WEBVTT 00:02.950 --> 00:05.172 Next we're gonna talk about the nursing 00:05.172 --> 00:07.228 services offered by the primary care 00:07.228 --> 00:09.339 clinic in support of your pregnancy . 00:09.339 --> 00:11.450 So when we talk about clinic services 00:11.450 --> 00:13.339 within primary care , we have our 00:13.339 --> 00:15.228 immunization clinic where you can 00:15.228 --> 00:17.394 schedule separate appointments outside 00:17.394 --> 00:19.672 of physician appointments for flu shot , 00:19.672 --> 00:21.339 COVID shot , and Tdap shot as 00:21.339 --> 00:23.561 previously discussed . We also have our 00:23.561 --> 00:25.783 embedded behavioral health consultant , 00:25.783 --> 00:27.728 currently Doctor Quinonez , who is 00:27.728 --> 00:29.894 available for acute and ongoing mental 00:29.894 --> 00:32.509 health screening and care . When 00:32.509 --> 00:34.231 available , we have a clinical 00:34.231 --> 00:36.398 pharmacist who's able to talk with you 00:36.398 --> 00:38.620 about tobacco cessation as well as help 00:38.620 --> 00:40.731 to manage any sort of complex medical 00:40.731 --> 00:42.787 needs . Our family medicine docs are 00:42.787 --> 00:45.120 able to address any sort of acute issue , 00:45.120 --> 00:47.287 behavioral health concern , postpartum 00:47.287 --> 00:49.453 birth control , or ongoing issues such 00:49.453 --> 00:51.231 as urinary leakage or pain with 00:51.231 --> 00:53.342 intercourse . Our pediatric team , as 00:53.342 --> 00:55.398 well as our family medicine docs are 00:55.398 --> 00:57.342 able to provide well child newborn 00:57.342 --> 00:59.270 checks and circumcisions . If you 00:59.270 --> 01:01.381 desire a parking pass , you can speak 01:01.381 --> 01:03.492 with the readiness clinic or with our 01:03.492 --> 01:05.437 nursing team within primary care . 01:05.437 --> 01:07.603 Nutrition currently located within the 01:07.603 --> 01:09.714 rehab and physical therapy department 01:09.714 --> 01:11.714 also offers appointments to discuss 01:11.714 --> 01:13.659 individualized pregnancy nutrition 01:13.659 --> 01:15.770 goals and recommendations . Finally , 01:15.770 --> 01:17.714 we have Tricare enrollment located 01:17.714 --> 01:19.714 within our patient customer support 01:19.714 --> 01:21.770 center who can help walk you through 01:21.770 --> 01:23.826 the process of adding baby to . Your 01:23.826 --> 01:26.159 services as well as clinic registration . 01:26.159 --> 01:28.381 You can see listed at the bottom of the 01:28.381 --> 01:30.270 slide some of our important phone 01:30.270 --> 01:32.492 numbers as well . Highly recommend that 01:32.492 --> 01:34.714 all of those go into your phone today . 01:34.714 --> 01:37.048 Next we're gonna talk briefly about WIC . 01:37.048 --> 01:38.826 WIC Overseas is a nutrition and 01:38.826 --> 01:40.881 supplementation food program that is 01:40.881 --> 01:42.826 available for all pregnant women , 01:42.826 --> 01:45.159 women who are 6 to 12 months postpartum , 01:45.159 --> 01:47.381 and then infants and children up to age 01:47.381 --> 01:49.326 5 , so . Highly recommend that you 01:49.326 --> 01:51.548 reach out to them to evaluate what your 01:51.548 --> 01:53.603 what your income level is and if you 01:53.603 --> 01:55.548 qualify for any sort of additional 01:55.548 --> 01:57.770 support typically there's paperwork and 01:57.770 --> 01:59.659 that needs to be completed by the 01:59.659 --> 02:01.770 primary care clinic as well . So when 02:01.770 --> 02:03.937 you receive that , please just drop it 02:03.937 --> 02:03.816 off at the front desk and we'll do our 02:03.816 --> 02:06.015 best to to fill it out within 3 to 5 02:06.015 --> 02:08.015 business days . They are located as 02:08.015 --> 02:10.071 listed at Building 169 on the ground 02:10.071 --> 02:12.929 floor right next to the gym . Upon 02:12.929 --> 02:14.929 confirmation of pregnancy , you can 02:14.929 --> 02:16.929 stop by our primary care clinic and 02:16.929 --> 02:19.151 pick up your purple book . You can also 02:19.151 --> 02:21.429 download a copy here with that QR code . 02:21.429 --> 02:23.485 Um , this pregnancy book is based on 02:23.485 --> 02:25.262 the uh Veterans Affairs and DOD 02:25.262 --> 02:27.096 management of pregnancy clinical 02:27.096 --> 02:29.207 practice guidelines , so it serves as 02:29.207 --> 02:31.524 kind of a , a go to . Reliable resource 02:31.524 --> 02:33.468 for pregnancy symptoms , relieving 02:33.468 --> 02:35.455 common discomforts , a list of 02:35.455 --> 02:37.677 medications that are safe for a variety 02:37.677 --> 02:39.934 of common ailments , information about 02:39.934 --> 02:41.712 expected weight gain , expected 02:41.712 --> 02:43.934 appointments , a lot of the things that 02:43.934 --> 02:46.101 we have reviewed here in a book format 02:46.101 --> 02:48.101 so you can easily reference it when 02:48.101 --> 02:50.212 needed . If you are not signed up for 02:50.212 --> 02:52.101 Genesis patient portal , please , 02:52.101 --> 02:54.323 please , please make sure that you have 02:54.323 --> 02:53.860 access to this . This is really the 02:53.860 --> 02:55.916 best way to reach out to the primary 02:55.916 --> 02:57.971 care team um when you send a note to 02:57.971 --> 03:00.500 your primary care doc or the PCMH team 03:00.500 --> 03:02.556 in general , it goes directly to our 03:02.556 --> 03:04.778 nursing team who is constantly checking 03:04.778 --> 03:06.778 for messages , and they are able to 03:06.778 --> 03:09.000 then reach back out to you and and work 03:09.000 --> 03:11.167 with you on whatever your concern is . 03:11.167 --> 03:13.222 We always encourage you to um to use 03:13.222 --> 03:15.444 that patient portal to the best of your 03:15.444 --> 03:17.556 ability . You're also welcome to call 03:17.556 --> 03:17.440 the call center . At any point , um , 03:17.539 --> 03:19.830 but the , the patient portal is 03:19.830 --> 03:21.941 sometimes a more direct way where you 03:21.941 --> 03:23.941 don't have to wait on the phone for 03:23.941 --> 03:25.774 breast pumps . This is a covered 03:25.774 --> 03:27.886 service of a value up to €500 while 03:27.886 --> 03:29.886 you're overseas . It does require a 03:29.886 --> 03:31.774 prescription , um , and it can be 03:31.774 --> 03:34.339 started at the 32 week mark . So you 03:34.339 --> 03:36.561 get to choose which pump you would like 03:36.561 --> 03:38.783 to purchase and you get to choose which 03:38.783 --> 03:40.895 company you work with . So there's no 03:40.895 --> 03:43.117 one company that we recommend more than 03:43.117 --> 03:45.339 another . There are some companies that 03:45.339 --> 03:45.190 work . Online and there are some 03:45.190 --> 03:47.357 companies that are here available both 03:47.357 --> 03:49.619 on base and off in the community where 03:49.619 --> 03:51.508 you can discuss different options 03:51.508 --> 03:53.397 available to you if you choose to 03:53.397 --> 03:55.508 purchase out of pocket then you bring 03:55.508 --> 03:57.619 the receipt to our billing department 03:57.619 --> 03:59.508 again within the patient customer 03:59.508 --> 04:01.619 support center um for assistance with 04:01.619 --> 04:03.675 that reimbursement procedure you can 04:03.675 --> 04:05.770 request reimbursement up to 365 days 04:05.770 --> 04:07.826 after the purchase , but please know 04:07.826 --> 04:10.048 that especially being overseas that can 04:10.048 --> 04:11.881 take a little bit of time , so I 04:11.881 --> 04:14.048 recommend that you don't delay . Every 04:14.048 --> 04:15.826 birth event triggers a new pump 04:15.826 --> 04:17.992 eligibility . So even if you have been 04:17.992 --> 04:20.214 pregnant before and you have a previous 04:20.214 --> 04:22.437 breast pump , if you wish to have a new 04:22.437 --> 04:22.429 one , you are absolutely welcome to do 04:22.429 --> 04:24.910 that . Included in that prescription is 04:24.910 --> 04:26.854 the breast pump kit as well as any 04:26.854 --> 04:29.160 additional supplies . So typically that 04:29.160 --> 04:31.320 includes tubing , tubing adapters , 04:31.410 --> 04:33.839 locking rings , bottles , bottle caps , 04:33.959 --> 04:36.279 storage bags , any valves that are 04:36.279 --> 04:38.279 needed , and then nipple shields if 04:38.279 --> 04:40.450 required um by and confirmed by a 04:40.450 --> 04:42.617 physician . So when you are purchasing 04:42.617 --> 04:44.783 your pump , typically there's a number 04:44.783 --> 04:47.609 of parts that are long term versus ones 04:47.609 --> 04:49.720 that need to be replaced every 2 to 3 04:49.720 --> 04:51.942 months , um , and so you can set up for 04:51.942 --> 04:54.053 either recurring pickups or recurring 04:54.053 --> 04:56.053 deliveries to make sure that you're 04:56.053 --> 04:58.220 staying up to date with your pump , so 04:58.220 --> 04:57.839 you're getting the best pumping 04:57.839 --> 05:00.730 experience for those who are 32 weeks 05:00.730 --> 05:02.841 or further along in their pregnancy , 05:02.841 --> 05:04.897 you can stop by for that breast pump 05:04.897 --> 05:06.841 prescription at any point when the 05:06.841 --> 05:08.952 primary care clinic is open . We will 05:08.952 --> 05:08.910 also encourage you to schedule your 05:08.910 --> 05:11.260 Tdap appointment . In regards to the 05:11.260 --> 05:13.371 newborn visit , just touching back on 05:13.371 --> 05:15.371 that , typically we want to see you 05:15.371 --> 05:17.538 within 1 to 3 days of your discharge , 05:17.570 --> 05:19.459 um , to check on baby , check the 05:19.459 --> 05:21.459 weight , check their bilirubin , we 05:21.459 --> 05:23.459 highly recommend that you bring the 05:23.459 --> 05:25.681 discharge paperwork so we can make sure 05:25.681 --> 05:25.329 that all of those typical newborn 05:25.329 --> 05:28.190 things have been done . If there's any 05:28.190 --> 05:30.109 need for a belly band or support 05:30.109 --> 05:32.053 stockings or anything additional , 05:32.053 --> 05:34.220 please reach out to the nursing team , 05:34.220 --> 05:36.331 and we're happy to discuss and , um , 05:36.331 --> 05:38.387 and help out wherever we can . Thank 05:38.387 --> 05:40.609 you so much for participating in our OB 05:40.609 --> 05:40.100 class . We hope you have a wonderful 05:40.100 --> 05:40.350 day .