Version 1.0 1

Agenda For Today• Time to grab food and settle in (15 minutes)• Tomorrow we will do an ice breaker (10 minutes)• Questions about the class; the syllabus (10 minutes)• Review of Online classes and thing that may have been confusing (15

minutes)• Norms for the class (5 minutes)• Goals for the class today (5 minutes)• A walk through the life of a Newborn Care Specialist (1 hour)• Break • Scenarios and an explanation of their scenarios/breakdown(30 minutes)• Next Class and a quick poll of what works for next class (10 minutes)• Farewell or stay after and talk with us if you need help

January 10, 2014

Version 1.0 2

Goal for this session

• Know the day and the life of a NCS• Skill set you will need to have (and will learn

in this class)• How to communicate with parents

–Pre-job - The initial call–On the job - when and how to talk to mom

when all she wants to do is go to bed.–Scheduling with parents your nights

required.

January 10, 2014

Version 1.0 3

Topics Covered in Today’s Class

• Walk in the door• Engage with the parents and baby• Through the night• In the morning• Communication going forward

January 10, 2014

Version 1.0 4

First Night

–How to determine the parents goals for the night– Their expectation of you –How do you react to their expectations

January 10, 2014

Version 1.0 5

Tasks for the night

• Get the baby to Sleep• Take care of her all night• Laundry/chores bottles, humidifier, pacifiers,

toys etc.

January 10, 2014

Version 1.0 6

Checklist included for today

–What we charge– Typical schedule–Question checklist – What are some parents asking

NCS’s–Nursery Checklist – – Clothing Checklist –Orientation checklist – things to do when you are

with a family– Logs how to log and keep track of infants overnight

activitiesJanuary 10, 2014

Version 1.0 7

Chores for the baby

• Plan on doing chores– Laundry-ask about laundry and expectation of it.– Bottles washing and sterilizing– Formula making and measuring– Breast milk management• retrieval from freezer or refrigerator• newly pumped• Pump parts• Water for mom

– Aspirating nose

January 10, 2014

Version 1.0 8

Taking Care of the Baby

• Holding• dressing• Feeding• Diapering• Sleeping • Taking temperature• Accessing diaper rash

January 10, 2014

Version 1.0 9

Before the job starts

• Prepare for the parents call(your name will be out there, expect it at anytime)

• Connect with client (if you have been referred)• Suggest meeting beforehand• Accommodate quick turnaround if the baby is

born. Do not cancel or arrive late, etc.• Bring paperwork

January 10, 2014

Version 1.0 10

When you get there: Day 1

1. Ask about the Mom2. How was the birth? When did you come home?

How do you feel?3. Ask about the baby4. NAME (if not an American name, try to get her

to write it)5. Term? Early, how much are they feeding and

sleeping. 6. Feeding? Sleeping? What and where?

January 10, 2014

Version 1.0 11

When you walk in the door

1. Don't ring the bell2. Take shoes off3. Wash hands, toss paper towel in garbage4. Ask mom how the day went while you:5. Check fridge - is there milk? 6. Discuss the night plan7. Start the log - will teach them to use log8. Get an idea of the household - who's home,

what's going on, what do you need to do.January 10, 2014

Version 1.0 12

Engage with the Baby

• Holding, feeding, swaddling, soothing• Demonstrate how and why its important to be

very careful in the beginning• Parents are watching you initial actions with

the baby, If it looks like you have no experience, they will not call you back.

January 10, 2014

Version 1.0 13

What is the night plan?

• Where they're sleeping• what they're eating • How they're eating it(Bottle vs. BF)• Pumping schedule– Get pumped milk in the night– Deliver washed pump parts for 2nd pump in the night

• Know what they expect to find when they wake up• Laundry, stocking nursery, etc.

January 10, 2014

Version 1.0 14

Sleeping or Being awake• Can you cat nap?• DO NOT ASK FOR ACCOMMODATIONS

– Blanket, pillow, bed couch etc.• In the same room as Baby?• TV?• Monitor?• Can you leave the baby while she’s sleeping to:• Clean bottles• Do laundry• Awake? Do I have to stay up?• Expectations? Ask parents what they want to walk into in the morning

Sleeping babies are wide awake

January 10, 2014

Version 1.0 15

The Morning

• Final feed to accommodate…• Dad leaving, mom sleeping, mom showering etc.• What to expect at 6 AM– Bring the monitor to mom, leave the log so she sees nights

activities– Parent comes to meet you?– Baby is delivered to mom and dad in their room

– Pay at end of string of shifts, not every night unless the client prefers.

– Contract and Invoice attached.January 10, 2014

Version 1.0 16

Practice time

• Logging – scenarios and how to log them• Bottles – wash and put together.• Swaddles – how to with light gauze blanket, swaddle me and

other techniques• Holding – how to hold a baby• Feeding - • Burping – how to burp• Diapering - • Soothing 5s’s• Putting to sleep• How much holdingJanuary 10, 2014

Version 1.0 17

How to Log during the night

• Examples of 2 different logs• Horizontal with lots of entries• Vertical with 3 entries

• Stress the importance of the parents of daytime care giver needs to log during the day.

• Be consistent and legible• Measurement cc/ls• If you add comments, always add comments etc.

January 10, 2014

Version 1.0 18

What to avoid as a Newborn Care Specialist

• Being Late• Canceling after 3 PM same day• Being pushy or too confident• ANY negative comment about advice they

have heard about• Inflexible• Asking for WIFI, food, anything to make you

more confortable.

January 10, 2014

Version 1.0 19

Scenarios• Mom is crying when you arrive. Baby is crying. Dad is in bed.

What are your actions?

• Baby came from the doctor and is underweight. What do you do?

• Mom does not want to have the baby wear a onsie, its too hard for her to it get on and off, You feel the babys too cold. What do you do?

• You feel the baby is hungry and mom is not “expressing” this What do you do.

January 10, 2014

Version 1.0 20

What you need for the night• Noise machine,

Today i-phones and i-pads are equipped with the white noise. Sleep sheep is a new trend, good because it is portable and operates on batteries, bad because it only lasts 40 minutes.

• Swaddle blankets– Velcro swaddle me fleece in the winter, cotton in the summer– Aden and Anis blankets, preferably 3 warm blankets 3 – good for elevating

the mattress, wedging to make chairs cozy, makeshift place to put baby down)

• Onsies – long and short sleeved 2• One piece outfits ( zip is best) preferably fleece in winter and cotton in summer 2• Socks and mittens in winter• Pacifier if he uses one, just keep one handy, he might want it in the night.(wub a

nub, a pacifier (soothie style attached to a small animal.)• Nail clippers and files• Burp clothes

January 10, 2014

Version 1.0 21

What you need for the night• Portable changing station if not in the baby’s room

– Diapers– Wipes– Ointment– Diaper disposal

• Baby wash tub– Only give a bath if they request it, otherwise a bath after 10P is

not ideal• Clothes for the next day • Plan for the night • LogJanuary 10, 2014

Version 1.0 22

Helping mom with schedule

• Moms are hormonal and need some direction.• Where to sleep, what to eat, how often, HELP!• When assisting mom with this be sure to be

clear on the expectations and have an explanation as to why you are offering what you are offering

• Find out if they are nursing for nutrition or for bonding.

January 10, 2014

Version 1.0 23

Take aways from today

• You are there to support Moms plan.

• How to offer suggestions

• Importance of logs

January 10, 2014

Version 1.0 24

For the next class

• Answer the survey about the in person class• Use the forums and discussion boards in the

online class• What times can we meet on February 2nd?

January 10, 2014