This is for Andrea Tran's posting regarding post discharge phone calls.  Our 
unit has been doing a Performance Improvement project where patients were 
contacted after discharge by phone and they were recontacted again at 3, 6, 9 and 
12 months to see how they were doing with breastfeeding and if anything they 
learned in the hospital was useful or did they feel they needed anyother 
information.  I have not been a part of the call team, since they need to be 
bilingual, but our Breastfeeding Taskforce has taken some of information and we are 
using it to help improve our education of the patient.  Interestingly, the 
concept of all staff saying the same thing is essential.  We have developed cards 
for Moms with Breastfeeding Tips and one for the staff so we can all be giving 
out the same information (especially the night shift).  We have implemented a 
mandatory Breastfeeding Education for all staff including Patient Care Techs. 
 When these are completed we will hitting up the Pediatricans and OB 
caregivers with a handout for their staff and themselves...so they know what we are 
teaching the evidence its based on.  
The questions need to be simple and the callers have a list to call and 
follow up with so their can be a "relationship" in the follow up calls.  Anytime a 
Mom wants "out" she can leave the survey.
Interestingly enough our NM who isn't really into breastfeeding has decided 
we need a second PI project on Patient Education.  She has asked us to take 
down some of our teaching posters and all posters will now go through her.  She 
declined to pay for 3 of us to go to ILCA  because we have had "too many 
Breastfeeding Conferences paid for"....so we will pay out of pocket ourselves 
because we believe that networking helps to enhance the patients knowledge through 
our knowledge.  What she doesn't realize is that a Patient Education focus will 
not involve bathing and diapering it always comes back to 
breastfeeding/infant feeding questions primarily.  
Hope this has given you an idea on your survey. You can privately email me if 
you want me to get you samples of the questions the girls ask the patients.
Leanne Jewell RNC, IBCLC,LCCE, FACCE

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