| Learning Session 1 Evaluations |
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 Please alert all team members who attended the learning session on either January 18th or 20th 2011 that the evaluations were emailed to them on 31 January from Wake AHEC. They must be returned by Monday 7 February in order to receive CME's or CEU's. Anyone who did not receive the evaluation should contact Kimberly Kornegay, Wake AHEC Project Coordinator, CME/Library/Quality Services, (919) 350-0469 this week.
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| "Potentially better practices" = Time to Test |
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 Teams are collecting and entering data on mothers and babies and we are busy working on the capacity to deliver reports and analysis of the data. Teams may be working in L&D to support optimal feeding intentions and/or in the postpartum arena to show mothers how to breast feed and express milk. We will discuss what you are testing in our February meeting. If you are searching for opportunities or ideas to test take a look at this list provided by the clinical leads.
Potentially better practices to consider testing...
In L&D: 1) Ask five women coming in for induction, "What have you heard about breastfeeding," follow up with "We've got lots of support to make sure you are comfortable feeding your baby before you go home," and document discussion, or 2) Delay eye drop / vit K procedures for one hour on 5 babies, or 3) Place baby skin-to-skin on mom immediately following five well-baby births, and support continued skin-to-skin for at least one hour.
On the Maternity floor: 1) Teach 2 families about their babies' incredible feeding cues, or 2) Inform 2 mothers or the risks and benefits of supplemental feedings, or 3) Keep 2 babies in a room with their mothers all night or 4) Teach 2 moms signs of effective milk transfer.
Remember to use a form or tool to design a test-this will prompt you to think about the aim, logistics (who, when, etc.), hypothesis, etc. and then plan to huddle to discuss the learning with a small team who will use the information to plan the next test.
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| 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 #6:
Is there documentation or did the L&D nurse report that the mother and infant were skin-to-skin (i.e., infant placed unclothed directly on mom's chest/abdomen) after birth?
You will see that this information can be shared verbally with the person completing the form. Certainly this should be documented; however, when direct information about this practice is available the nurse may document "yes" on the form. Additionally, you will note that if the amount of time is unknown, check "yes-1-29 minutes or if amount of time unknown."
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| The Surgeon General's Call to Action to Support Breastfeeding |
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During our learning session on 20 January, the US Surgeon General launched a Call to Action which expands on the 19 ideas listed in the HHS Blueprint, and presents 20 specific policies and activities that will effectively support, promote and protect breastfeeding. Explore this link for multiple resources for your team and your hospital.
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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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