PowerPoint Presentationapp.ihi.org/extranetng/content/ddc6ae48-8a13-45a8... · Date of last...
Transcript of PowerPoint Presentationapp.ihi.org/extranetng/content/ddc6ae48-8a13-45a8... · Date of last...
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1A
Professions and Departments responsible for implementing the
policy are identified
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1B
Frequency of policy update and revision are included
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1C
Effective date
is listed
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1D
Date of last revision is listed
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1E
The process for orienting new staff to the policy is addressed
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1F
Timeframe for new staff orientation to the policy is described
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1G
Philosophy regarding the promotion of breastmilk substitutes, nipples, and
bottles is stated
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1H
Reference list is provided
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2A
Individuals(s) responsible for implementing and/or assuring staff
training is identified
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2B
Required curriculum content is addressed
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2C
Required number of training hours is addressed
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2D
Required hours of supervised clinical experience is addressed
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2E
Verification of staff competency is addressed
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2F
Acceptance of training acquired prior to employment is addressed
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2G
Documentation of staff education is addressed
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2H
Timeframe for training new staff is described
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3A
Individual(s) responsible for implementing patient education is
identified
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3B
Pregnant women are educated on the following topics:
* Benefits of breastfeeding
* The importance of exclusive breastfeeding
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3C Pregnant women are educated on the following topics:
1. Non-pharmacological pain relief methods for labor 2. Early initiation of breastfeeding 3. Early skin-to-skin contact 4. Rooming-in on a 24-hour basis 5. Baby-led feeding 6. Frequency of feeding in relation to establishing a milk
supply 7. Effective positioning and latch techniques 8. Exclusivity of breastfeeding for the first 6 months 9. Continuation of breastfeeding after introduction of
appropriate complimentary foods
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3D
Documentation of prenatal education is addressed
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3E
Philosophy regarding educational materials that contain company logos
has been stated
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3F
Avoidance of group talk on the use of formula and infant feeding bottles
has been addressed
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3G
Fostering the development of community-based programs that
make available individual counselling or group education on breastfeeding
has been addressed
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3H
Efforts to coordinate breastfeeding messages with those offered by
community-based programs have been addressed
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4A
A definition of skin-to-skin care has been stated, including application to all mothers and infants regardless of
infant feeding choice
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4B
Time parameters for skin-to-skin care have been identified
* For vaginal births
* For cesarean births
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4C
Staff responsibility regarding breastfeeding assistance during initial
skin-to-skin contact has been described
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4D
Implementation of routine newborn procedures has been addressed
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4E
Medical contraindications to immediate skin-to-skin contact have
been addressed
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4F
Documentation of skin-to-skin care has been addressed
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4G
Provision of skin-to-skin care initially delayed by medical contraindication
has been addressed
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4H
Initiation of skin-to-skin care for infants being cared for in the special
care nursery has been addressed
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5A
The process for supporting postpartum breastfeeding mothers has been described,
including:
1. Staff responsible for conducting postpartum breastfeeding assessment
2. Frequency of breastfeeding assessment
3. Documentation of breastfeeding assessment
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5B
The process for supporting postpartum breastfeeding mothers has been described, including:
1. Education of mothers regarding proper positioning and
latch 2. Education of mothers regarding manual expression 3. Education of mothers regarding effectiveness of
feeding 4. Education of mothers regarding maintenance of
breastfeeding for the first 6 months 5. Education of mothers regarding sign/symptoms of
infant feeding issues requiring referral to qualified health care provider has been addressed
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5C The process for supporting postpartum
breastfeeding mothers who are separated from their infants has been described,
including:
1. Timeframe within which breastmilk expression should begin
2. Frequency of expression 3. Storage and handling of expressed
breastmilk
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5D
The process for supporting mothers who feed their infants breastmilk
substitutes has been addressed, and includes verbal and written
education.
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5E
Education for mothers who feeding their infants breastmilk substitutes has been addressed, and
includes: 1. appropriate hygiene 2. cleaning utensils and equipment 3. appropriate reconstitution 4. accuracy of measurement of ingredients 5. safe handling 6. proper storage
7. appropriate feeding methods
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5F
Education for mothers who feeding their infants breastmilk substitutes has been addressed, and includes how to document this education.
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6A
The process for supporting mothers who request breastmilk substitutes
has been addressed. Including:
exploring and addressing the mother’s concern(s)
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6B
The process for supporting mothers who request breastmilk substitutes
has been addressed. Including:
educating the mother regarding the negative consequences of feeding
infants breastmilk substitutes
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6C
The process for supporting mothers who request breastmilk substitutes
has been addressed. Including:
documentation of the education
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6D
The process for supporting mothers who request breastmilk substitutes
has been addressed. Including:
medical indications for supplementation with breastmilk substitutes has been addressed
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6E
Administration of the supplemental feeding has been addressed, including:
1. Avoidance of artificial nipples 2. Supplemental feeding devices utilized by
facility 3. Education to be conducted with the
mother has been addressed regarding feeding options and how to administer supplementation
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6F
The process for supporting mothers who request breastmilk substitutes
has been addressed, including
medical order for supplementation
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6G
The process for supporting mothers who request breastmilk substitutes
has been addressed, including: documentation for reason of the
supplemental feeding
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6H
Procurement of breastmilk substitutes, infant feeding bottles,
and artificial nipples has been addressed
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7A
There is a description of rooming-in that includes time parameters
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7B
There is a description of rooming-in that includes application of rooming-
in to all mothers and infants regardless of feeding choice
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7C
There is a description of rooming-in that includes implementation of routine newborn procedures at
mother’s bedside
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7D
Documentation of interruption of rooming-in is described, and includes:
1. Reason for interruption
2. Location of infant during interruption
3. Time parameters of interruption
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7E
Process of supporting mothers who request their infants be taken to the
nursery is described. Including:
Exploration of mother’s request
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7F
Process of supporting mothers who request their infants be taken to the
nursery is described. Including:
Education of the benefits of keeping infant in close proximity
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7G
Process of supporting mothers who request their infants be taken to the
nursery is described. Including:
Documentation of education
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7H
Process of supporting mothers who request their infants be taken to the
nursery is described. Including:
Support of exclusivity of breastfeeding for those infants being
cared for in the well-baby nursery
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8A
Mother education regarding feeding infants on cue is addressed, including recognition of feeding cues to initiate
feedings
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8B
Mother education regarding feeding infants on cue is addressed, including no limits on how often or how long
infants should be fed
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8C
Mother education regarding feeding infants on cue is addressed, including:
normal newborn feeding expectations
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9A
Avoidance of the use of artificial nipples, infant feeding bottles, and
pacifiers is addressed
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9B
The process of educating mothers requesting pacifiers is addressed,
including possible negative consequences regarding
breastfeeding
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9C
The process of educating mothers requesting pacifiers is addressed,
including documentation of education
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9D
In facility where pacifiers are utilized, medical conditions warranting their
use are described
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9E
The process of educating mothers requesting feeding bottles is addressed, including possible
negative consequences regarding breastfeeding
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9F
The process of educating mothers requesting feeding bottles is
addressed, including documentation of education
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10A
The process for community follow-up for breastfeeding dyads is described,
including the facility’s role in fostering the establishment of community breastfeeding support services
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10B
The process for community follow-up for breastfeeding dyads is described,
including the method by which mothers are made aware of community support services
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10C
The process for community follow-up for breastfeeding dyads is described,
including recommendations for routine follow-up visits
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C1
Employees of manufacturers or distributers of breastmilk substitutes, bottles, nipples, and pacifiers have no direct communication with pregnant
women and mothers
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C2
The facility does not receive free gifts, non-scientific literature, materials, equipment, money, or support for breastfeeding education or events from manufacturers of breastmilk substitutes, bottles, nipples, and
pacifiers
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C3
No pregnant women, mothers, or families are given marketing materials or samples or gift packs by the facility that consist of breastmilk substitutes,
bottles, nipples, pacifiers, or other infant feeding equipment or coupons
for the above items
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C4
Any educational materials distributed to breastfeeding mothers are free from messages that promote or
advertise infant food or drinks other than breastmilk