Check out the guidelines from Rush Mothers Milk Club in Chicago. (Its
Rush Presbyterian St Luke's). The guidelines there were useful when I
was working with a preemie.
With kind regards
Aileen Emerling IBCLC
Tokyo Japan
-----Original Message-----
From: Lactation Information and Discussion
[mailto:[log in to unmask]] On Behalf Of Michelle I Scott
Sent: Wednesday, May 15, 2002 2:45 AM
To: [log in to unmask]
Subject: Lactation Survey
One of the dietitians on my pediatric listserve is doing this survey and
would like feedback from our LC listserve if any of you work in a
hospital
setting AND have the time to answer it. I see it as an opportunity to
help
educate and share info with an important support group! TIA, Michelle
Scott,
MA,RD,IBCLC
Sent: Tuesday, May 14, 2002 7:33 AM
Subject: Re: [pedi-rd] Lactation Survey
Hi Michelle,
Bless you. You have my permission. The more responses I get, the better
idea
we would have of what everyone is doing. Thank you.
Sandra Whittington, RD, CSP, LD
Neonatal Nutritionist
All Children's Hospital
St. Petersburg, FL
From: Sandra Whittington <[log in to unmask]>
To: <[log in to unmask]>
Sent: Monday, May 13, 2002 10:29 AM
Subject: [pedi-rd] Lactation Survey
We are in the process of developing HACCP flowsheets for breast milk
issues.
Would you please give us an idea about what you are doing by completeing
this survey? If you feel someone elso in your organization is more
qualified
to complete thie would you forward this to them? Thank you for your
time.
LACTATION CONSULTANT SURVEY
BASIC PROGRAM INFORMATION
Is your hospital exclusively a children's hospital?
_____________________________________
How many NICU beds do you have? Level II ___________________Level
III______________
How many full time Lactation consultants are there in your
hospital?______________________
Do the Lactation Consultants have duties outside of breastfeeding
related
issues?_____________
B.F. rates?__________initation?__________________at
discharge?_______________________
Is follow up
provided?___________________________________________________________
Charge for in patient
consults______________________________________________________
Are out patient consults
done?_____________________________________Charge?__________
EQUIPMENT
Are electric breast pumps
provided?_________________________________________________
If yes, are they treated as a
rental?__________________________________________________
How
billed?_________________________________________________________________
___
How many pumps do you have
available?____________________________________________
Do you offer nursing
bras?________________________________________________________
Do you offer pump
rooms?________________________________________________________
How are the pumps
cleaned?______________________________________________________
With what?___________________By whom?____________________How
often?___________
Is something else offered that was not mentioned
here?_________________________________
STORAGE CONTAINERS
Please help us understand your use of storage containers. Do you provide
them for the families,
and are they a charge
item?_______________________________________________________
Do you use Playtex/Gerber
bags?__________________________________________________
Medela collection, storage, freezer
bags?____________________________________________
Milk
mate?___________________________________________________________________
_
Volufeed?_______________________________________________________________
____
__
Sterile specimen
containers?_________________________Glass?________________________
Are they used one time, or cleaned and
reused?_______________________________________
Other
comments?_______________________________________________________________
________________________________________________________________________
____
_
LABELING OF BREAST MILK
What information do you list on the labels? Do you re-label?
Fresh Milk: Name___________Date___________Time______________
Expiration_________Hospital #_________
Frozen Milk: Name__________Date____________Time_____________
Expiration_________Hospital #_________
Thawed:
Name___________Date_________Time________Expiration_______Hospital
#______
Any other way to verify: Additives____________Caloric
Value/oz___________
________________________________________________________________________
____
__
Lactation Consultant Survey (continued)
STORAGE
Is the milk
frozen?______________________________________________________________
Is it refrigerated
only?____________________________________________________________
Location of storage
area?_________________________________________________________
Is it in a common traffic
area?_____________________________________________________
Who places the milk in the storage
area?_____________________________________________
Who removes the milk for
use?____________________________________________________
WHAT GUIDELINES ARE GIVEN FOR HOSPITAL USE OF BREAST MILK?
Length of storage
time?__________________________________________________________
Room
temperature?____________________________________________________________
_
Refrigeration?__________________________________________________________
____
___
Frozen?_________________________________________________________________
____
_
Thawed?_________________________________________________________________
____
THAWING
How
thawed?_________________________________________________________________
_
Water
bath?___________________________________________________________________
_
Certain
temperature?____________________________________________________________
_
Length?_________________________________________________________________
____
__
Where is milk prepared?____________________________By
whom?_____________________
What additives are put in the
milk?_________________________________________________
DELIVERY OF MILK
If milk given through infusion pump, what is the hang
time?_____________________________
Do you change the position or location of the
pump?_______How?________________________
What type and brand of tubing is used to give plain
breastmilk?___________________________
What type and brand of tubing is used to give fortified
breastmilk?________________________
Criteria to go to
breast?___________________________________________________________
________________________________________________________________________
____
__
GIVING THE BREAST MILK
Is the milk double checked like
blood?_______________________________________________
Do you fractionate for hind
milk?___________________________________________________
Does your facility perform
creamatocrits?____________________________________________
Do you have protocols for implementing
feeds?_______________________________________
If breast milk is erroneously given to the wrong baby, what procedure do
you
follow?_________
(discuss with parents, HIV testing, other testing, documentation,
release
forms, occurrence
reports)________________________________________________________________
____
___
Thanks for taking the time to complete this!
Name___________________________________________________
Title or Position___________________________________________
Phone # or E-mail (if we can contact you)______________________
Sandra Whittington, RD, CSP, LD
Neonatal Nutritionist
All Children's Hospital
St. Petersburg, FL
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