ࡱ> y Dbjbj 4{{n<0NNNNNbbb8$bx6 "("""#}'(xxxxxxxz}xN))##))))xNN""0x.K2K2K2))N"N"xK2))xK2K2jo"pݛ!*Im6x^x<xm.R~*R~looR~NQp))))K2))))))))))xxo.))))))x))))))))R~)))))))))))))))))) :  Donor Breast Milk Policy LEAD EXECUTIVE DIRECTOR: Chief Nurse and Families Champion POLICY APPROVED BY: Policy Approval Group DATE POLICY APPROVED: 15th October 2014 IMPLEMENTATION DATE: 15th October 2014 REVIEW DATE: 15th October 2016 Document Control Sheet Policy TitleDonor Breast Milk (DBM) PolicyPurpose of Policy/ Assurance Statement The purpose of this policy is to ensure that all nursing and medical who care for neonates at GOSH understand their roles and responsibilities in how to access Donor Breast Milk. Target Audience (Policy relevant to)This policy is relevant to all clinical staff who care for neonatesLead Executive DirectorChief NurseName of Originator/ author and job titleEsther Rose, Family Liaison Nurse Version (state if final or draft)DraftDate reviewed09/09/2014(Previous review dates) First Introduced 2004. Review Schedule Annually. Last Reviewed 2007. Circulated for Consultation to (Please list Committee/Group Names):Janet Williss: Deputy Chief Nurse Julia Hodges and Marie-Anne Kelly: Neonatal Nurse Advisors Vanessa Shaw: Head of Dietetics Amendments: Links to other policies or relevant documentation Breastfeeding at GOSH Policy Expressing and handling EBM Clinical Guideline If draft[only complete remaining boxes]Draft Number7Comments toEsther Rose By Table of contents  TOC \h \z \t "Heading 3,1"  HYPERLINK \l "_Toc317150690" 1. ASSURANCE STATEMENT/POLICY SCOPE  PAGEREF _Toc317150690 \h 4  HYPERLINK \l "_Toc317150691" 2. Introduction . PAGEREF _Toc317150691 \h 4  HYPERLINK \l "_Toc317150692" 3. Aims and objectives  PAGEREF _Toc317150692 \h 4  HYPERLINK \l "_Toc317150693" 4. Definitions . PAGEREF _Toc317150693 \h 4  HYPERLINK \l "_Toc317150694" 5. Duties and responsibilities .. PAGEREF _Toc317150694 \h 4  HYPERLINK \l "_Toc317150695" 6. Main body of the policy .5  HYPERLINK \l "_Toc317150696" 7. Process for implementation . PAGEREF _Toc317150696 \h 6  HYPERLINK \l "_Toc317150697" 8. Monitoring arrangements  PAGEREF _Toc317150697 \h 6  HYPERLINK \l "_Toc317150698" 9. Standards and Key Performance Indicators (KPI)  PAGEREF _Toc317150698 \h 6  HYPERLINK \l "_Toc317150699" 10. Equality impact statement .7  HYPERLINK \l "_Toc317150700" 11. Training  PAGEREF _Toc317150700 \h 7  HYPERLINK \l "_Toc317150701" 12. Other policies of relevance  PAGEREF _Toc317150701 \h 7  HYPERLINK \l "_Toc317150702" 13. References .7 14. Appendices............................................................................................................7  ASSURANCE STATEMENT/POLICY SCOPE The purpose of this policy is to ensure that all clinical staff at GOSH understand their roles and responsibilities related to the use of Donor Breast Milk (DBM). Introduction The use of Donor Breast Milk is sometimes requested by medical staff or parents when a mothers own milk supply is not sufficient and attempts to increase supply are insufficient or its use is contra indicated. This policy will provide staff with the information required to access DBM and the documentation required when DBM is used. DBM is rarely used at GOSH, approximately 5 times per annum, but it is important that this is managed in line with NICE (2010) guidelines. Aims and objectives The policy is addressing the following areas: Brief overview of Donor Expressed Breast Milk Information regarding Consent and who needs to obtain consent and from whom What to do if a child becomes unwell while receiving Donor Expressed Breast Milk Information on how to place an order and where from Documentation required when DBM is used Definitions Donor Breast Milk DBM Expressed Breast Milk EBM Neonatal Nurse Advisor NNA National Institute for Health and Care Excellence NICE Duties and responsibilities Division Management Team: to ensure all relevant staff within their division are aware of their responsibilities within this policy Ward Sisters: Ward sisters on wards or units who care for neonates are responsible for ensuring that they are aware of and follow the applicable policies relating to Donor Expressed Breast Milk and its handling. They are also required to ensure that their staff are fully updated and aware of the policy in the form of guidance and training. Nurses within NICU/Squirrel: are responsible for ensuring DBM is stored appropriately and its use documented in line with NICE (2010) guidelines. Clinical staff: are responsible for following the policy when using DBM Neonate Nurse Advisors: The Neonatal Nurse Advisors are responsible for following the policy and are available to assist wards and unit managers as a resource when ordering and using DBM. Dietitians / Diet Services Manager / Team: are responsible for following the policy when using DBM and ensuring DBM is stored appropriately for babies not on NICU / Squirrel and its use documented in line with NICE (2010) guidelines. Main body of the policy Donor Breast Milk (DBM) should be considered if medically indicated and requested by parents or by the consultant who has responsibility for the babys care. Examples for medical indications include low birth weight (below 1000g), prematurity (below 26 weeks gestation), prematurity below 32 weeks gestation if associated with low birth weight and absent/reversed end diastolic flows, gastrointestinal surgery (gastroschisis, exomphalos, bowel atresia), or necrotising enterocolitis. It is always preferable to use the mothers own breast milk if medically appropriate, and if a mothers milk supply is low she should receive professional advice and support to increase her supply. Please contact the Neonatal Nurse Advisor (bleep 0256) for further information and guidance of how mothers can increase their milk supply. The decision to use DBM has to be approved by the consultant who has responsibility for the babys care and should be documented in the babys GOSH health record. Consent from a parent/carer with parental responsibility needs to be obtained and documented in the babys GOSH health record in the clinical records (Medical section). Consent should be obtained by the consultant in charge of the babys care, or on NICU one of the Band 7 nurses. Further information can be found in the NICE Clinical Guidelines:  HYPERLINK "http://www.nice.org.uk/guidance/cg93/resources/cg93-donor-breast-milk-banks-full-guideline3" http://www.nice.org.uk/guidance/cg93/resources/cg93-donor-breast-milk-banks-full-guideline3. The consent should include a discussion regarding the justification for the use of DBM, the potential risk of disease transmission via DBM, donor screening and milk treatment and the nutritional adequacy of DBM. Non-English speaking parents should be offered the services of an interpreter to translate the information and for the consent to be fully informed. If the child receiving DBM becomes unwell, the medical staff should be alerted to the fact that the patient is being fed DBM. As with any expressed and stored milk there may be an increased risk of contamination of the milk by microorganisms, although DBM is pasteurised. There is also a small theoretical risk of passing blood borne viruses via DBM, although there are no documented cases of infection transmission in the UK or elsewhere in the world where nationally recognised guidelines have been followed. Only DBM from milk banks following the NICE Clinical Guidelines (as above) should be used. The Milk Bank Manager, Queen Charlottes Hospital or the milk bank at St.Thomas Hospital, see appendix 1 for contact details, should be contacted regarding DBM availability. DBM should only be used for the baby that it has been ordered for, not for any other patient. DBM needs to be ordered in advance and in office hours (9.00-5.30). The Milk Bank at Queen Charlottes Hospital will provide milk at short notice but they can only provide free transportation if given 24 hours notice. Should DBM be unavailable, an alternative should be agreed upon with the consultant who has responsibility for the babys care, the babys parent/carer(s) and the dietician. The Milk Bank at Queen Charlottes Hospital provides a free courier service via the SERV (Blood Bikes) network. These motorcycle couriers specialise in and are trained in the delivery of donor milk and have advanced driving qualifications. If DBM is required at short notice and a courier has been organised by the requesting ward, the Milk Bank will provide an appropriate free cool box and ice packs and the milk will be appropriately packed. The person receiving the milk should ensure that the milk is still frozen on arrival, as defrosted milk cannot be used. The individual ward should pay for the use of DBM, using a cost code for Provisions as authorised by the ward sister. Once at GOSH, the milk needs to be placed in the ward freezer if used by a baby on NICU or Squirrel Ward. If the ward has no facilities for milk storage this needs to be negotiated with the Special Feeds Unit at GOSH (ext. 5161, Diet Services Manager) before ordering the milk. Handling of DBM once at GOSH must be in accordance with Trust Expressing and Handling EBM Clinical Guideline. The use of DBM needs to be documented on the babys feeding chart. The Milk Bank at Queen Charlottes Hospital will send the bottles of DBM with documentation that facilitates record keeping which, in accordance with NICE guidelines, should be maintained by the hospital where the DBM is used. They also provide numbered labels with each container that can be placed in the babys notes to allow for the tracking of the milk. NICE (2010) state that the receiving hospital or neonatal unit should keep a record of how the donor milk is used. This record should be retained for 30 years. It should document for each bottle of donor milk: the baby's name, NHS number and date of birth, and the date administered the batch number and the date the donor milk was used in the patient record of each baby the condition of the donor milk on arrival following transport the storage conditions Checking DBM should be as per Expressing and Handling EBM Clinical Guideline. The first checker is required to be a registered practitioner and the second checker can be another staff member. When required for use, DBM should be left to defrost in the fridge. Once defrosted, the DBM should be used within 24 hours. DBM not used within this time will have to be discarded DBM should be used to establish feeds and should rarely be used in the long term. When feeding is established the baby should be changed onto alternative feeds (mothers own breast milk if available or formula feeds) unless medically contra-indicated. Process for implementation A copy of the policy should be uploaded to the intranet site so that all clinical and non-clinical staff are able to access the policy. Monitoring arrangements The member of staff requesting the use of DBM is responsible for the monitoring of DBM in their patient. The milk bank at Queen Charlottes Hospital will provide documentation details to be placed in the patients notes under record charts which facilitate record keeping which is in accordance with NICE guidelines. This documentation is required to be maintained by the Trust when DBM is used. Errors / incidents in handling or administration of DBM will be reported via DATIX. These will be reviewed and monitored by the Nutrition Steering Committee. Standards and Key Performance Indicators (KPI) DBM is used rarely at GOSH. Adverse events associated with the use of DBM will be identified via the clinical incident reporting system DATIX. These will be reviewed and monitored by the Nutrition Steering Committee. Equality impact statement The potential impacts on equality have been addressed in Appendix 3. Training Division Management team and ward sisters should ensure all relevant staff within their division are aware of their responsibilities within this policy Other policies of relevance Other policies which are of relevance to any member of staff using this Policy and DBM include: Breastfeeding at GOSH policy. Expressing and Handling EBM Clinical Guideline References National Institute for Health and Clinical Excellence (NICE). 2010. Donor milk banks: the operation of donor milk bank services. (NICE clinical guidelines 93). ( HYPERLINK "http://www.nice.org.uk/guidance/cg93/resources/cg93-donor-breast-milk-banks-full-guideline3" http://www.nice.org.uk/guidance/cg93/resources/cg93-donor-breast-milk-banks-full-guideline3) Royal College of Paediatrics and Child Health (RCPCH). 2003. RCPCH Guideline Appraisal: United Kingdom Association of Milk Banking (UKAMB) - Evidence Based Guidelines on Milk Banking 3rd Ed. London: RCPCH. United Kingdom Association for Milk Banking (UKAMB). 2002. Donor Breast milk: your questions answered. London: UKAMB. (http://www.ukamb.org/) United Kingdom Association for Milk Banking (UKAMB). 2003. Guidelines for the Establishment and Operation of Human Milk Banks in the UK, 3rd Ed. London: UKAMB. ( HYPERLINK "http://www.ukamb.org/" http://www.ukamb.org/) Appendix 1: Useful Contacts Neonatal Nurse Advisor Great Ormond Street Hospital for Children NHS Foundation Trust London, WC1N 3JH Phone: 020 7405 9200 Ext. 6724 Bleep 0256 Email: Neonatal.NurseAdvisor@gosh.nhs.uk Contacts Outside GOSH United Kingdom Association for Milk Banking Website: http://www.ukamb.org/ E-mail: Info@ukamb.org Gillian Weaver Milk Bank Manager Queen Charlottes and Chelsea Hospital Du Cane Road London, W12 0HS Phone: 020 8383 3559 Email:  HYPERLINK "mailto:Gillian.Weaver@imperial.nhs.uk" Gillian.Weaver@imperial.nhs.uk Milk Bank Manager Neonatal Unit Guys and St. Thomas NHS Foundation Trust Lambeth Palace Road London, SE1 7EH Phone: 020 788 7188 Ext. 88847 Appendix 2: Donor EBM Prices 2014 Queen Charlottes Hospital: 200.00 per litre (10.00 per 50 ml bottle) if less than 2 litres are ordered. 160.00 per litre if 2 litres or more are ordered Appendix 3: Equality analysis form TITLE OF DOCUMENT: COMPLETED BY: DATE COMPLETED: SUMMARY OF STAKEHOLDER FEEDBACK: POTENTIAL EQUALITY IMPACTS AND ISSUES IDENTIFIED: Protected GroupPotential issues identifiedActions to mitigate/Opportunities to promoteAgeNoneDisability (including learning disability)Staff member with learning disability may have difficulty accessing DBM and completing documentation. Staff member to contact Neonatal Nurse Advisors for assistance with accessing DBM and completing documentation. 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