OSU Infant Feeding Policy Nursing Orientations

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OSU Infant Feeding Policy Nursing Orientations

• 12/6/99 - 12/17/99

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Infant Feeding Policy Committee

• Laura Plachta Chair
• Leandro Cordero
• Susan Purdy, Jeanne Setty
• Noemi Moorehead
• Mary Walton
• Kathleen Lux
• Cindy Brigle
• Jackie Rollins
• Joan Dury
• Mary Pruss
• Marianne Rehkop

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Summary of New Policies

• Infant Feeding Policy
• Positioning Policy Attachment
• Pump Policy Attachment
• Newborn Hypoglycemia Policy

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Summary of New Paperwork and Documentation

• 7WD Breastfeeding Log Sheets
• Patient Information Handouts
• The First 48 Hours
• Health for Life, to include Telephone Number List
  Handout (new)

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New Resource Directory

• Community Resource Books
• include referral information (knowledgeable
  breast pump sources, lactation specialists) for
  Greater Columbus and counties throughout Ohio

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Reasons to have an infant feeding policy
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1. Majority of OSU newborns are breastfed
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2. Standard of care at similar institutions,
university and community hospitals.
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3. Negative feedback from OSU patients regarding
infant feeding practices.

• - varying advice, warnings, mixed messages
• - results in anxiety, guilt and frustration

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4. Evidence of poor adherence to recommended
lactation practices.

• 1. Rooming-in
• 2. Chemstrips - 85
• 3. Supplemental feedings - 80
• 4. Varying bedside advice

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Patient Education, changes

• To begin EARLIER in hospital stay, commences with
  admit to dyad care. See new handout, The First
  48 Hours.

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Patient Education, changes

• At time of discharge, new paperwork will include
  Telephone Number Referral List only, located in
  Health for Life booklet.

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Patient Education

• at time admit (first shift), please complete
  information section at top of Breastfeeding Log
  for each new patient
• must address night-time feeding preferences We
  offer rooming-in care at OSU. This means our
  policy is to keep your baby with you at all
  times. Please call when you need assistance with
  breastfeeding or caring for your baby.

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Staff Education12/99 - 2/00

• Self instructional collection of lactation
  educational materials for your review at your
  convenience
• Comprehensive review at February mandatories,
  with lactation staff will stress familiarity
  with policy, bedside skills

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Staff Education

• Video The Clinical Management of Breastfeeding
  for Health Professionals
• AWHONN, 1999
• Post-test

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Staff Education
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Staff Education

• Two new reference books
• 1. Breastfeeding the Newborn, Clinical
  Strategies for Nurses
• Marie Biancuzzo
• 2. Breastfeeding, A Visual Guide
• Kathleen Auerbach

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Staff Education

• Website for self-study
• www.cwru.edu/med/breastfeeding

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Staff Education

• February Mandatories
• Small group review of positioning, latch
  assessment, familiarity with new infant feeding
  policy and role-play.

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OSU Infant Feeding PolicySummary of Changes

• New policies
• New patient educational materials
• Required documentation of feedings once a shift
  management of infants who are not feeding well
• New reference handbooks for Columbus and greater
  local area