Upcoming important dates, next steps for the Milk Initiative...
(This email goes out to the key contact person from each team in the collaborative. Please share relevant information with your team members or others at your hospital.)
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Close to Me Webinar Today 2:00 PM
| | |  There are NO slides for today's presentation, instead we ask that you have reviewed the presentations mentioned below. The session will be conference call only:
Audio: 712-432-6100, passcode 96875#
We have been asked by the March of Dimes (MOD) if the PQCNC EHM groups would be willing to include a new MOD program in the effort to increase eclusive human milk rates in NICUs and nurseries. The MOD module called "Close To Me" is designed to promote and support kangaroo care. The initial version of this module is designed with NICU infants in mind but MOD would like to modify this module for use in promoting skin to skin care in all newborns. There are presentations geared to families and providers. Click here to view these presentations. (You'll need to click on the individual links to view all three documents.) The module is also available in Spanish.
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Well Baby Data Form Updated
| | |  The newly revised Well Baby Data Collection form is now available - click here to access. Please
- continue to enter data using the old form through the end of the month
- begin using the new form on July 1 2011
The data entry site will be offline starting July 1st to accommodate changes to the data set for the new form and will again be available for data entry on July 8th
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On the road...
| | |  Over the last month Mr. Cochran and I have been on the road visiting a number of hospitals participating in both EHM initiatives. Our intent had been to provide you all with ongoing encouragement, support and offer any assistance possible from PQCNC central in your efforts to get the vital work of EHM done. I hope we have been able to do this but you all should be aware of what you have done. At every facility Keith and I have visited we have met with enthusiastic, motivated and energetic team members dedicated to the work, doggedly overcoming obstacles and eager to share innumerable successes.
At all sites we have clearly heard the message that the EHM Nursery data collection is very intensive and forcing teams to choose between collecting data or executing changes. We are releasing a leaner data collection tool based on your input. While less consistent we have also heard from some centers about opportunities to improve the EHM NCCC data collection tool. We will be incorporating these requested reductions in data, none of which we are reporting on, in a revised data collection form over the next several weeks.
Teams from both the Nursery and NCCC side have asked that we further streamline reports to key elements. Suggestions have included skin to skin measures for both initiatives, EHM rates on the nursery side, EHM initiation and process measures supporting sustainment on the NCCC side.
We have not visited everyone. We only go where we are invited, but are more than happy to find the time to visit all of you! Contact us and let us know if visiting your facility would be of value. Our agenda at these visits has been to briefly speak with local leaders and team members about the current PQCNC projects and the larger mission of PQCNC. Then we get to the real point of the visit...you all telling us how to make things better. Specifically we want to know how the current initiatives can be improved (webinars, learning sessions, data collection, reports, focus of our collaborative efforts, sharing of practice etc). We also need to know what else PQCNC can do to serve the mission of perinatal care at your facility. The bottom line is PQCNC needs to be improving the value of perinatal care at your facility through initiatives that spread best practice, promote patient/family partnership and optimize resources. If we are not increasing the value of the perinatal care you all provide, we are not doing our job. We need you all to tell us how we might do that better.
The work you all are doing under challenging circumstances is inspirational. It is a privilege to be associated with all of you.
-Marty
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More on Donor Milk...(from Miriam Labbok)
| | |  The joint commission calls for infants to be exclusively fed human milk during the maternity stay. Generally, with immediate skin-to-skin and adequate breastfeeding support back in the room, most full terms will not need anything except their own mother's milk directly from the breast. But what is to be done when a medical issue arises that demands supplementation?
For the prematures and ill infants, the milk bank at WakeMed may be tapped to provide pasteurized donor milk. (For accessing donor milk, click here or the hospital staff may email Sue Evans or call 919-350-8599.) The sick infant is the priority for the milk bank, since there are often limited supplies. It is therefore all of our responsibility to suggest that mothers might become donors (For potential donors click here)
How then do we approach the situation where there is a medical need for supplementation?
1. If the medical problem is an infant issue - congenital or similar - the mother may be asked to express her own colostrum and milk which can then be fed by spoon or cup to the infant.
2. If the medical problem prohibits the use of the mother's own milk, supply may be sought from the milk bank.
3. If there is insufficient supply at the milk bank, the initially contacted donor milk bank can reach out to others.
4. Consideration might be given to keeping a frozen supply on hand at your hospital, (or, maybe, even, chatting with WakeMed Milk Bank, contacting HMBANA, and starting your own donor human milk bank!)
"On January 20, 2011, U.S. Surgeon General Regina M. Benjamin released The Surgeon General's Call to Action to Support Breastfeeding. Action 12 states, "Identify and address obstacles to greater availability of safe banked donor milk for fragile infants."
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| Contact |
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Keith M. Cochran
PQCNC Debrouillard
keith_cochran@unc.edu
919.966.8182
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