite a few babies. And sometimes it

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goes over 200 a month of love. And uh, that is that's a striking figure. That certainly is. It certainly is. And yet it was before Kaiser opened up. It was even more than that, Uh, and it's looking at our facilities. It's hard to believe that they

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could do even more than that, which they did quite well. We keep very busy with that figure, and it's a good figure to work with breath. It's actually the perfect amount. We have just just the right amount of staff in rooms and equipment to handle 200

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deliveries a month, so it's comfortable for everybody. I take something the audience is probably saying about right now. You both look like you're really wait wire. More babies delivered committee hospital in any other hospital. I think what Nancy was talking about with our nursing staff, this

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is the main draw for patients. When I first moved to this area and asked around about which hospital would people suggest? Because I was pregnant myself that I deliver at and community hospital was what was recommended most highly to me because of the nursing staff. We

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have a very wide variety of patients who deliver at our hospital, and our staff does a good job of individualizing their care. So we have many different types of educational levels. Economic levels of the people who come to us and many different makeups of family and

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our staff does a good job of individualizing care and making people feel loved and welcomed and taking care of. You're renting the nurses. There is being a factor. I know, for instance, I had meant to this many times on this program. Over the years, I've had

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two heart attacks in two heart surgeries. Any time I had any kind of a coronary problem, I started out three hospital on, but I was in your in tension care with users, cardiac care and the people that were just absolutely splendid. So I mean, presuming that

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the caliber of nurse there and there is the same. I understand what you're very proud of that fact. Um, Nancy, what type of patients deliver their babies at Community Hospital? Pulismen drone was saying we have ah, wide segment of the population of the county coming to

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our hospital. We have about, I think we checked in. About half of our patient loaded, state funded and other half is funded by private pay or insurance companies. So there's a nice mix and the department, less madrone was saying, fits that number quite well. There are

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some nice options if people wish to and can afford them, such as what we call maternal suites, where after you have a baby, there's a special room, which is, Ah, nice king size bed for the mother and father. Uh, the rooms were set up to more

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family oriented, with the rocking chairs, etcetera. But the other rooms there's only two patients in each room, and they're quite beautifully decorated and have some nice features with them, too, but gives everyone sort of their own option at that point. That's great. That's great. I'm not

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aware of what you all about it. Yeah, well, I'm glad you were getting the opportunity to, uh, Nancy stemming from AWS certified nurse midwives that privilege to deliver babies community. They certainly do and are welcome with open arms. That's a very fine group of midwives have

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been specially trained and licensed in their field. And, uh, we have a really close working relationship with about at this point, I think we have five or six that are coming to Community Hospital, and it's another option for people in the community to decide what type

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of birth thing they want. And that is one of the options that we in this community can offers midwives. Which is interesting because there are many communities still in the state of California, which you don't find this midwives are not part of that maternal seen your

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true. How does midwifery care differ from physician care? Well, I'll speak from my own observations of The Midwife is able to spin because of her caseload in her training and what she's actually involved in. She's able to spend more one on one time with that patient

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through the prenatal care, she is able to spend more time actually at the hospital, physically there with her during the labour, because again, that's how she set up her her practice. And, uh, that individualized care from the midwife who stays with you through the entire labor,

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sometimes for some people, is exactly what they want on, exactly how they intend to go beating of you have a thought 21 ahead to the other. Well, the one misconception that I think the public often has about midwives is that they're somehow less skilled or less

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able than the physicians. And people should just know that they offer care that's very similar to physician care. And you might find it similar from a doctor to a midwife all the way from prenatal care all the way through to the delivery. And and the only

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thing that's really different, I think, is that they get like Nancy said, more time from there midwives than they often will from their doctors. The doctors air excellent providers, but they're busy. Well, they're certified. Have SAB slowing this lesson. Anyone's concerned in that particular aspect of

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the situation? Do the nurses at Community Hospital have any specialized training? We do, and we also have thanks to the drone and ongoing training. The nurses that I worked with right now are all trained from years of experience in labor and delivery. But they also have

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had the chance over the last few years to attend a class called neonatal neonatal resuscitation, which is another fine tuning of how to care for a baby at birth that might need some extra care because of problems, and it's very comfortable to know that my entire

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staff has that certification. We also use something called a fetal monitor, which is a monitoring device during labor, on how the baby's heart rate and the mother and child are doing at time of labor. And my nurses all have very different but ah dated skills on

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fetal monitoring, and we constantly are offering programs or seminars to update and keep them in tune with the latest developments in their field. So it's a nice trained group of women that work up there. New need resuscitation. Why don't you tell us they're just a little

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bit more about community hospitals? Intensive care Nurse. The intensive care nursery is right on the same floor as our labor and delivery and obstetrical care. After birth patients and Madrid, I'm gonna let you go into a little more detail on that were the designated community level

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intensive care nursery for the county, which means that we have the train staff and the equipment and the physician backup to handle the sickest babies in this area. So the other outline hospitals like from Mendocino County and from Lake County will transport their babies to our

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hospital and sometimes will transport their mothers when the baby still inside to our hospital so that they could be delivered there and cared for by our staff in the intensive care nursery, I should ask, Maybe should have asked earlier, you located one on the fourth floor.

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4th 1922 I was taking pictures. That's, um if I am correct. I think this is what I heard. You have a new club called Special Beginnings. What was the idea that I am definitely going to turn this person to my drone? This is a project, and

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I think it's a special beginnings is ah, really exciting program that we started about a year ago. We started about in March of 92. It's a joint effort between a a number of different people at the hospital to try and put together an additional package to

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offer our patients as our way of saying, you know, thank you for delivering at Community Hospital. We really enjoy having you here. It's a club that's free to join doesn't cost the member anything to join. The only thing that we require is that they deliver at

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our hospital. They get a whole packet, which I can show you later. Ah, whole packet with information on the physicians and midwives who have privileges who deliver at our hospital. It has a membership card where you get benefits at about 50 different stores and cinema County

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discounts. And some of the stores have offered some wonderful discounts to patients so they can go and go to the store and get there their bed or whatever it is that they need for their baby for 10 20% off what it costs just by being a

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member of the club. And they get extra educational materials and access to a nurse 24 hours a day. Those are some of the benefits that they get, who's eligible to join the special beginning club. Anybody who's gonna deliver at the hospital. Anybody at all? Yeah. Um,

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well, how does one joy there's a couple different ways they can join? They can either call my number when I'm the sort of designated person at the hospital who who answers all the incoming calls about the Special Beginnings club and services that are provided to the

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hospital so they can call me. They can when they come into pre register at the hospital, there's an application form. They can pick up those of the two easiest ways. And then many of the doctor's offices have the brochures on the poster, which I have one

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here also on that has my phone number on it that they could go. Did you have a that poster we have in here? We show that. Show it. Later, we're gonna pause right here at the station, bringing public a public service announcement after which we were

00:16:13.350 - 00:16:34.450

returned, and talk more about this interesting subject. Majority of a community hospital back in a moment in an emergency when seconds count were trained to look for medical alerts in a call to medical alerts, Emergency Center gives us vital information about conditions, medicines, position and family

00:16:34.940 - 00:16:55.160

information that helps us give fast, accurate treatment that saves lives. Millions worldwide depend on medic alert protection to learn more, ask your pharmacist or call 1 800 ideal ERT. That's 1 800 i d alert. I would like to talk to my parents, mourn about sex and

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other personal things you don't understand. I'm going up on. They still think I'm a little kids. They don't think you should be talking about sex. So, like you're 18 or you're married. Thank you. You're not ready. Some people are afraid to talk with their True what

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happened? I would like to talk to you calmly like a nose. Not like Children. Now is the time to talk education now. Babies later. Welcome back to this edition of cinema Can in the nineties were talking about maternal child services Community Hospital. We're talking with the

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left your screen Madrone Williams, perinatal education coordinator and in the middle and itchy terHorst, who is a patient care manager off labor and delivery. Did I get it right? Okay. When we left a moment ago, we were talking about the Special Beginnings Club and the drone.

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You have a poster that we want to show. Let's take a look at that. Now. This is a poster that we have in many doctors offices around the county. It's also posted all over the hospital to let people know about the club and the benefits that

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the club offers. It's also posted in a number of merchant Windows stores around Sonoma County who have generously offered discounts on their products for members of our club. And as this poster shows, these are some of the benefits that a member of the club might receive.

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They'll receive promotions, and a couple of different stores in the area have had promotions this year where they've given away something and anybody can come down to the store and sign up for raffle sort of thing to receive a free rocking chair or something of that

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nature. There's discounts like I said it. About 50 different stores and Santa Rosa primarily, but also throughout the county on items that, uh, patient might need through their pregnancy or their babies. First year of life, they will also get a series of newsletters. There's eight newsletters

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altogether, too, that they received during pregnancy, and then one comes every other months during the first year of the baby's life to their home. And in this newsletter, there's lots of information about what to expect from their baby things they might do developmentally with their baby,

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uh, feeding tips. There's a hole in each newsletter. There's tips from a doctor tips from the midwife on hand here for your baby. Some kind of commonly asked questions. Then let's see. They also get a follow up call sometime after they go home. Because our patients

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stay for such a short period of time. Someone will call them after they go home to see how they're doing. Answer any questions they might have. And then the last thing is, we offer access to a nurse by phone 24 hours a day. We give them

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a special access number that they can call. They can talk to a specialized nurse who's trained in OBE, who can answer their questions about their pregnancy, whether they're in labor, anything they might have about their baby. And that kind of gives them the the idea of

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the nurse next door, the person that they can call for advice and its unique idea. They're a club in a unique naming name, rather, but how do you I won't say How do you how would or will. Joining the special beginning club helped the member actually

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touching happen Every we're hoping it will help in a couple of different ways. One is by joining the club, they will get names and numbers of all the physicians in the hospital in the county who have privileges at our hospital, so we hope it will increase

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their access to care early on in their pregnancy. We believe that by accessing care early, their outcomes, we're gonna be better. They're gonna get better prenatal care. They'll get their questions answered. They'll take better care of themselves so they'll have a healthier pregnancy and a healthier

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baby. That's our main goal. That's our main outcome that we hope for. They'll also get the education, hopefully a little more outreach education to help them with their pregnant season with their babies. So in the long run, we're helping all around for healthier babies and healthier

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moms. And the discounts are gonna help anybody. I mean, it's so expensive these days to have a baby and raise Children that we're hoping that any little financial way we can help people is is gonna be a benefit to them. So having a nurse access to

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a nurse 24 hours a day so that middle of the night call when you're worried about your baby and your not wanting to call the doctor and bother him. You can call this nurse in and see what her advices. Naji, I have a question for you.

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What is family centered care? We touched on that in the very beginning of the program. Basically what family centered carriers is the realization that a woman coming in to have a baby is not just a woman pregnant. She is a member of a family. She has

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support people. She has maybe other Children. She has a strong support, significant other or husband. And these people should not be in any way be excluded from the birthing process. So we opened the doors to the entire family. And we encourage that because we feel that

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of the beginnings with the family together at this very special time can build some real tight bonding that can last. We hope for the entire life of that patient, family and group. Um um I correct in saying you do allow siblings in the delivery room again.

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That's something new that I've seen over the last few years. We do allow siblings. This is the brothers and sisters of the newly going to be born basin. We do allow them in the delivery room we have because the father obviously will be in involved with

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the mother and the birthing. We do ask that they be accompanied by an adult who could take care of the Children or answer questions for that child. Ast the birth and goes on from a drone has a wonderful program. She does in preparation for this at

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our hospital called I Love the Name Tight Hike, and I think maybe this a good time to talk about Taik. Iike is a sibling preparation class. It's designed to educate the older Children about kind of what to expect with the arrival of a new baby. We

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talk a little bit about pregnancy and what it's like for the baby inside and a little bit about Mom coming to the hospital in the baby being born. And then I have these nice dolls that they play with and they wrapped and they learn all the

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safety things about how to care for new baby. And it's a it's my favorite class to teach. It's really fun, we've said before years past, we had from your physician's air that you mean the hospital maternity department division has always had a good reputation, and you

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do enhancing it tremendously with the program. I really commend you on that. Madrid What educational programs you've touched on. Some of what educate other educational programs are available. Community Hospital We have, AH, very wide range of programs for patients that they can access. We have prenatal

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classes, which are your regular love mas childbirth education classes. It's a six week Siri's. We have quite a few of those to choose from and encouraged everybody who's pregnant, especially for the first time to attend prenatal classes. It'll help them a lot in their labor and

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in their child rearing. Also, um, we have several other class. We have, ah, breast feeding class for people who were planning to breastfeed or who have had their baby and want some questions answered about breast feeding so they can come to a special class on that.

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Let's see, what else do we have? We have the taik Iike we have a refresher class four patients who've already had a baby and want to come back and kind of refresh their breathing and relaxation skills, and there's several other things that we have a mill.

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One of the other things that I think I've heard of it is a childlike program to talk about that a little bit more. Either of the child Life Program is a wonderful program. It's designed for Children who are going to be undergoing surgery at the hospital

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for some type of procedure that might be frightening to the Children. So it's a it's a it's a woman. Her name is best persons, and she's not actually a hospital employee. She's She's funded by grants and money from different organizations to provide a class. And then

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she actually accompanies the child to the surgery suite and helps answer questions that they have about their surgery and helps to reduce the fear. And everybody. The nurses, the surgeons, the anesthesiologists all think it's a wonderful program, and the families air thrilled. Their Children are not

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so afraid going into surgery, something we could jump clear back to the beginning of the program and ask, How did you get volcanism? How did you get it? Unanswered? First along first, we moved to reading California in 1976 and the hospital that I applied for needed

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a labor and delivery nurse. And I said, Great started and one year later I was manager that department and stayed there for 14 years. That hospital sadly closed. And so I moved on and ended up down here in Santa Rosa. Uh, I've had three Children, my

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own, and I have never really lost the excitement and the thrill and the privilege to be a part of a birthing situation. So that's my love. It is. It is for me. Also. I've been involved in obstetrics for about 12 years, in some capacity or another.

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Um, I've been here a community hospital now for 2.5 years, working both as a nurse and as an education coordinator. My background is in health, education and nursing both. Well, as I said earlier, it's really not difficult for people viewing the program right now. Look at

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the faces of either individuals editor in love with What do you think? That's marvelous. I mean, that's true of of other programs at community. One of the reasons I've always felt such promise further institution is I you know where it for most of my life. But

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by the same token, I think that, uh, there's so much experts up there, and this is a classic example of what I'm talking about. Um, just Community Hospital. Have a designated pediatric unit. That President Only Chance way do have. We're very lucky to have a designated

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pediatric unit. There's many hospitals who can't afford to have a separate unit. That's just for Children. And what we believe is that Children are not just little adults. They're they're separate, special group, all to themselves, and they really need specialized type of care. And so we

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have a designated pediatric unit with pediatric nurses who are specially trained in pediatrics. And there's places there for the family, the mother to stay with the child when the child's hospitalized, which again reduces the fear and helps the child feel less anxious and helps them get

00:27:23.230 - 00:27:43.980

better. Quicker. You told us you that three Children. You didn't tell us. I have three Children. Also, I have three Children also have experience. Children are laughing as they see this because they're 30 29 20. They're not Children anymore. That's wonderful. That's wonderful. I would have

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a couple of minutes left to us. Maybe each of you want to touch on this. What do you see in the future for maternal child care? Well, I'll start with saying that we hope to continue the kind of care we have described, and that's our goal

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to keep that high excellence in care. But there are some other things that we're doing, which you're kind of exciting. We're now in the process of training the entire labor and delivery nursing staff to be able to help and do the Caesarean sections right on the

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fourth floor, rather than remove the patient at the time of C section. Need to the second floor surgical floor. We've gone 1/3 of the way and have the night shift trained, and they do all the sections on the fourth floor on the night shift. So that's

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one of our goals. Education and continuing to educate our nurses is another one. And, um, madrone is anything else you'd like to add to that. Well, in order to meet again the wide variety of patients that we have a community hospital, we're trying more and more

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to translate a lot of our educational materials into Spanish. We're offering a prenatal class now in Spanish, which is fairly new and lots of other things like that meet the needs of the community. Thank you both for being here. It's our place. Time. Time goes over.

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Drone wing Thank you Have a drone William to G prenatal education coordinator And then she turned her to is the patient care manager Labor and delivery work with community hospitals Maternally Child service program My name is Which TV programme cinema chain in the nineties. Next week

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we'll meet with other members in the county government, family or something fine, like maternity services Division of Community Hospital. Until then, this is rich McClatchy saying Good night. Good luck and good hill Each and every one of you.