Pre-School - Breast Pump Loan
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Version 2.0 January 2020 Pre-School - Breast Pump Loan Target Audience Who Should Read This Policy All Pre-school Staff
Transcript of Pre-School - Breast Pump Loan
Version 2.0 January 2020
Pre-School - Breast Pump Loan
Target Audience
Who Should Read This Policy
All Pre-school Staff
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Ref. Contents Page
1.0 Introduction 3
2.0 Purpose 3
3.0 Objectives 4
4.0 Process 4
5.0 Procedures connected to this Policy 5
6.0 Links to Relevant Legislation 5
6.1 Links to Relevant National Standards 5
6.2 Links to other Key Policies 6
6.3 References 7
7.0 Roles and Responsibilities for this Policy 9
8.0 Training 10
9.0 Equality Impact Assessment 11
10.0 Data Protection and Freedom of Information 11
11.0 Monitoring this Policy is Working in Practice 12
Appendices
1.0 Ardo Calypso Electric Breast Pump with Hand Set 13
2.0 Items to be Supplied and Returned to the Trust 14
3.0 Breast Pump Log Sheet 15
4.0 Conditions of Supply Agreed between Health Professional and Mother 16
5.0 Ardo Standard Training Agenda 18
6.0 Ardo Checklist 19
7.0 Flowchart for Supplying Breast Pump 20
8.0 Training Needs Analysis for the BCPFT Breast Pump Loan Policy 21
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1.0 Introduction
Background Breastfeeding has a major role to play in Public Health as it promotes health and prevents illness in both mothers and babies. The World Health Organisation (WHO, 2011) recommends that infants should be exclusively breastfed from birth to six months. The Department of Health (2016) supports this stance stating that breastfeeding reduces illness through lowering the rates of gastroenteritis, respiratory infection and that it is associated with lower levels of childhood obesity. It benefits mothers by reducing the risk of them suffering from breast and ovarian cancer; it helps them to reduce their weight more easily after the birth of their baby (BMA Board of Science, 2009, cited in Public Health Outcomes Framework, 2016). Breastfeeding is associated with other health benefits; in children this includes prevention of ear infections, necrotising enterocolitis, allergies, sudden infant death, Type 1 diabetes and childhood leukaemia while in mothers it includes reducing the risk of cardio vascular disease and obesity (Unicef, 2016). A reduction in these conditions results in cost savings to the NHS through reduced hospital admissions and treatment. The health benefits which result from effective infant feeding go beyond promoting good physical health; breastfeeding supports positive mental health in mothers and better mental health outcomes in children (Heikkila et.al.,2011, Licate et.al., 2015, Oddy,et.al., 2009, Jackson,D., 2016). Dudley Borough has a particularly low initiation rate for breastfeeding with the figures of 51.3% (NHS England 2017) while in England as a whole the average rate for initiation is 74.5% (Public Health England,2016/ 17). Figures show that in England as a whole at 6 weeks of age the breastfeeding rate is 47.9% while in Dudley it is 50% with 37% of babies totally breastfed and 13% partially breastfed (Local statistics, Quarter 2, 2019/20).The loan of a breast pump can help to increase the length of time that a woman can continue to breastfeed her baby for. Helping women to initiate breastfeeding and to continue to breastfeed are in line the Baby Friendly Initiative Standards (Unicef, 2019) and NICE guidelines (2015) also support this stance. This policy sets out the guidelines for the supply and use of the ‘Ardo Calypso Electric Breast Pump’ (see Appendix 1 and 2) to breastfeeding mothers. Some mothers may need to express breast milk and while hand expression is the method taught to mothers and is the one of choice, it is recognised that there are some occasions when the use of an electric breast pump is a good alternative. It is acknowledged that an electric breast pump may be an appropriate mechanism to help establish or support lactation, especially for longer term use. Application of This Policy 2.0 Purpose The purpose of the Breast Pump Policy is to provide evidenced based information and advice to be given by health professionals to all parents in Dudley to provide a safe, clear process for the supply and use of the ‘Ardo Calypso Electric Breast Pump’. The policy provides healthcare professionals who are responsible for supplying the pumps with clear guidance of when the pumps should be supplied, who is eligible to receive the pumps and the return procedure.
The information provided within this policy is in line with Breastfeeding Network BfN (2019) leaflet ‘Expressing and Storing Breast milk’ and Ardo company (downloaded, 2020).
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3.0 Objectives
Ensure that the staff member who supplies the breast pump to the mother is aware of to operate it and complies with the necessary procedures for lending the pump, will give it to an eligible mother and ensure that the pump is returned.
Outline the training required by the Health Professionals who are responsible for teaching mothers how to use the pump.
Outline criteria that needs to be met by mothers wishing to receive a pump.
Outline the procedure for collection and return of the pumps.
Give infection control guidance which covers essential cleaning and sterilising responsibilities.
Outline governance guidelines for the paperwork involved with collection and return of the pump.
State the recording procedure for the Ardo collection sets.
To support and sustain breastfeeding by providing mothers access to use of breastfeeding pumps.
4.0 Process – also see appendix 7
Black Country Partnership Foundation Trust will only supply a breast pump to mothers who pay council tax to Dudley MBC. Criteria for use The pump is to be used on a short term basis for between two to four weeks when:
The mother and/or baby have a medical condition.
Hand expression is not appropriate or has been unsuccessful.
A mother wants to increase her supply of breast milk.
Mother and baby are separated.
An assessment by a health professional shows that there is a clinical need. Examples of circumstances where the breast pump should be made available:
Pre-term infants in the neonatal unit or paediatric ward
Babies who are potential risk of faltering growth or are failing to thrive and breastfeeding
Babies with additional health needs, anomalies or situations which may interfere with breastfeeding but are being breastfed e.g. pre-term, cardiac, cleft lip/palate and tongue tie
Mothers who experience difficulties e.g., traumatised nipples and/or difficulties latching on/mastitis/breast abscess
When a mother and baby are separated for any health reasons or episode of crisis
A mother who needs to express milk if she is hospitalised
A mother who needs to increase her milk supply e.g. to re-lactate as part of the care package
When a baby is unable to feed over a prolonged period of time
Mother on temporary medication that prevents breastfeeding
Twin/Multiple births
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The Health Professional must: Ensure that a face to face consultation has taken place and that the breastfeeding assessment page has been completed in the parent held record. Where mother and baby are together the Health Professional must observe the baby feeding. Give out the, ‘Off to the Best Start Leaflet’ or advise mother how to download it at https://www.unicef.org.uk/babyfriendly/baby-friendly-resources/breastfeeding-resources/off-to-the-best-start/ Explain how the pump operates and provide the instructions or give the website address for the instructions. Discusses the points listed in The Ardo Standard Training Agenda (Appendix 6). Ask the mother to recap this information to ensure she understands it fully. Explain the terms of lending the pump and gain the mother’s agreement to this. Discusses the Conditions of Supply Agreement (Appendix 4) and gain written consent. Complete the appropriate paperwork that is, the Breast Pump Log Sheet (Appendix 3) and the Conditions of Supply Agreement (Appendix 4); agree the date that the pump will be returned. Maintain a folder with a record of the Health Visitor or Family Nurse Partnership Team’s breast feeding pump equipment. This will contain the breast pump log sheet, the signed Conditions of Supply Sheet and a copy the Warranty and Error Message (Appendix 5). It is the Health Professional’s responsibility to know where all the pumps are at any time. Ensure that the pump is returned on the date agreed with the mother, check that the equipment is in full working order on its return. Report missing or faulty equipment to their Line Manager. On returning the pump it should be cleaned with a clinell wipe on its return, it should be cleaned with a damp wipe and not wet. The pumps sets are disposable and a new one is available for each new woman from base where the pumps are stored. 5.0 Procedures connected to this Policy There currently no procedure connected to this policy. The Health Professionals involved should ensure that they have attended the two day Unicef Baby Friendly training, annual Trust update and completed a Practical Skills Review at least once every 12 months.
6.0 Links to Relevant Legislation No relevant legislation linked to this policy.
6.1 Links to Relevant National Standards NICE Clinical Guideline PH11, Maternal and Child Nutrition, (2008, updated 2014) This guidance covers the nutrition of pregnant women, pre conception, mothers and other carers of children under five years of age. It aims to address dipartites in the nutrition of low income and other disadvantaged groups covering Healthy Start, diet, infant feeding, child health promotion, allergies and oral health. Recommendation 12, talks specifically about hand expression stating that all mothers should know how to hand express. It states that: Mothers should be advised that expressed breast milk can be stored for:
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Up to 5 days in the main part of the fridge at 4 degrees C or lower
Up to 2 weeks in the freezer compartment of a fridge
Up to 6 months in a domestic freezer, at minus18 or lower Mothers should be advised that breast milk stored for less than 5 days in the fridge has it properties preserved more effectively than freezing. Mothers should be advised that frozen breastmilk should defrost in the fridge and should not be re frozen once it has been thawed. A microwave oven should never be used to warm or defrost breastmilk. Unicef Baby Friendly Standards Stage 3 has been achieved by the Health Visiting and Family Nurse Partnership Services and therefore staff are enabled to:
Support pregnant women to recognize the importance of breastfeeding and early relationships.
Enable mothers to continue breastfeeding for as long as they want.
Support mothers to make informed decisions regarding the introduction of food or solids other than breastmilk.
Support parents to have a close and loving relationship with their baby. CQC Regulation 14: Meeting Nutritional and Hydration Needs The intention of this regulation is to make sure that people who use services have adequate nutrition and hydration to sustain life and good health and reduce the risks of malnutrition and dehydration while they receive care and treatment. To meet this regulation, where it is part of their role, providers must make sure that people have enough to eat and drink to meet their nutrition and hydration needs and receive the support they need to do so. People must have their nutritional needs assessed and food must be provided to meet those needs. This includes where people are prescribed nutritional supplements and/or parenteral nutrition. People's preferences, religious and cultural backgrounds must be taken into account when providing food and drink. 6.2 Links to other Key Policies
Pre-School - Infant Feeding Policy The purpose of this policy is to ensure that all staff within the Black Country Partnership Trust understand their role and responsibilities towards pregnant women, new mothers and their partners in supporting them to feed and care for their baby in ways in which support optimum health and well-being in line with UNICEF UK Baby Friendly Initiative, NICE Clinical Guidelines and the local pathway. The policy supports the Unicef Baby Friendly Standards to ensure that staff are trained and informed around infant feeding to give babies and parents the best support possible.
Infection Prevention and Control Assurance Policy The purpose of this document is to set out the system for the prevention and control of infection in the Black Country Partnership NHS Foundation Trust, which is a key priority within the Trusts strategic objective of patient safety. The Trust has a continued commitment to an approach whereby prevention & control of infection is viewed as integral to service delivery and development.
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Pre-School - Dudley Safer Sleep Policy The policy has been developed to enable evidenced based information to be given to all parents in Dudley, by Midwives, Neonatal nurses, FNP and Health Visitors in the ante natal period at the new birth visit and at any other point of contact. The policy will provide professionals and support workers with the information they need, so that parents and carers of young babies can be given a consistent message about safer sleep. The main issues addressed in the policy are risk factors and vulnerable babies.
Pre-School - Health Visiting (Overarching) Policy This policy applies to all members of the Health Visiting team and includes Health Visitor Team Leaders, Health visitors/Family Nurses, Community Nursery Nurses, Administrative staff, and their Team Leaders. Also refer to ‘Pre-School - Health Visiting (Overarching) - SOP 04 - Health Visiting Caseload Management’ and ‘Pre-School - Health Visiting (Overarching) - SOP 05 - Family Nurse Partnership Caseload Management’. 6.3 References
Ardo and Medela company pump instructions (downloaded, 2020), https://www.ardo-usa.com/media/catalog/product/Ardo_Calypso_UserInstructions_11-2014_USA_en_es_10.12.2014_small_4.pdf
BMA Board of Science (2009), cited in Public Health Outcomes Framework, 2016, (section 2.02) p54, Department of Health (2016) Public Health Outcomes Framework: Improving health and supporting transparency, Part 2: Summery of technical specifications
https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/545605/PHOF_Part_2.pdf , downloaded 30/7/18.
Department of Health (2016) Public Health Outcomes Framework: Improving health and supporting transparency, Part 2: Summery of technical specifications
https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/545605/PHOF_Part_2.pdf , downloaded 30/7/18.
Heikkila, K et.al. (2011), Breastfeeding and child behaviour in the Millennium Cohort Study. Archives of Disease in childhood, doi:10.1136/adc.2010.201970
Jackson, D (2016), The Association between Breastfeeding Duration and Attachment: A genetically informed analysis, Breastfeeding Medicine, doi:10.1089/bfm.2016.0036
Licate, M., Kristen, S and Sodian, B. (2015) Mother-Child interaction as a Cradle of Theory of Mind: the role of emotional availability. Social Development, DOI: 10.1111/sode.12131
NICE (2015), Maternal and child nutrition, Public Health Guidance QS98, https://www.nice.org.uk/guidance/qs98 , accessed 18/9/18
Oddy, W.H., Kendall, G.E., Li,J. et.al. (2009) The Long-Term Effects of Breastfeeding on Child and Adolescent Mental Health: a Pregnancy Cohort Study Followed for 14 Years, Jpeds. Vol 156, Issue 4, 568-574
Public Health England, 2019 National Quarter 1 for England Breastfeeding prevalence at 6-8 weeks (experimental statistics), www.gov.uk/phe accessed 9/1/20
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Public Health England, 2016/ 17, Public Health Profiles
UNICEF (2016) Breastfeeding and Relationship Building A Workbook, 2nd Ed, UNICEF
World Health Organisation (2011) Exclusive breastfeeding for six months best for babies everywhere, who.int/mediacentre/news/statements/2011/breastfeeding-20110115/en/
Relevant Web Links: www.nice.org.uk www.unicef.org.uk/BabyFriendly/About-Baby-Friendly/Breastfeeding https://www.unicef.org.uk/babyfriendly/accreditation/maternity-neonatal-health-visiting-childrens-centres/stage-1-a-firm-foundation/ https://www.unicef.org.uk/babyfriendly/accreditation/maternity-neonatal-health-visiting-childrens-centres/stage-2-an-educated-workforce/ https://www.unicef.org.uk/babyfriendly/accreditation/maternity-neonatal-health-visiting-childrens-centres/stage-3-parents-experiences/ www.nhs.uk/breastfeeding www.nhs.uk/start4life
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7.0 Roles and Responsibilities for this Policy
Title Role Key Responsibilities
The Chief Executive Trust Leads - Has responsibility for ensuring that the public health contribution to promote the health and wellbeing of children is
discharged effectively through the services provided by BCPFT and through working in partnership with relevant agencies and organisations within the Dudley Borough.
The Chief Operating
Officer
Trust Leads - Will ensure that there are appropriate resources to promote the health and wellbeing of children in Dudley.
The Director of the Children’s Division
Trust Leads - Has a strategic responsibility for Health Visiting across the organisation and provides support to enable the operational delivery of this area of work.
- This ensures that there is a clear line of accountability and governance within the Trust and the provision of services are
designed to promote and safeguard the welfare of children.
The Children’s Division
Senior Management
Team
Implementation
and operational
- Has the strategic and clinical lead in all aspects of the Health Visiting Service and will ensure there is adherence to relevant
clinical policies, procedures and guidelines.
- That the highest standard of care is provided to support expectant and new mothers and their partners to feed their baby and build strong and loving parent-infant relationships in recognition of the ‘profound’ importance of early relationships to
future health and wellbeing. - To ensure that staffs are aware of the ‘significant’ contribution breastfeeding makes to good physical and emotional health
outcomes for children and mothers. - To ensuring that all care is mother, family and ‘child-centred’, non-judgemental and that all mothers’/parents’ decisions are
‘supported and respected’.
Health Visitor Team Leaders
Implementation and adherence
- Have the daily operational management of the Health Visiting Service and are required to ensure all staff are suitably trained, to enable them to implement the policy as appropriate to their role.
- That all staff are familiarised with this policy on commencement of their employment and new staff receive training within
6 months of commencement of employment. - All documentation will fully support the implementation of these standards.
- Parents’ experiences of care will be listened to through: regular audit and parents’ experience surveys etc.
All members of the
Health Visiting Team
Adherence - Responsible for complying with this policy and raising any exceptions of service delivery to their managers.
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8.0 Training Please refer to the Training Needs Analysis document completed for this policy and the Breastfeeding Co-ordinator, Public Health - Dudley (Appendix 8).
All new staff are to be familiarised with this policy on commencement of their employment.
All staff are to receive training to enable them to implement this policy as appropriate to their role.
New staff are to receive appropriate training within 6 months of commencement of their employment.
Training regarding the ‘International code of Marketing of Breast-Milk Substitutes is to be implemented throughout the service.
Appropriate training also needs to ensure that all documentation fully supports the implementation of the ‘Baby Friendly Initiative’.
What aspect(s) of this policy
will require staff training?
Which staff groups require
this training?
Is this training covered in the Trust’s Mandatory and
Risk Management Training Needs Analysis document?
If no, how will the
training be delivered?
Who will deliver
the training?
How often will staff
require training
Who will ensure and monitor that staff have
this training?
The Baby
Friendly standards.
Knowledge to
support parents
to effectively feed their baby.
All Health Visitors,
Family Nurses and Nursery Nurses
who work in Health Visiting Teams.
If yes, please refer to it for
details on training requirements, and update
frequencies
No
Via Health Visitors within
the service.
Health Visitors who
have completed the Baby Friendly Train
the Trainer course.
Initial two day
training.
Yearly updates.
Lead for the BFI
programme.
All PCHR
have breast pump loan
recorded as being given
4.2 Flowchart for
Supplying Breast Pumps
Audit of primary pack
resources (audit takes place through the supply record
book where each occasion is recorded against the relevant
pump reference number, so the whereabouts of each
pump is always known)
Via Health Visitors within
the service.
Health Visitors who
are Key Workers for Baby Friendly.
Initial two day
training.
Yearly updates.
Lead for the BFI
programme.
Only
recommended
leaflets given out at new birth
contact and 6-8 week review.
4.2 Flowchart for
Supplying Breast
Pumps
Audit of leaflets held at basis
and that are given out at the
new birth contact.
Via Health Visitor team
Leaders
Feedback to team via
team meetings.
ongoing Team Leaders
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9.0 Equality Impact Assessment
Black Country Partnership NHS Foundation Trust is committed to ensuring that the way we provide services and the way we recruit and treat staff reflects individual needs, promotes equality and does not discriminate unfairly against any particular individual or group. The Equality Impact Assessment for this policy has been completed and is readily available on the Intranet. If you require this in a different format e.g. larger print, Braille, different languages or audio tape, please contact the Equality & Diversity Team on Ext. 8067 or email [email protected]
10.0 Data Protection and Freedom of Information
Data Protection Act provides controls for the way information is handled and to gives legal rights to individuals in relation to the use of their data. It sets out strict rules for people who use or store data about individuals and gives rights to those people whose data has been collected. The law applies to all personal data held including electronic and manual records. The Information Commissioner’s Office has powers to enforce the Data Protection Act and can do this through the use of compulsory audits, warrants, notices and monetary penalties which can be up to €20million or 4% of the Trusts annual turnover for serious breaches of the Data Protection Act. In addition to this the Information Commissioner can limit or stop data processing activities where there has been a serious breach of the Act and there remains a risk to the data. The Freedom of Information Act provides public access to information held by public authorities. The main principle behind freedom of information legislation is that people have a right to know about the activities of public authorities, unless there is a good reason for them not to. The Freedom of Information Act applies to corporate data and personal data generally cannot be released under this Act. All staff have a responsibility to ensure that they do not disclose information about the Trust’s activities, this includes information about service users in its care, staff members and corporate documentation to unauthorised individuals. This responsibility applies whether you are currently employed or after your employment ends and in certain aspects of your personal life e.g. use of social networking sites etc. The Trust seeks to ensure a high level of transparency in all its business activities but reserves the right not to disclose information where relevant legislation applies. The Information Governance Team provides a central point for release of information under Data Protection and Freedom of Information following formal requests for information; any queries about the disclosure of information can be forwarded to the Information Governance Team.
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11.0 Monitoring this Policy is Working in Practice
What key elements will
be monitored? (measurable policy
objectives)
Where
described in policy?
How will they be
monitored? (method + sample size)
Who will
undertake this monitoring?
How Frequently?
Group/Committee
that will receive and review results
Group/Committe
e to ensure actions are
completed
Evidence
this has happened
Each team will hold a folder
holding the completed
paperwork when a pump is lent out.
Team Leader and baby
Friendly Key Workers will
ensure pumps are lent out in accordance with
this policy.
Team Leader and
BFI Key Workers
Review folder
and paper
work quarterly.
Clinical Excellence
Group
Clinical Excellence
Group
Minutes of
meetings
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Appendix 1
Ardo Calypso Electric Breast Pump with Hand Set
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Appendix 2
Items to be Supplied and Returned to the Trust
Ardo bag containing (all items returnable): Ardo Calypso pump
Mains adapter
1 double bottle holder
Laminated Ardo operating instructions for the calypso breast pump
Laminated Ardo Breast Massage and Breastfeeding Positions
BfN leaflet expressing and storing breastmilk Items to be supplied but are non-returnable and disposed of by recycling with other plastic items unless used with an Ardo Amaryll Kombikit* include: Ardo Sterile OneMum pump Set
150 ml bottle
Adapter tube cover
Flexible membrane pot
26mm breast shell (mums would need to purchase different sized shells themselves if this is not the correct size)
Lip value
Silicone tubing
Tube connector
Bottle cap
cap liner *Amaryll Kombikit is used with the Ardo Sterile OneMum pump set to convert the pump set into a manual breast pump. This has to be bought directly from Ardo products by the client.
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Appendix 3
Breast Pump Log Sheet
Breast pump serial no.
Date loaned out Loaned to Date due back Returned?
Mum: Baby: DOB: Address: GP:
Mum: Baby: DOB: Address: GP:
Mum: Baby: DOB: Address: GP:
Mum: Baby: DOB: Address: GP:
Mum: Baby: DOB: Address: GP:
Mum: Baby: DOB: Address: GP:
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Appendix 4
Conditions of Supply Agreed between Health Professional and Mother
Please read this carefully and sign below. A copy will be kept by the Trust and you will be given a copy of the agreement. Name ............................................................................ Address......................................................................... ...................................................................................... ...................................................................................... ……………………………………………………………… Home phone number.................................................... Mobile number.............................................................. I accept supply of the Ardo breast pump. The breast pump today is supplied for up to two weeks and remains the property of the Trust. The collection sets are not for return. I have checked it and confirm it includes the following:
□ 1 Ardo bag containing
□ Ardo Calypso pump
□ Mains adapter – this is specific to the pumps (please check it is correct adapter on return)
□ 1 double bottle holder
□ Laminated Ardo operating instructions for the calypso breast pump
□ Laminated Ardo Breast Massage and Breastfeeding Positions
□ BfN leaflet expressing and storing breastmilk
□ 1 Sterile OneMum pump set
I have received instruction on how to use the pump Yes No A return date has been agreed for the pump Yes No I agree to return the pump in full working order and undamaged. Yes No I agree to collect and return the pump to the named health professional based at............................................................. (Designated Health Centre) on the dates specified below (alternatively a health visitor can collect the machine) By signing this form you are taking responsibility for the safe return of the breast pump in a clean and serviceable condition. Date supply commenced...................................... Date pump to be rebooked or returned........................................... (to be reviewed every two weeks - if there is no waiting list for the pump, a mum can continue with her loan of the pump) Mother’s signature........................................Print name.......................................................... Health Professional’s signature.........................................Print name..................................... Contact number.......................................................................................................................
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You must inform the Breastfeeding Buddy/Health Professional if:
□ you change address
□ the equipment is lost or damaged
□ you no longer require the equipment
Warranty and Error Messages The Calypso Compact has a guarantee of one year. If the red light shows it means that the warranty of 400 hours of pumping has expired. If there is a flashing light either red and green or red and amber contact Ardo main office and speak to the Calypso repair team. Please check that the correct plug adapter is returned with the pump.
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Appendix 5
Ardo Standard Training Agenda
The OneMum Pump set is a Single use Set
The standard size is 26mm breast shell which fits 95% of mums
Ardo stock other sizes 22mm and 28mm inserts
Also 31mm and 36mm breast shell Cleaning the OneMum Pump set
Hot water wash and cold water rinse
Microwave steam bags or containers
Electric steaming
Dishwasher
Milton Cleaning solution What parts can be cleaned?
The membrane
The breast shell
The lip valve
The bottle What parts cannot be cleaned?
The cap
The silicone tube
The tube connector The tubing on the pumpset is made of silicone and is hydrophyllic meaning it will attract and hold water molecules and it can take up to 72 + hours to fully dry. Thus causing standing water allowing for a bacterial build up. Breast shell fitting The breast shell size is correct if:
The nipple moves freely in the funnel and can follow the rhythmic movements of the pump
None or very little of the areola tissue is in the funnel
The milk flows and breast feels soft everywhere after pumping If the breast shell is too small
The nipple rubs against the wall of the funnel
Expression is uncomfortable even with a weak vacuum
The milk only flows slowly
The mother can express less milk than expected If the breast shell is too big
The areola is also sucked into the funnel
Expressing is uncomfortable
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Appendix 6
Ardo Checklist
Client Name: _________________________________________________________ Baby’s Name:_________________________________________________________ Date of Loan:_________________________________________________________ Return Due Date:______________________________________________________ Outgoing Check List
Make sure pump is clean for clients immediate use
Make sure the pump has a sterile Ardo Collection Kit
Check that there are instructions inside the box
Incoming Checklist
Clean the pump with appropriate cleaning solution
Remove and dispose of any Collection Set items returned
Check the Adaptor is in with the pump
Check the pump is functioning correctly
Add instructions for use if missing
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Appendix 7
Flowchart for Supplying Breast Pump
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Appendix 8:
Training Needs Analysis for the BCPFT Breast Pump Loan Policy
Training Topic
Objective of training
Brief summary of key training content required
Staff Groups applicable to (including numbers)
Delivery method
Frequency Monitoring & Reporting
Two UNICEF BFI course
Annual half day update
To enable staff to implement the UNICEF baby friendly breast feeding standards according to their role. This covers the use of expressing breastmilk and using a pump.
Preparation for pregnancy and parenthood
Breast feeding pathway – antenatal, post-natal
Infant feeding assessment and checklist
Health Visitors, Family Nurses and Nursery Nurses.
Two day course
Half day training sessions
Annual updated
Training record is maintained by BCPFT preschool. There is a requirement for the training record to be submitted yearly as part of the accreditation process for the implementation of the UNICEF policy (see appendix 1)
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Policy Details
* For more information on the consultation process, implementation plan, equality impact assessment, or archiving arrangements, please contact Corporate Governance
Review and Amendment History
Version Date Details of Change
2.0 Jan 2020 Policy Fully reviewed and updated
1.0 May 2016 New policy for BCPFT
Title of Policy Breast Pump Loan Policy
Unique Identifier for this policy BCPFT-CYPF-POL-04
State if policy is New or Revised Revised
Previous Policy Title where applicable Breast Pump Lending
Policy Category Clinical, HR, H&S, Infection Control etc.
Clinical Sub Category: CYPF/Pre-School
Executive Director whose portfolio this policy comes under
Executive Director of Nursing
Policy Lead/Author Job titles only
Health Visitor Team Leader
Committee/Group responsible for the approval of this policy
Dudley Quality and Safety Group
Month/year consultation process completed *
February 2020
Month/year policy approved April 2020
Month/year policy ratified and issued May 2020
Next review date January 2023
Implementation Plan completed * Yes
Equality Impact Assessment completed * Yes
Previous version(s) archived * Yes
Disclosure status ‘B’ can be disclosed to patients and the public
Key Words for this policy Brest Pump Loan, Baby Friendly, Electric Breast Pump, Breastfeeding
