| From the Data Dictionary... |
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 Today I want to highlight the pacifier question and refer you to the data dictionary information:
"Did you or another professional provide a pacifier on this shift?
a. Yes- I (or another provider) provided a pacifier on this shift. Family members providing pacifiers are not relevant to this question.
b. No- The child does not have a pacifier during this shift or has a pacifier that was not provided by you or another hospital staff member on this shift."
Certainly we might see opportunities to provide information to the mom trying to establish breastfeeding about a pacifier the family has provided, but the data form is meant to reflect the attitude and behavior we can control-our own. The data dictionary can be found on the PQCNC extranet or click here.
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| More on Skin to Skin from Emily Taylor, MPH, LCCE, CD |
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 This week, we are highlighting Skin-to-Skin in anticipation of our next Web-Based Learning Session We hear that many of you are feeling confident with the evidence that early and continued Skin-to-Skin facilitates breastfeeding. And, we know that many of you still have questions about how to change practice so that Skin-to-Skin becomes the norm. This will be the focus of next week's session.
In the meantime, we'd like you to consider learning more about the Warm Chain - an evidence-based package of practices designed to support optimal thermoregulation of the newborn, including:
1. Warm delivery room 2. Immediate drying 3. Skin-to-skin contact 4. Breastfeeding 5. Bathing and weighing postponed 6. Appropriate clothing and bedding 7. Mother and baby together 8. Warm transportation 9. Warm resuscitation 10. Training/awareness raising One important thing to note is that your team is likely already practicing MANY of these steps - You're well on your way! When teaching about the Warm Chain, you can increase breastfeeding and skin-to-skin while shifting your message from "breastfeeding-a practice that some will not prioritize" to "thermoregulation - a high priority for every nurse and doctor." Learn more (and get a giggle) by watching the World Health Organization's Video on The Warm Chain |
| Next Learning Session, Wednesday, February 23 2011 |
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 Please have as many of your team as possible join on the learning session via webinar on February 23 from 2-4 pm. Click here to join the webinar. In addition you will need to phone into the conference call number, 712-432-6100, then access code 96875#. Many of you have shared activities or changes that you are testing; the main purpose of our meeting will be to learn from each other what you are finding in these small tests of change.
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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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