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

2. Membership in 2003
Carmel Byrne RM,Mary O Donnell RM
12/2/201812/2/2018

3. 12/2/201812/2/2018

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

5. 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.

6. Step 1: Written Policy
1. National feeding policy for Maternity and Neo natal Services HSE 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

7. The Steps in Practice The 10 Steps Card Finance obtained for posters.
Carmel Byrne RM,Mary O Donnell RM
12/2/201812/2/2018

8. 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
12/2/2018

9. 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
12/2/2018

10. 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
12/2/2018

11. Step 5: Showing Mothers how to B/F
I Initiation
P Position
T Technique
L Latch
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
12/2/2018

12. 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
12/2/2018
Carmel Byrne RM, Mary O Donnell RM

13. ROOMING IN ROCKS
Step 7: Rooming in Rocks
12/2/2018

14. Step 8: Encourage B/F on demand
Ante natal education
Strategies on poster
BFHI Hand-outs: Resource Folder
Carmel Byrne RM,Mary O Donnell RM
12/2/2018

15. Step 9:Avoid giving teats and dummies
Reiteration of Antenatal Education.
Changing culture.
Use of BFHI resources.
Carmel Byrne RM,Mary O Donnell RM
12/2/2018

16. 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
12/2/2018

17. Our stepping stones for success
This will make a positive difference for mothers and babies, families and society
B-Believe
L-Laughter Good humour & avoidance of negativity.
T-TEAM
T: Together
E: Everyone
A: Achieves
M: More
Carmel Byrne RM,Mary O Donnell RM
12/2/2018

18. Stepping stones to full accreditation.
Big Thank You to all
Carmel Byrne RM,Mary O Donnell RM
12/2/2018

19. Background the steps Became a member of the BFHI in 2001.
Submission of yearly action plans.
The 1st 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
12/2/201812/2/2018

20. 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
12/2/201812/2/2018

21. The Process
1 Written Policy
National feeding policy for Maternity and Neo natal Services HSE 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
12/2/201812/2/2018

22. The Steps in Practice The 10 steps card Finance obtained for posters.
Carmel Byrne RM,Mary O Donnell RM
12/2/201812/2/2018

23. Step 2 Training All Health Care Staff
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
12/2/201812/2/2018

24. 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
12/2/201812/2/2018

25. 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
12/2/201812/2/2018

26. Step 5 Showing Mothers how to B/F.
I Initiation
P Position
T Technique
L Latch
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
12/2/201812/2/2018

27. 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
12/2/201812/2/2018

28. Step 7 Rooming in Rocks ROOMING IN ROCKS
Carmel Byrne RM,Mary O Donnell RM
12/2/201812/2/2018

29. Step 8 Encourage B/F on demand
Ante natal education
Strategies on poster
BFHI Handouts: Resource Folder
Carmel Byrne RM,Mary O Donnell RM
12/2/201812/2/2018

30. Step 9 Avoid giving teats and dummies
Reiteration of Antenatal Education.
Changing culture.
Use of BFHI resources.
Carmel Byrne RM,Mary O Donnell RM
12/2/201812/2/2018

31. 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
12/2/201812/2/2018

32. Our stepping stones for success
This will make a positive difference for mothers and babies, families and society
B Believe
L Laughter Good humour & avoidance of negativity.
T TEAM
T: Together
E: Everyone
A: Achieves
M: More
Carmel Byrne RM,Mary O Donnell RM
12/2/201812/2/2018

33. Stepping stones to full accreditation.
Big Thank You to all
Carmel Byrne RM,Mary O Donnell RM
12/2/201812/2/2018