Quality Improvement Toolkit

California Perinatal Quality Care Collaborative: This material was developed by and produced for the members of the California Perinatal Quality Care Collaborative. Reproduction for commercial purposes is prohibited. Utilization and copying of the materials to improve care of pregnant woman and their newborns is encouraged with proper citation of source.

The following was excerpted from http://www.cpqcc.org/NutritionIIToolkit.htm. This toolkit is available in PDF format. You may download the Adobe Acrobat reader for FREE from http://www.adobe.com

TOOLKIT

1. Introduction
    
2. Table of Contents
    
3. Section I: Overview
    
4. Section II: Parenteral Nutrition
    
5. Section III: Establishing Enteral Nutrition
    
6. Section IV: Sustaining Nutrition and Breastfeeding Through Discharge and Beyond
    
7. Section V: Controversies/Unresolved Issues
    
8. References
    
9. Appendices Table of Contents
    

   A. Table of Recommendations for Nutritional Monitoring

   a. Enteral b. TPN

   B. Pasteurized Donor Human Milk Policy

   C. Mother's Discharge Check List

   D. Nursing Competencies

   E. Attitude Survey

   F. Photographic Example of Feeding Syringe

   G. Handout: "What you Should Know About Metoclopramide"

   a. Handout for Parents b. Handout for Parents c. Handout for Professionals

   H. Pumping Log

   a. English Version b. Spanish Version

   I. Collection, Storage and Use of Expressed Breastmilk Policy

   a. Example A b. Example B

   J. Misadministration of Human Milk Policy

   K. Handout: Mastitis in the Pump-Dependent Mother of a NICU or ICN Infant

   L. Handout: Galactogogue Letter to MD

   M. Guidelines for Supplementation of Human Milk

   a. Example A b. Example B c. Example C

   N. Kangaroo Care Policies

   a. Example A b. Example B

   O. Non-Nutritive ("Dry) Breastfeeding in the NICU

   P. Test Weighing Protocol

   Q. Alternate Feeding Method Including Bottle Feeding Policy

   a. Policy and Procedure b. Cup Feeding Policy

   R. Discharge Nutrition Plan

   S. A Guide for Breastfeeding Your Premature Baby at Home

   T. Cytomegalovirus Policy

   U. Total Nutrient Admixtures