UHS Medical Times 1
Newsletter | August 2017
UHS CERTIFIED AS A
MOTHER FRIENDLY WORKPLACE University Hospital Sharjah in coordination with the Baby Friendly City Sharjah Campaign, has been designated as a Mother Friendly Workplace. This is the first step for University Hospital Sharjah in ensuring that mothers (employees and visitors) have access to a private, clean and safe area in which to feed their infants during their working hour and visiting time to the facility. University Hospital Sharjah is committed to the Baby Friendly City Sharjah Campaign and in conjunction with its designation as a Mother Friendly Workplace, our facility is working on its accreditation process for Baby Friendly Hospital Initiative (BFHI).
About 43% of infants 0–6 months old are exclusively breastfed. - WHO Over 800,000 children's lives could be saved every year among children under 5 years, if all children 0–23 months were optimally breastfed. - WHO
One in three babies in the UAE is exclusively breastfed at the age of 6 months. – UNICEF
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Newsletter | August 2017
WHAT IS BABY-FRIENDLY HOSPITAL INITIATIVE? In 1991, the World Health Organization (WHO) and the United Nations Children’s Fund (UNICEF) have launched a global program - the Baby-Friendly Hospital Initiative. It recognizes and honors birthing facilities who successfully implement the 10 Steps to Successful Breastfeeding and International Code of Marketing of Breast-milk Substitutes.
To be able to become a Baby-Friendly facility, the hospital or center should provide their staff both clinical and non-clinical with appropriate knowledge, training and skill to provide and deliver effective breastfeeding assistance to all mothers. The establishment or health facility providing pre and post-natal and child care should meet certain criteria to be recognized as a baby-friendly health facility including having a written policy about breastfeeding and present and update their employees both clinical and non-clinical on its contents on a steady basis. The health facilities also need to educate mothers and promote awareness about the benefits of breast milk and the potential harm of artificial milk.
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e-newsletter September Newsletter || August 20172016
THE TWO MAIN GOALS OF BFHI:
10 STEPS To end the practice of distribution of free and low-cost supplies of breast-milk substitutes to maternity wards and hospitals.
To transform hospitals and maternity facilities through implementation of the “Ten Steps”.
THE ROAD TO BABY-FRIENDLY HOSPITAL INITIATIVE ACCREDITATION Meets most Global Criteria and has at least 75% of mothers exclusively breastfeeding from birth to discharge
Recognizes need for improvements but is unable to meet the standard at this point
Invites external assessment team to carry out formal evaluation
Requests Certificate of Commitment and proceeds to analyze areas which need to be modified.
Meets the global criteria for Babyfriendly designation
Awarded Babyfriendly Status
Is unable to meet the Global Criteria at this time
Awarded Certificate of Commitment and encouraged to make necessary modifications prior to re-assessment
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Implements plan of action to raise standard, then carries out further self-assessment in preparation for evaluation by the external assessors.
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Newsletter | August 2017
THE 10 STEPS TO
SUCCESSFUL BREASTFEEDING Have a written breastfeeding policy that is routinely communicated to all health care staff.
01
Train all health care staff in skills necessary to
02
Inform all pregnant women about the benefits and management of breastfeeding.
03 04
Practice rooming-in - allow mothers and infants to remain together - 24 hours a day.
05
Show mothers how to breastfeed and how to maintain lactation, even if they should be separated from their infants.
implement this policy.
Help mothers initiate breastfeeding within a half-hour of birth.
Give newborn infants no food or drink other than
06
07
breast milk unless medically indicated.
08 Give no artificial teats or pacifiers (also called dummies or soothers) to breastfeeding infants.
Encourage breastfeeding on demand.
09
10
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Foster the establishment of breastfeeding support groups and refer mothers to them on discharge from the hospital or clinic.
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e-newsletter September Newsletter ||August 20172016
INTERNATIONAL CODE OF MARKETING OF BREASTMILK SUBSTITUTE: 1.
Aim
2.
Scope
The Code aims to protect and promote breastfeeding by ensuring appropriate marketing and distribution of breastmilk substitutes. The Code applies to breastmilk substitutes, when marketed or otherwise represented as a partial or total replacement for breastmilk. These breastmilk substitutes can include food and beverages such as: Infant Formula Other Milk Products cereals for Infants Vegetable Mixes Baby Teas and Juices Follow-Up Milks The Code also applies to feeding bottles and teats. Some countries have expanded the scope of the Code to include foods or liquids used as breastmilk substitutes and paciďŹ ers.
3.
Advertising
No advertising of above products to the public.
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e-newsletter September Newsletter || August 20172016
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4.
Samples
5.
Health care facilities
6.
Health workers
7.
Supplies
8.
Information
9.
Labels Product
10.
Products
No free samples to mothers, their families or health workers. No promotion of products, i.e. no product displays, posters or distribution of promotional materials. No use of mother craft nurses or similar company-paid personnel. No gifts or samples to health workers. Product information must be factual and scientiďŹ c.
No free or low-cost supplies of breastmilk substitutes to any part of the health care system. Information and educational materials must explain the beneďŹ ts of breastfeeding, the health hazards associated with bottle feeding, and the costs of using infant formula. Labels must clearly state the superiority of breastfeeding, the need for the advice of a health worker and a warning about health hazards. No pictures of infants, or other pictures or text idealizing the use of infant formula. Unsuitable products, such as sweetened condensed milk, should not be promoted for babies. All products should be of a high quality, have expiration dates, and take account of the climatic and storage conditions of the country where they are used.
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e-newsletter September Newsletter || August 20172016
WHAT ARE THE BENEFITS OF BREASTFEEDING? Breastfeeding is best for babies. Its benefits extend beyond nutrition, in fact it has numerous advantages to baby and mother proven by scientific evidences as well as prospective economic and environmental effects.
Among the known health benefits for baby and mother are the following: Breast milk comprises everything your baby needs for the first six months of life, with the exception of vitamin D. Colostrum, the first milk is thick, rich in protein and loaded with beneficial compounds.
Breast milk is full with antibodies, especially immunoglobin A, which can help prevent or fight illness including middle ear infection, respiratory tract infection, colds, gut infection, intestinal tissue damage, Sudden Death Syndrome (SIDS), allergic diseases, celiac disease, inflammatory bowel disease and diabetes in your baby.
Breastfed babies have lower obesity rates than formula-fed babies. They also have more leptin and more beneficial gut bacteria.
Breastfeeding may affect your baby’s brain progress and reduce the risk of future behavior and learning problems.
Breastfeeding may make weight loss harder for the first 3 months after delivery. However, it may actually help with weight loss after the first 3 months.
Breastfeeding increases oxytocin production, a hormone that causes contractions in the uterus. It reduces blood loss after delivery and helps the uterus return to its previous smaller size.
Breastfeeding mothers are less likely to develop postpartum depression. They have increased amounts of oxytocin in their system, which encourages caregiving, relaxation and bonding between mother and child. Breastfeeding for more than one year is linked to a 28% lower risk of breast and ovarian cancer. It has also been linked to a reduced risk of several other diseases. Also, women who breastfeed their babies for the recommended six months may also be lowering their own risk of developing endometrial cancer, a new study suggests.
Regular breastfeeding delays ovulation and menstruation. Some have used this as birth control, but it may not be completely effective. So getting pregnant will take time if a mother continuously breastfeed her baby.
By breastfeeding, you don’t have to worry about buying or mixing formula, warming up bottles or calculating your baby’s daily needs.
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e-newsletter September Newsletter || August 20172016
BREASTFEEDING IN WORKING WOMEN The rate of exclusive breastfeeding in the first 6 months of life in developing countries is about 36% according to UNICEF. Working women will continue to breastfeed if properly supported and educated. Working women can take maternity protection advantage of maternity leave after the birth to facilitate exclusive and continued breastfeeding and breastfeeding breaks once they return to work. Such provisions also include workplace breastfeeding rooms for expressing and storing milk during the workday. A working mother can also express her milk and leave it for another caregiver to feed to the baby in a clean and safe way while they are apart. Expressed breast milk can be kept for up to 6 – 8 hours at room temperature.
STORAGE DURATION OF FRESH HUMAN MILK FOR USE WITH HEALTHY FULL TERM INFANTS Location
Temperature
Countertop, Table
Room temperature (up to 77°F or 25°C)
6–8 hours
Containers should be covered and kept as cool as possible; covering the container with a cool towel may keep milk cooler.
Insulated Cooler Bag
5-39°F or -15-4°C
24 hours
Keep ice packs in contact with milk containers at all times, limit opening cooler bag.
39°F or 4°C
5 days
Store milk in the back of the main body of the refrigerator.
Refrigerator
Duration
Comments
Freezer Freezer Compartment of a Refrigerator
5°F or -15°C
2 weeks
Freezer Compartment of Refrigerator with Separate Doors
0°F or -18°C
3–6 months
Chest or Upright Deep Freezer
-4°F or -20°C
6–12 months
Store milk toward the back of the freezer, where temperature is most constant. Milk stored for longer durations in the ranges listed is safe, but some of the lipids in the milk undergo degradation resulting in lower quality.
Reference: Academy of Breastfeeding Medicine. (2004) Clinical Protocol Number #8: Human Milk Storage Information for Home Use for Healthy Full Term Infants [PDF-125k]. Princeton Junction, New Jersey: Academy of Breastfeeding Medicine. Available
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e-newsletter September Newsletter || August 20172016
WHAT’S NEW? The Centers for Disease Control and Prevention or CDC have recently released a new guideline for cleaning breast-pumps after a premature baby in U.S.A was infected and died due to a serious infection caused by improperly cleaned breast pump parts. According to the report from the CDC, the infant contracted Cronobacter, a rare but serious infection that occurs most often in infants, after she was fed breastmilk that had been pumped by a machine that had been soaking in soapy water and then rinsed off hours later. This led to bacteria developing inside of the pump, which led to the infection and developmental delays for the baby.
How to Keep Your Breast Pump Kit Clean Providing breast milk is one of the best things you can do for your baby’s health and development. Pumping your milk is one way to provide breast milk to your baby. Keeping the parts of your pump clean is critical, because germs can grow quickly in breast milk or breast milk residue that remains on pump parts. Following these steps can help prevent contamination and protect your baby from infection. If your baby was born prematurely or has other health concerns, your baby’s health care providers may have more recommendations for pumping breast milk safely.
BEFORE EVERY USE Wash hands with soap and water. Inspect and assemble clean pump kit. If your tubing is moldy, discard and
replace immediately.
Clean pump dials, power switch, and countertop with disinfectant wipes, especially if using a shared pump.
AFTER EVERY USE
Store milk safely. Cap milk collection bottle or seal milk collection bag, label with date and time, and immediately place in a refrigerator, freezer, or cooler bag with ice packs. Clean pumping area, especially if using a shared pump. Clean the dials, power switch, and countertop with disinfectant wipes.
Take apart breast pump tubing and separate all parts that come in contact with breast/breast milk.
Rinse breast pump parts that come into contact with breast/breast milk by holding under running water to remove remaining milk. Do not place parts in sink to rinse. Clean pump parts that come into contact with breast/breast milk as soon as possible after pumping. You can clean your pump parts in a dishwasher or by hand in a wash basin used only for cleaning the pump kit and infant feeding items. Follow the cleaning steps given on the next page.
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e-newsletter September Newsletter || August 20172016
Clean Pump Kit CLEAN BY HAND Place pump parts in a clean wash basin used only for infant feeding items. Do not place pump parts directly in the sink! Add soap and hot water to basin. Scrub items using a clean brush used only for infant feeding items. Rinse by holding items under running water, or by submerging in fresh water in a separate basin.
Air-dry thoroughly. Place pump parts, wash basin, and bottle brush on a clean,
unused dish towel or paper towel in an area protected from dirt and dust. Do not use a dish towel to rub or pat items dry!
Clean wash basin and bottle brush. Rinse them well and allow them to air-dry after each use. Wash them by hand or in a dishwasher at least every few days.
OR CLEAN IN DISHWASHER Clean pump parts in a dishwasher, if they are dishwasher-safe. Be sure to place small items into a closed-top basket or mesh laundry bag. Add soap and, if possible,run the dishwasher using hot water and a heated drying cycle
(or sanitizing setting).
Remove from dishwasher with clean hands. If items are not completely dry, place items on a clean, unused dish towel or paper towel to air-dry thoroughly before storing. Do not use a dish towel to rub or pat items dry!
After Cleaning FOR EXTRA PROTECTION, SANITIZE DISHWASHER DISHWASHER 6000 6000
Heavy Duty Normal
Fast
Sanitize Rinse
For extra germ removal, sanitize pump parts, wash basin, and bottle brush at least once daily after they have been cleaned. Items can be sanitized using
steam, boiling water, or a dishwasher with a sanitize setting. Sanitizing is especially important if your baby is less than 3 months old, was born prematurely, or has a weakened immune system due to illness or medical treatment.
For detailed instructions on sanitizing your pump parts, visit www.cdc.gov/healthywater/hygiene/healthychildcare/infantfeeding.html
STORE SAFELY Store dry items safely until needed. Ensure the clean pump parts, bottle brushes, and wash basins have air-dried thoroughly before storing. Items must be completely dry to help prevent germs and mold from growing. Store dry items in a clean, protected area.
Learn more about safe and healthy diapering and infant feeding habits at www.cdc.gov/healthywater/hygiene/healthychildcare .
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e-newsletter September Newsletter || August 20172016
DO YOU KNOW? Sharjah has been awarded as the first baby-friendly city after achieving the four standards set by the World Health Organization (WHO) and United Nations Children's Fund (UNICEF) in 2015.
ANTENATAL AND BREASTFEEDING PROGRAMS AT UHS: 1.
Antenatal Class
The antenatal class is held every Wednesday at Antenatal Clinic in Out-Patient Department from 04:30 pm to 06:30 pm. The course is free of charge; open to all expectant mothers, providing first time mums and those in need of refreshment important information about warning signs to observe during pregnancy, ante-natal exercises, nutrition, birth plans, delivery, post-natal management, breastfeeding and newborn care. Antenatal classes is one way to increase mothers’ awareness about breastfeeding and to encourage the rate of breastfeeding mothers.
2.
Breastfeeding Support Group
University Hospital Sharjah have established a support group to help and assist mother with proper breastfeeding practices. The program is held every last Monday of each month from 10:00 am to 12:00 pm at Ward 2 Obstetrics and Gynecology.
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Newsletter | August 2017
BREASTFEEDING WEEK AT UHS
World Breastfeeding Week (WBW) is a yearly celebration which is being held from 1 to 7 August to encourage breastfeeding and improve the health of babies around the world. The World Breastfeeding Week’s 25th year in 2017 is about working together for the common good. UHS will be organizing a Breastfeeding Week Roadshow on 1st August 2017 from 09:00 am to 02:00 pm at Ground Floor near Out-Patient Department. Join and learn how breastfeeding benefits your baby and you.
Don’t Forget
ARISE NEWSLETTER ISSUE 05 | AUGUST 2017
To Check August Edition of ARISE Nursing Newsletter
MEDICAL RECORDS DEPARTMENT
August
INSIDE THIS ISSUE
NEED OF MRD?
INTRODUCTION TO MRD
ROLE AND FUTURE PLANS OF MRD
DOCUMENTATION DO’S
AND DONT’S
Why Do We STILL EXIST? In organization like UHS that’s adopting Electronic Medical Records, this question is in minds of a lot of staff who are wondering why we need department for medical records. Therefore, if you want to dispose this query, please continue reading!!
ARISE Nursing Newsletter from University Hospital Sharjah
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Newsletter from University Hospital Sharjah
Edition
Newsletter
of
ARISE Nursing
eductes on Importance of
Medical Records Department in Hospital.
steps that should be maintaing records for
It guides on various followed while
furture references.
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Newsletter | August 2017
SCOPE OF SERVICES AT UHS MEDICAL SERVICES
SURGICAL SERVICES
CARDIOLOGY
NEUROPHYSIOLOGY
Anesthesiology
Bariatric Surgery
24-Hour BP Monitoring
Electroencephalogram (EEG)
Aviation Medicine
Ears, Nose and Throat Surgery
24-Hour Holter Monitoring
Electromyography (EMG)
Cardiology
General Surgery
2D/3D Echo
Evoked Potential Test
Critical Care
Neurological Surgery
3D Transesophageal Echo
Brain Auditory Evoked Potential
Dermatology
Obstetrics and Gynecologic Surgery
CT coronary Angiography
(BAEP)
Emergency Medicine
Ophthalmic Surgery
Somato Sensory Evoked Potential
Endocrinology
Orthopedic Surgery
Dobutamine Stress Echo for Ischemia and Viability Studies
Family Medicine
Pediatric Surgery
Gastroenterology
Plastic and Reconstructive Surgery
Internal Medicine
Urologic Surgery
Medical Oncology
Vascular Surgery
Neonatology Nephrology Neurology Pediatrics Psychiatry Pulmonology Rheumatology MEDICAL DIAGNOSTICS IMAGING (MDI) 128 Channel CT Scan with Coronary and Cardiac Facility
PATHOLOGY & LABORATORY MEDICINE
Interventional Cardiology Stress Test
(SSEP) Visual Evoked Potential ( VEP) Nerve Conduction Studies (NCS)
Treadmill Stress Test
AUDIOLOGY
OTHER SPECIALTY SERVICES
Biochemistry
Acoustic Reflex Threshold
24/7 Emergency Services
Blood Transfusion Medicine
Auditory Brainstem Response
Ambulance
Cytology
Auditory Steady State Response
Hemodialysis
Hematology
Cochlear Implant Mapping
Physiotherapy
Histology
Electrocochleography
Pharmacy
Immunology
Free Field Audiometry
Sharjah Breast Centre
Microbiology
Hearing Aid Fitting and Programming
Phlebotomy
Newborn Hearing Screening
Bone Densitometry
Otoacoustic Emission
Digital X-Ray and Fluoroscopy
Pure Tone Audiometry (PTA)
Mammography and Guided Breast Intervention
Speech Audiometry
MRI 1.5 TESLA
Tinnitus Evaluation
Ultrasound
Tympanometry
Vascular Interventional Lab
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Newsletter from University Hospital Sharjah
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