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Subject:
From:
"Lown, Ann" <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Fri, 30 Aug 2002 09:20:30 -0600
Content-Type:
text/plain
Parts/Attachments:
text/plain (234 lines)
Hi, Michelle. I've been off-list for a long time. What were the results of
your survey? I'm grappling with what king of storage containers to recommend
for NICU. Thanks, Ann Lown IBCLC St. Vincent Hospital, Santa Fe, NM, where
it's beautiful clear fall, crisp nights, hot days with smell of roasting
chile on the air.

-----Original Message-----
From: Michelle I Scott [mailto:[log in to unmask]]
Sent: Tuesday, May 14, 2002 11:45 AM
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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