Achieving BFHI Accreditation By Mary O Donnell RM

Achieving BFHI Accreditation By Mary O’ Donnell RM and Carmel Byrne RM

Mem bersh Carmel Byrne RM, Mary O Donnell RM ip in 2 003 3/4/2021

3/4/2021

Rooming In Formula distribution on ward Ante Natal Education Skin to Skin in theatre and labour ward Feeding Chart

• In March 2014 we felt that the time was right!!! • The consolidation work had been done. • Full support and backing of Immediate Midwifery Management. • Committee was in full swing. • Full implementation of the BFHI ten steps became our goal.

Step 1: Written Policy 1. National feeding policy for Maternity and Neo natal Services HSE 2012 adapted as local policy. Implemented and disseminated to all hospital staff. 2. We visibly posted a laminated summary of this policy in three languages in all prominent throughout the hospital. 3. An audit tool was devised to ensure effectiveness Carmel Byrne RM, Mary O Donnell RM

The Steps in Practice • The 10 Steps Card • Finance obtained for posters. Carmel Byrne RM, Mary O Donnell RM 3/4/2021

Step 2: Training All Health Care Staff • All Hospital Management were made aware of the benefits of this Whole Hospital Initiative. • We devised education sessions targeting Clinical and Non Clinical Staff. Carmel Byrne RM, Mary O Donnell RM 3/4/2021

Step 3: The ante natal discussion We devised renewed strategies for ante natal clinic education in the ANC. Visual: Posters Verbal: We developed a communication strategy for midwives to discuss these topics. Written: Laminated BFHI Links tied with coloured ribbons and left on chairs. Carmel Byrne RM, Mary O Donnell RM 3/4/2021

Step 4: Initiation of B/F We developed and implemented a local policy on skin to skin and non separation of mother and baby post vaginal and post C/S delivery. Carmel Byrne RM, Mary O Donnell RM 3/4/2021

Step 5: Showing Mothers how to B/F Staff Training : Study days. Ward Sessions Breast feeding Chart: Empowerment tool for Mothers Education guide for instruction of mothers regards the preparation of artificial feeds. Carmel Byrne RM, Mary O Donnell RM I Initiation P Position T Technique L Latch 3/4/2021

Step 6 Give Newborn no food or drink other than breast milk. Glover Tool Laminated Pocket Version to midwives and medical staff. Successful action plan on restriction of formula distribution on ward. Cup feeding B/ F stats Audit on supplementation Carmel Byrne RM, Mary O Donnell RM 3/4/2021

Step 7: Rooming in Rocks 3/4/2021

Step 8: Encourage B/F on demand Ante natal education Strategies on poster BFHI Hand-outs: Carmel Byrne RM, Mary O Donnell RM Resource Folder 3/4/2021

Step 9: Avoid giving teats and dummies Reiteration of Antenatal Education. Changing culture. Use of BFHI resources. Carmel Byrne RM, Mary O Donnell RM 3/4/2021

Step 10: Ongoing Support Close network with Community mothers. They attend our AN Classes. Discharge Booklet with a list of all local B/F support contact numbers. Women ring back the ward Several PHNs B/F Study days. Carmel Byrne RM, Mary O Donnell RM 3/4/2021

Our stepping stones for success will make a positive difference for • B-Believe This mothers and babies, families and society • L-Laughter • T-TEAM Carmel Byrne RM, Mary O Donnell RM Good humour & avoidance of negativity. T: Together E: Everyone A: Achieves M: More 3/4/2021

Stepping stones to full accreditation. Big Thank You to all Carmel Byrne RM, Mary O Donnell RM 3/4/2021

Background the steps Became a member of the BFHI in 2001. Submission of yearly action plans. The 1 st big step and change in practice was rooming in (Step 6 24 hour rooming in). No Change comes easy. Carmel Byrne RM, Mary O Donnell RM 3/4/2021

Background • In March 2014 we felt that the time was right !!! • The consolidation work had been done. • Full support and backing of Immediate Midwifery Management. • Committee was in full swing • Full implementation of the BFHI ten steps became our goal. Carmel Byrne RM, Mary O Donnell RM 3/4/2021

The Process 1 Written Policy National feeding policy for Maternity and Neo natal Services HSE 2012 adapted as local policy Implemented and disseminated to all hospital staff. 2 We visibly posted a laminated summary of this policy in three languages in all prominent throughout the hospital. 3 An audit tool was devised to ensure effectiveness Carmel Byrne RM, Mary O Donnell RM 3/4/2021

The Steps in Practice The 10 steps card Finance obtained for posters. Carmel Byrne RM, Mary O Donnell RM 3/4/2021

Step 2 Training All Health Care Staff 1 All Hospital Management were made aware of the benefits of this whole Hospital Initiative. 2 We devised education sessions targeting Clinical and Non Clinical Staff. Carmel Byrne RM, Mary O Donnell RM 3/4/2021

Step 3 The ante natal discussion. We devised renewed strategies for ante natal clinic education in the ANC. Visual: Verbal : We developed a communication strategy for midwives to discuss these topics. Written : Laminated BFHI Links tied with coloured ribbons and left on chairs. Posters Carmel Byrne RM, Mary O Donnell RM 3/4/2021

Step 4 Initiation of B/F We developed and implemented a local policy on skin to skin and non separation of mother and baby post vaginal and post C/S delivery. Carmel Byrne RM, Mary O Donnell RM 3/4/2021

Step 5 Showing Mothers how to B/F. Staff Training : Study days. Ward Sessions Breast feeding Chart: Empowerment tool for Mothers Education guide for instruction of mothers regards the preparation of artificial feeds. Carmel Byrne RM, Mary O Donnell RM I Initiation P Position T Technique L Latch 3/4/2021

Step 6 Give Newborn no food or drink other than breast milk. Glover Tool Laminated Pocket Version to midwives and medical staff. Successful action plan on restriction of formula distribution on ward. Cup feeding B/ F stats Audit on supplementation Carmel Byrne RM, Mary O Donnell RM 3/4/2021

Step 7 Rooming in Rocks Carmel Byrne RM, Mary O Donnell RM 3/4/2021

Step 8 Encourage B/F on demand Ante natal education Strategies on poster BFHI Handouts: Resource Folder Carmel Byrne RM, Mary O Donnell RM 3/4/2021

Step 9 Avoid giving teats and dummies Reiteration of Antenatal Education. Changing culture. Use of BFHI resources. Carmel Byrne RM, Mary O Donnell RM 3/4/2021

Step 10 Ongoing Support • Close network with Community mothers. • They attend our AN Classes. • Discharge Booklet with a list of all local B/F support contact numbers. • Women ring back the ward • Several PHNs B/F Study days. Carmel Byrne RM, Mary O Donnell RM 3/4/2021

Our stepping stones for success • B Believe This will make a positive difference for mothers and babies, families and society • L Laughter Good humour & avoidance of negativity. • T TEAM T: Together E: Everyone A: Achieves M: More Carmel Byrne RM, Mary O Donnell RM 3/4/2021

Stepping stones to full accreditation. Big Thank You to all Carmel Byrne RM, Mary O Donnell RM 3/4/2021