WPOL1096                        Riverview Healthcare Association

                        Policy Adopted:  8/00                        

                        Policy Revised Effective:                                                                                                        

                        Originating Department:                         Social Services                                 

                        Routing:                         AWPP                                                                                                                                    

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                        Board Approval Date:                                                                                                                       

                        Review Dates and Initials:                                                                                                     

                                                                                                                                                                                                                       

                        Past Revision Dates(s):                                                                                                        

                                                                                                                                                                                                                       

 

SUBJECT:      Safe Place For Newborns     

 

PURPOSE:   To save the lives of unwanted newborns in danger of abandonment and to help preserve the health and future of their mothers.       

 

POLICY:   A Safe Place For Newborns is a program designed to provide a safe place for unwanted newborn babies in lieu of abandonment, injury or death.  Hospitals in Polk County along with the County Attorney and the Department of Social Services have joined together to offer confidential protective shelter, medical care and treatment in a hospital setting to unwanted newborns up to 72 hours old. 

 

                        Riverview Healthcare Association will receive, accept custody of and provide care for unwanted, unharmed newborns up to 72 hours old who are left with Riverview Healthcare Association employees as designated by Minnesota Statute under the Safe Place For Newborn program as supported by the Minnesota Hospital and Healthcare Partnership and as adopted in resolution by the Riverview Healthcare Association Board of Directors.

 

                        Key Tenets:

Ø      Anonymous:  If a young woman has kept her pregnancy a secret, the guarantee of an anonymity will help alleviate her fear that someone will “find out”.

 

Ø      Unharmed: If a child has been abused or neglected, the police may be called and the person bringing in the baby may be charged.  If the newborn has been harmed, the guarantees of anonymity and freedom from prosecution do not apply.

 

Ø      72 Hour: The first hours of a newborn’s life are the most vulnerable, therefore, the most critical.  Having a time frame associated with “Safe Place” conveys the importance of immediate action.  If a woman has kept her pregnancy a secret, where is she hiding her newborn?  If she is hiding the baby, in all likelihood, the newborn is not being kept warm and well fed. 

 

Ø      Emergency Room:  Emergency Room personnel are trained to respond to a crisis.  However, all hospital employees will be trained in how to respond to a person who brings in a newborn to leave with “Safe Place”.

 

Ø      Without Fear of Prosecution: Abandonment or neglect is against the law.  If a woman, who might otherwise abandon her child, chooses a hospital in lieu of a more disastrous choice, she will not be prosecuted. 

 

PROCEDURE:   Using established practice standards for each department, the following departments will participate in the Safe Place for newborns program: 

1.            Any hospital employee shall accept a newborn and immediately contact the house supervisor.

 

2.            Emergency Department or Any Hospital Employee:

Ø      Accepts newborn baby.

Ø      Obtains medical history, if available.*

Ø      Gives the mother a hospital identification bracelet matching the newborns bracelet number.

Ø      Offers the mother medical care and resource information.

Ø      Assesses baby’s condition.

Ø      Contacts Riverview Social Services if available.  If unable, contact Polk County Social Services at 281-3127. If unable to reach Polk County Social Services at this number, contact Polk County Sheriff’s Department at 281-0431.  Request that the sheriff’s department call a Polk County social worker, requesting the social worker contact Riverview Hospital immediately.  Do not provide information regarding the situation to law enforcement. 

Ø      Police are not notified.

Ø      Triage to attending M.D.

 

3.   Hospital Social Services:

Ø      Reports to ED.

Ø      Obtains any available information regarding baby.

Ø      Obtains condition report from ED nurse.

Ø      Confirms safe place eligibility.

Ø      Notifies Polk County Social Services as per procedure stated above.

Ø      Coordinates discharge planning with Polk County Social Services.

Ø      Notifies Hospital Administration.

 

4.   Nursery

Ø      Admits baby to newborn nursery.

Ø      Assesses baby’s medical condition.

Ø      Confirms health status of newborn.

Ø      Confirms Social Service contact.

Ø      Coordinates medical care and treatment.

Ø      Obtains physician orders.

Ø      Provides nursing care and treatment.

Ø      Notifies Nurse Manager.

 

5.   Admitting

Ø      Registers baby by name, if known, or by Baby John/Jane Doe.

Ø      Restricts all information.

 

                        6.                        Discharge

Ø      The newborn will not be discharged to anyone except Social Services who will provide the documentation for the Order to Release.

Ø      The Order to Release will remain with newborn’s chart.

 

7.         Education

Ø      On hire, all Riverview Healthcare Association employees will be inserviced

      regarding the Safe Place For Newborns program and their responsibilities

      as an employee under the program. 

Ø      Youth and community education shall promote the program.

 

If medical assessment reveals intentional injury or abuse to the newborn, the Safe Place for Newborns program will not be utilized and appropriate authorities will be contacted for investigation. 

 

 

 

*The Medical History Form will be given to the person presenting the infant.  It is preferable that the form is filled out at the time of contact, but it may be completed and dropped in the mail.  A self-addressed envelope will be provided with a Medical History form.

 

 

                        Approved:                                                                                                                                                                               

                        Date: