powerpoint presentation - nebraska safety council...lcbi project coordinator partnership for a...
TRANSCRIPT
5/5/2016
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Nicole Osborne, MS
Healthy Choices Coordinator
Nebraska Safety Council/WorkWell
Guest Speakers Kelli Hansen
NE Breastfeeding Coalition
Stacey Roach, NE Breastfeeding Coalition
Tami Frank,
Lincoln Community Breastfeeding Initiative
Emily Tvrdy
Lexington Community
Breastfeeding Initiative
Nikki Mullanix
Norfolk Community Breastfeeding Initiative
Recognition
Local Resources Across Nebraska
Toolkits and Additional Support
Resources for Mom
Recognition
Nebraska Breastfeeding Friendly Business Award
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Recognition
Nebraska Breastfeeding Friendly Business Award Criteria
• Offers a welcoming atmosphere that allows breastfeeding mothers to nurse or express milk in a designated location.
• Provides breastfeeding mothers access to a private room, other than a bathroom, for expressing milk or nursing.
• The room has supportive amenities including, but not limited to a comfortable chair, a lock on the door, a small table, and an electrical outlet.
• Provides all breastfeeding employees flexible breaks to express milk or nurse.
• Has an informal or formal breastfeeding support policy.
• Educates all staff to the breastfeeding support policy.
Recognition
How to Apply
• Apply online at nebreastfeeding.org.
• Nominations are ongoing.
• Completed by a:
– Business representative
– Employee
– Customer
Questions?
• Kelli with the Nebraska Breastfeeding Coalition at [email protected].
Local Resources
Nebraska Breastfeeding Coalition
• Network of individual members and organizational partners dedicated to improving the health of Nebraskans by making breastfeeding the norm through education, advocacy and collaboration.
• Goals of the coalition are to: – Increase communication and collaboration around persons committed to
promoting and supporting breastfeeding – Ensure that there are state and local laws and policies protecting breastfeeding – Increase knowledge, skills, and positive perceptions related to breastfeeding among
Nebraska healthcare providers – Identify breastfeeding as a vital public health issue – Create and maintain a positive environment supportive and accepting of
breastfeeding
• For more information, visit their website at www.nebreastfeeding.org. • Resource page at http://nebreastfeeding.org/business-of-breastfeeding/. • Employer toolkit at http://nebreastfeeding.org/business-of-
breastfeeding/employer-toolkit/.
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Communities
Local Community Breastfeeding Initiative
• Lincoln Community Breastfeeding Initiative
• Norfolk Community Breastfeeding Initiative
• Columbus Community Breastfeeding Initiative
• Aurora Community Breastfeeding Initiative
• Kearney Community Breastfeeding Initiative
• Lexington Community Breastfeeding Initiative
• South District Health Department Community Breastfeeding Initiative
Kearney Community Breastfeeding Initiative • Kearney Community Breastfeeding Initiative Facebook & Instagram • Connections: Breastfeeding Mother’s Group
– Sponsored by CHI Health-Good Samaritan – Meets weekly and also a Facebook page. – Contact Deanne Birkestrand, RN, IBCLC & Victoria Narcisse, Bf USA.
• Breastfeeding USA of Kearney – Monthly meeting – Victoria Narcisse 402-413-8811 or via Facebook page
• WIC Breastfeeding Peer Counselors – Sponsored through Mid NE Community Action
• Family Practice Breastfeeding Support Group – Family Practice Associates Clinic 3907 6th Avenue, Katie Asay, RN,
Breastfeeding Support Coordinator. 308-865-2767
• La Leche League of Kearney – Monthly meetings and Facebook – Kammy Ostermeyer 308-440-0228
Kearny Community Breastfeeding Initiative
Contact Information
Deanne Birkestrand, RN, BSN, IBCLC Lactation Consultant
CHI Health Good Samaritan
P.O. Box 1990, 10 East 31st St.
Kearney, NE 68848
Phone: 308.865.7689
Fax: 308.865.2903
http://nebreastfeeding.org/cbi/kearney/
MNCA/WIC Phone: 308.865.5366
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Lincoln Community breastfeeding initiative
Tami Frank, BS, CLC
Baby Friendly Community
What is LCBI?
• Began in 2012 to provide consistent breastfeeding information to moms and encourage community support
• Collaboration of: – CHI Health St. Elizabeth and Bryan Medical Center – Health Professionals/Physician Offices – WIC Clinics (Health Department and Family Service) – Lancaster County Medical Society – MilkWorks – Child Care Providers – Employers – City Health Channel – Non-profit Organizations – Faith-based Organizations – Breastfeeding Advocates
Baby Friendly Community
• Hospital policies and data tracking
• Physician engagement
• Community support
• Return to work education and policies
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Breastfeeding in Lincoln, NE
• Over 91% of moms intend to breastfeed* • Nearly 86% of moms are exclusively breastfeeding in
the hospital setting (excludes medical necessity)* • Over 77% are receiving immediate and
uninterrupted skin-to-skin for the first 60 minutes (excludes medical necessity)*
• Lancaster County WIC data shows:** – 71% are breastfeeding at 2-4 weeks – 52% are breastfeeding at 5-8 weeks – 20% are breastfeeding at 17-26 weeks – 10% are breastfeeding at 27-52 weeks
*Lincoln hospital tracking (Mar 2015-Feb 2016)
**Lancaster County WIC data (Jul-Dec 2014)
Community Breastfeeding Educators
• 7 CBEs originally from: – Guatemala (Spanish) – Colombia (Spanish) – China (Mandarin) – Vietnam (Vietnamese) – Sudan (Arabic and Nuba) – Burma/Thailand (Karenni & Burmese) – Lincoln, Nebraska (English)
• 15 CBE course • Provide 4 hours per week of support during
moms group gatherings/home visits
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Lactation Support at the Worksite
• www.nesafetycouncil.org/lactation
Know the benefits to moms, babies, and employers
Know the law
Implement lactation support policies
Encourage and support nursing moms
Questions?
Lincoln Community Breastfeeding Initiative
www.healthylincoln.org/breastfeeding
Tami Frank, BS, CLC
LCBI Project Coordinator
Partnership for a Healthy Lincoln
402-430-9940
Lexington Community Breastfeeding Initiative
• Location and Service Area:
– Lexington, NE
– Dawson County area families interested in breastfeeding.
• Breastfeeding Support:
– Prenatal breastfeeding classes through the hospital (English and Spanish)
– Prenatal counseling by WIC
– In-hospital and post-partum on-call support
– Post-partum breastfeeding support group for community
– Educate nursing staff
– Preparing to educate local businesses on importance of support for breastfeeding in the workplace.
• Business Support
– Provide employees with BF posters or business cards
– Invite LCBI to provide education to staff
– Contact LCBI with questions, “like” on Facebook
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Lexington Community Breastfeeding Initiative
Contact Information
Emily Tvrdy, BSN-RN, CLC Lexington Breastfeeding Coalition President
Lexington Regional Health Center
P.O. Box 980, 1201 N Erie
Lexington, NE 68850
Phone: 308.324.5651
Fax: 308.324.8359
http://nebreastfeeding.org/cbi/lexington/
Norfolk Community Breastfeeding Initiative
Location and Service Area:
• NCBI is located in Norfolk Nebraska.
• Primarily serves Norfolk, NE
• NCBI meets quarterly
• 13 Leadership Team Members
http://elvphd.org/ProgramsServices/Breastfeeding.aspx
http://nebreastfeeding.org/cbi/norfolk/
Breastfeeding Resources
One-on-one support
• IBCLCs and CLCs
– Faith Regional Health Services, WIC, Midtown Health Center FQHC, Health Department
• Breastfeeding Peer Counselors (WIC)
• Breastfeeding Support Groups
– FRHS holds a breastfeeding support group every Wednesday morning
– Faith Regional breastfeeding support Facebook page
• New Mother Support Groups
– Mom’s Milk & More
– MOPs groups
• Doulas
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Breastfeeding Resources
Classes & Education
Provided by Hospitals – Childbirth Education
– Childbirth Refresher Course
– Breastfeeding Classes
Provided by NCBI - Nurses breastfeeding education training at NECC “How to beat the
breastfeeding booby traps”
- HR breastfeeding education trainings
- Childcare provider trainings “Go NAP SACC”
- Physician Panel
Human Resource Trainings
Supporting Nursing Employees in the Workplace
• Surveyed 25 of the largest businesses on their lactation policies – Manufacturing plants, schools, fast food, and retail businesses were least compliant – Offered one-on-one assistance to help the business create an appropriate/compliant
lactation policy – Also offered sample lactation policies for them to view
• Partnered with Elite Lactation Professionals and our local SHRM association. – Discussed 2010 amendment to Fair Labor Standards Act – Business case for breastfeeding – Sample lactation policy
• Lactation accommodation provisions • Private area for milk expression • Employer Responsibilities • Employee Responsibilities
• Distributed Really?Really. posters to businesses as well as Mother’s Room signs
Norfolk Community Breastfeeding Initiative Contact Information
Nikki Mullanix, LPN, CLC, CWC Public Health Nurse
Elkhorn Logan Valley Public Health Department
P.O. Box 779, 2104 21st Circle
Wisner, NE 68791
Phone: 402.529.2233
Fax: 402.402.529.2211
http://elvphd.org/ProgramsServices/Breastfeeding.aspx
http://nebreastfeeding.org/cbi/norfolk/
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Local Resources – Worksite Wellness Councils
WorkWell Nicole Osborne, Healthy Choices Coordinator
402.483.2511 ext 102
WELLCOM [email protected]
402.934.5795
www.elevating wellness.org
Panhandle Worksite Wellness Council Jessica Davies, Wellness Coordinator
308.487.3600 ext 101
www.pphd.org/pwwc
Local Resources
Nebraska Breastfeeding Coalition – nebreastfeeding.org
Nebraska DHHS Department of Maternal and Infant Health
– dhhs.ne.gov/breastfeeding
– dhhs.ne.gov/momandbaby
– Benefits of breastfeeding
– Common breastfeeding preparation
– Skin-to-skin contact
– Back to work
Toolkits and Additional Support
• US DHHS/HRSA Business Case for Breastfeeding
• CDC Worksite Health Scorecard
• Fair Labor Standards Act and Breastfeeding Mothers Employer Video
• WomensHealth.gov/Breastfeeding/Employer Solutions
• Really? Really.
• Multiple Pump User Guidelines - FDA
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Resources for Mom
• Business Case for Breastfeeding Toolkit for Mothers
• La Leche League International
• WomensHealth.gov/Breastfeeding
• Nebraska Breastfeeding Coalition
• Really? Really.
• MilkWorks (Lincoln) & MilkWorks O (Omaha)
• Breast Milk Storage Guidelines
• KellyMom.com
• iblce.org & ilca.org
• Stanford School of Medicine
What Your Company Can Do
nesafetycouncil.org/lactation
Acknowledgements
Company Spotlight
HDR Omaha, Nebraska
Tori Pallas, Corporate Employee Wellness Manager
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HDR What prompted HDR to enhance their lactation support program?
• The previous room was lacking because: – Small and laid out with two spaces for mothers, which was often
not adequate for the number of mothers needing the space. – An unused IT server space, so it was cold and a space heater was
necessary to keep the space comfortable. – The only access to a sink was an adjacent breakroom sink that
could be considered unsanitary by either party. – A mother would have to exit through the breakroom, which was
sometimes uncomfortable if the breakroom was busy. – The furniture was an old office chair and a borrowed lounge chair
that had woven fabric, which was hard to clean up after spills. – Regular keys were used to unlock the door, which were copied as
needed and hard for HR to re-collect.
• Access to fridges to store milk were under people’s desks, which were soon-to-be outlawed in the building.
HDR What the process looked like?
• Consulted with the mothers that were currently using the room and with mothers that we knew had used it at some point.
• Looked toward guidelines of required items and supportive amenities.
• During the design process the physical location of a new space was not yet pinned down, so a few different spaces were looked at to fit the need until our facility
• The final design was submitted to trusted sub-contractors, so we could gather the quotes and submit it for approval under Building Management updating.
• Funding came from the building budget and not individual departments.
HDR What was implemented?
• Perk for employee recruitment/retainment. • Mother’s Room
– Badge-access for higher security and privacy – 4 spaces with a chair and table in each space, with a privacy
curtain – Outlets at table-height for ease of plugging in the pumping
equipment – Individual plastic laminate lockers to store the equipment with
keys to check out – Sink – Microwave – Refrigerator (not an official milk fridge but the temperature is
monitored to make sure it meets milk-storage requirements) – Disposable heat packs – ‘Green’ antibacterial wipes – Wall-mounted schedule board
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HDR Easier Than Expected
• Getting feedback from current mothers and previous mothers was awesome, they opened up and told us what they wanted/needed.
• Research about the need for an effective mother’s room was simple, there was a ton of information online as some very reputable websites.
• Construction was easier as we used subs that our facility manager already used in the building. The room had been vacant so the timeline was only contingent on getting the work done. We had 7 trades involved (builder/dry-waller, electrical, painter, floor installer, casework builder, countertop installer and tile installer).
• Ordered furniture from a local dealer, cubicle curtains from a local fabrication shop, and glass board from the mfg that we then applied film to so mothers can schedule time in the room.
• Our facility manager is amazing and wants to make staff happy, so he is always open to hearing suggestions of how he can improve anything in the building.
HDR More Difficult Than Expected
• Finding enough square footage in the building while being cognizant of the following items: – Relatively centralized space so that it could be accessed by users. – Discreet (this was more of a perception than facts gathered from users). – Meet ADA for accessibility within the room (please note that the
microwave on the upper shelf does not meet ADA due to reach requirements, but it can be moved to the counter if the need arises in the future).
• Some of the comments/questions we got from staff, (that were not mothers nor needed the space): – They didn’t realize the true need we had for the mother’s room. – They didn’t understand the health benefits of breastfeeding for mom and
baby. – They had not placed any thoughts toward the issue so the act of
breastfeeding seemed like a new issue.
• Words matter: Instead of saying ‘Lactation Room’, we began calling it ‘Mother’s Room’ so that we could lessen discomfort of others.
HDR What Has Changed Since
• In the process of selecting new chairs for each of the 4 spaces.
– Feedback from users revealed that more mothers are working while expressing milk than we had originally anticipated.
– Going from lounge chairs to more of an ergonomic task chair that is fully adjustable.
– A mock-up of several types of chairs is being tested by the mothers. All of the responses are being gathered and we will see if a consensus can be drawn from the conclusions.
– Then, we plan to price out the selected chair in a cleanable and non-permeable non-woven fabric for ease of clean-ability.
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Nursing Mothers’ Room
Omaha, Nebraska
Project Statement
IDEA 2013 CU2013-12
With social responsibility to women’s health in mind –
specifically the need for employed new mothers to
express milk in the workplace – a local corporate
headquarters surveyed a group of working nursing
mothers about their needs and their satisfaction with
existing conditions. Based on the response and
suggestions, plans for a new Nursing Mother’s Room
were created, dedicating a larger space with more private
bays, due to increasing demand within the office.
The project goal throughout has been to create a private
and sanitary space with immediate access to vital
amenities. Ideal conditions include a space large enough
to allow several nursing mothers simultaneously to keep
regularly scheduled appointments, which aids in keeping
milk production up and keeping baby healthy.
The design concept was to create a space that supports
nursing moms in a relaxing environment to pump breast
milk. Following best practices, the new space has four
private bays. It includes access to a private sink, under-
counter refrigerator for milk storage, and a microwave to
sanitize pump accessories. Each bay has a lounge
chair with cleanable non-woven fabric paired with a
small back-painted glass table and easily reachable
outlets that sit at table-height for easy plug-and-pump.
The room offers a discreet entrance with increased
security using badge-only access.
Special attention was paid to the user experience and
overall mental and physical wellbeing. An off-white
palette is anchored with hickory flooring and laminate
casework. Soft gray elements pulled from fabrics and
glass tile set off pops of aqua blue to create a relaxing
spa-like atmosphere.
Along with challenges of meeting the users’ needs,
careful consideration was spent during the design
phase to find high-quality products to create a low-
maintenance room that also offers a timeless design
aesthetic.
CU2013-12
Floor Plan
Image 01
CU2013-12
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Image 02
CU2013-12
Image 03
CU2013-12
CU2013-12
Image 04
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Image 05
CU2013-12
Questions Nicole Osborne, WorkWell 402.483.2511 ext 102 [email protected]
Kelli Hansen, NE Breastfeeding Coalition nebreastfeeding.org
Thank You to Our Partners!