Baby-Friendly is a huge process-improvement project, requiring multiple nursing units to work together to change policies and practices. We are very fortunate at Memorial to have a highly cooperative team of nurse leaders, physician champions, as well as support and encouragement from multiple levels of administration. Because of this, we have been able to move quickly through our Baby-Friendly Development Phase.
Here is a list of all we have been able to accomplish in 2012.
- Began skin-to-skin in the operating room after cesarean birth
- Stopped routinely taking babies to nursery for admission
- Newborn baths are now delayed for several hours
- Data collection using electronic medical record developed
- Step 4: Skin-to-skin immediately after delivery*
- Step 8: Babies feed on demand*
- Step 10: Free, outpatient breastfeeding support*
- Increased support group to 2 days per week
- Multidisciplinary Task Force created and meets most months
- Policy committee reviewed all current policies to assure they comply with Baby-Friendly
- Policy committee wrote all necessary new policies and revised some existing policies
- New and revised policies were presented to medical staff
- Policy is complete and ready for Baby-Friendly USA review 6 weeks ahead of schedule!
- Training committee was created and promptly changed their name to “Mavens”
- Mavens evaluated several training options for nurses and decided on a web-based version
- Decision to offer physicians a variety of ways to complete 3 hours of required breastfeeding education: web-based, paper/pencil, presentation at existing meetings and professional speakers
*These were completed before we began the Baby-Friendly project.
This is just a list of what has been completed. Many other projects are in the works. The Mavens are devising a plan to provide Baby-Friendly education for all hospital employees and to doctors’ offices. Prenatal patient education is being developed in conjunction with the local breastfeeding coalition. Improved charting for prenatal physician assessment is underway. Very soon we will stop giving patients gifts from formula companies. Professional speakers are being selected. We’re using our hospital’s Six Sigma resources to improve rooming-in.
The list goes on and on! There is never a dull day in Baby-Friendly world!