ppt课件-b r e a s t f e e d i n g- healthy places（b r e s t f e e d n g -健康的地方）.pptVIP

BREASTFEEDING  PERFORMANCE IMPROVEMENT Using data to drive practice Karen Callahan, MSN RN Director Maternal Child Services Palos Community Hospital 26 bed LDRP Unit Level 2 ICN 1200 births per year 2.5 FTE Lactation Consultants IBCLC 4 new CLCs working 3p-7a Nursing Moms Network Breastfeeding Support Group Pump Rental Lactation Boutique Centricity Perinatal for L D charting Meditech for Post partum and Newborn charting Palos Community Hospital Timeline Breastfeeding PI Project2010-2011 Exclusive breastfeeding TJC Core Measure Actions: The exclusive breast feeding core measure from the Joint Commission added as a quality indicator for MCH nursing and Pediatric medical PI. Newborn feeding methods were developed in Meditech Patient Care System (PCS). Newborn standing orders were revised to include reasons for supplementation. Exclusive breastfeeding core measure is monitored monthly by the Quality Analyst and Lactation Consultants monthly. Nursing outlier cases are peer reviewed by the Unit Based Practice Council. Timeline Breastfeeding PI Project mPINC Survey Results returned Action Plan developed Skin to skin contact and initial breast feeding within 1 hour of vaginal birth and within 2 hours of c-section. The golden hour initiative implemented December 2010 for initiation of breastfeeding and skin to skin contact. Within 1 hour of a vaginal delivery and 2 hours of a c- section, skin to skin contact for 30 minutes. Skin to skin becomes standard of practice. GE Centricity PerinatalLabor Delivery Summary Feeding preference documented Breastmilk Formula Pump Undecided Golden Hour Initiative Skin to skin 30 minutes within 1 hr of vaginal delivery Skin to skin 30 minutes within 2 hrs of C-Section Initiate Breastfeeding within 1st hr post delivery Meditech Assessments Meditech EMR Meditech Assessments Meditech Assessments Breastfeeding Rates at PCH Years 2000-2010 MONTHLY STATISTICS Dec-10 Jan-11