| New in the Literature from Laurie Dunn, MD |
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 "Last week's NEJM had a wonderful review about NEC, and stresses the role that the GI system may play, especially related to immunologic responses, and how feeds may play a role in modifying this." Click here to see the article.
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| Focus on the Data Dictionary |
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I hope all of you have had a chance to familiarize yourself with the data dictionary and are considering how to make it available to the staff members that are collecting the information. Today I want to highlight Question #5 on form A.
"Is documentation found any time since admission that a neonatologist, neonatal fellow, pediatric resident or a neonatal nurse practitioner discussed the importance of providing milk for this infant?
a. Yes- check if any documentation by a neonatologist, neonatal fellow, pediatric resident or a neonatal nurse practitioner about the importance of providing milk for this infant is found in the infant chart or if you heard this information shared verbally (on rounds, overheard mother and MD speaking, etc.)
b. No- self explanatory
You will see that this information can be shared verbally with the person completing the form on rounds or if observed at the bedside when a doctor or practitioner interacts with a mother on the first day shift after admission. Certainly this should be documented; when direct information about this practice is available the nurse may document "yes" on the form.
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| Script for Counseling Mothers by Polly Sisk, PhD |
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 Two weeks ago, in the Wednesday newsletter, Polly shared research that dispels myths about talking to mothers who plan to formula feed "...several studies (Jaeger 1997, Miracle 2004, and Sisk 2006) indicate that mothers want evidence-based information about their feeding choices, these discussions do not increase anxiety (Sisk 2006), and these discussions are associated with high rates of pumping initiation and mother's milk feeding in VLBW infants." This week she shares a specific information that may be helpful to providers who are searching for a way to have this conversation with mothers. Click here to access the script.
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| Contact |
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 Karen Metzguer
PQCNC Improvement Advisor
metzguer@med.unc.edu
Work: 919-966-8391
Mobile: 919-619-6332
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