REQUESTING CONSULTS AND READING CONSULT NOTES: While UTMB continues to transition all of the clinics onto the EPIC electronic medical record, we have developed two pathways in which to obtain a Perinatal Hospice Consult. If a mother has an active chart within EPIC, a consult can simply be placed for Perinatal Hospice within EPIC and the consult note will be placed within her EPIC chart. If a mother is being followed within myUTMB, a consult can be placed here and the consult note will be placed in her chart within myUTMB. In either system, we will need some information about the mother and her baby.
WHAT DOES A CONSULT MEAN FOR MY PATIENT:
If the FETUS OR BABY has died, a Perinatal Hospice consult will be how your mother gets enrolled into our program. Women that have had a miscarriage or have suffered an in-utero fetal demise, will be sent a condolence card, a keepsake stone and a small book that helps them understand some of the grief they may be feeling. In addition, they will be invited to the Nationwide Remembrance candle lighting ceremony in October and the Annual Children’s Memorial Service in January. As our program develops, we will also be offering activities for parents that help them work with their grief and learn that they are not alone in their experience.
If the FETUS OR BABY is alive but not expected to survive, a Perinatal Hospice consult will be how our team gets to know your patient. An appointment will be arranged for your patient to meet with our team. While your patient’s antepartum care plans (ex: birth plan) will be discussed with their OB and MFM care providers, we will discuss options for delivery room and post-partum care of the family. We will also educate parents as to what they might expect in regards to survival of their baby and what they may see and experience with their baby’s passing. Options for the degree of medical support will be discussed as will options to have extended family, pastoral care, and care managers help the family during their baby’s passing.
Once a Post-partum care plan has been developed (and this may not be appropriate during an initial visit while parents are still adapting to the news of their baby’s condition), our team will be available for any questions or concerns the family may have. When Mom arrives for delivery, we will help ensure that the parent’s wishes are understood and do everything we can to make the experience as compassionate as possible. If the baby dies within the hospital, we will help the parents dress and bathe their child, take photos, hand and foot prints and a lock of hair. Parents will also receive some care items such as a small book, “When Hello Means Goodbye”, a keepsake stone and a small teddy bear. Our Neonatology team will help the parents with discussions about autopsy and burial options. If a diagnostic evaluation is needed after birth (such as chromosomes or a muscle biopsy), we will have that communicated clearly in the post-partum birth plan.
After the family has returned home, they will be supported with cards throughout the year, invitations to the Nationwide Remembrance candle lighting ceremony in October and the Annual Children’s Memorial Service in January, and invitations to retreats and workshops available to support them in their grief.
PLACING A CONSULT: To place a consult, please fill out the information on the PDF file linked below and click submit at the bottom of the page.
Requesting Consults for Perinatal Hospice (PDF): Click here ...