Lactation design webinar - handout

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Lactation Design: Facility Solutions for Supporting Breastfeeding in the Hospital, the Community and the Workplace Institute for Patient-Centered Design, Inc.

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Transcript of Lactation design webinar - handout

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Lactation Design: Facility Solutions for Supporting Breastfeeding in the Hospital, the

Community and the Workplace

Institute for Patient-Centered Design, Inc.

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The Mom Friendly Network

www.MomFriendly.org

The Mom Friendly Network was developed to raise awareness in the facility design community of the needs of mothers and babies, and to educate the public on design intervention steps that could accommodate mothers and babies.

Funded in part by:

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GSC Architects (512) 433-2613

DeKalb Office (770) 360-0240

Julie Zitter, IIDA Senior Associate, Interior Designer [email protected]

Qena McCarty, BS, MPAff Founder of Aqena, Inc. [email protected]

Aqena, Inc. (512) 699-1639

Melissa Morgan Manager Dealer Design Services [email protected]

Lactation Design: Presenters

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Lactation Design: Copyright

Copyright Materials The content (including renderings) presented in each portion of this

presentation is the property of each presenter respectively. This presentation is protected by US and International Copyright laws.

Reproduction, distribution, display and use of the presentation without written permission of the speakers is prohibited.

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Lactation Design: Healthcare Facilities

www.MomFriendly.org

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Lactation Design: Healthcare Facilities

Lactation Design in Healthcare Facilities: Establishing a great start to breastfeeding The Need: Research indicates that mothers discharged from birthing facilities with policies and practices in place to promote breastfeeding are more likely to achieve longer breastfeeding durations, thereby providing improved nutrition for their babies.

Our Vision: Our vision is for a healthcare environment with no physical barriers to breastfeeding, allowing postpartum mothers to feel more comfortable breastfeeding in the hospital and eliminating physical separation between mothers and babies.

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Lactation Design: Healthcare Facilities

Our Work: Our research paper entitled “Lactation Space

Design: Supporting Evidence-Based Practice and the Baby-Friendly Hospital Initiative,” was published in the Spring 2011 issue of the Health Environments Research and Design (HERD) Journal. In this paper, we introduced design techniques for improving lactation accommodations in the hospital. In our paper entitled “The Challenges of Extended Postpartum Recovery for NICU Mothers: A proposed architectural solution,” published in the Academy Journal, we proposed solutions for mother-baby couplets separated due to medical necessity

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Lactation Design: Healthcare Facilities

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Lactation Design: Healthcare Facilities

Case Study: Neonatal Couplet Care at Catholic Medical Center

Family Care Suites

Benefits of Neonatal Couplet Care

•Increases exclusive breastfeeding

•Increased amounts and durations of

kangaroo care

•Parents are more prepared at discharge

•High job satisfaction ratings (NDNQI

survey)

•Decreased staff turn over

•Decreased Length of Stay for NAS babies

Copyright Nicole Pendenza, RNC-NIC,BSN See the entire slideshow and Tanya DiGeorge, RN, BSN Catholic Medical Center | Manchester, NH

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Lactation Design: Healthcare Facilities

Case Study: University of Alabama (Birmingham)

Private NICU rooms promote breastfeeding by allowing mothers

to room in with their infants

Labor Delivery Recovery Rooms promote immediate skin to skin and breastfeeding initiation

Private postpartum rooms promote mother-baby rooming in

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Lactation Design: Healthcare Facilities

Case Study: University of Alabama (Birmingham)

Multi-station lactation room with private bays for breast milk expression

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The Workplace

Lactation Design: Workplace Initiative

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Section 7 of the Fair Labor Standards Act (“FLSA”) “An employer shall provide— - a reasonable break time for an employee to express breast milk for her nursing child for 1 year after the child’s birth each time such employee has need to express the milk; and - a place, other than a bathroom, that is shielded from view and free from intrusion from coworkers and the public, which may be used by an employee to express breast milk.” Effective as of March 23, 2010 (United States Department of Labor. [2010] “Break Time for Nursing Mothers” http://www.dol.gov/whd/nursingmothers)

Lactation Design: Workplace Initiative

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Break Time for Nursing Mothers Employers must allow covered employees (non-exempt from overtime pay): Break Time: • Reasonable break time to express breast milk each time she has a need to express milk • If paid breaks are available to employees, mothers may utilize these breaks to express

breast milk. Milk Expression Space: • Functional for expressing milk • Shielded from view • Free from intrusion • Available as needed • NOT in a bathroom (United States Department of Labor. [2010] “Break Time for Nursing Mothers” http://www.dol.gov/whd/nursingmothers) Individual Coverage of breastfeeding supplies: http://www.hrsa.gov/womensguidelines/

Lactation Design: Workplace Initiative

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“New Standard” Design • Express Zone • Barrier Zone • Wash Zone

Building Program Benefits • Legal Compliance;

ADA • Disease Prevention • Optimal for

Multiple Users, One User at a Time

• Easy custodial care

“Ergonomics for breastfeeding and milk expression are not the same. Milk expression needs upright seating to help ensure pumping equipment does not get milk contamination during expression. Recliners and rockers are more suitable for breastfeeding an infant” Qena McCarty, Aqena, Inc.

Application • Large Health Care • Large Employers • Convention Ctr. &

Conference Ctr. • Large Retail & Malls • Airports &

Transportation Hubs • Univ. & Schools • Gov’t Assemblies • Sports & Performing Arts

Venues • Cafeterias & Restaurants

Lactation Design: “New Standard” Milk Expression Console

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Lactation Design:

Lactation Design Research

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Lactation Room Champion: Liz York, A.I.A., LEED AP; Chief Sustainability Officer, CDC Author of “Lactation Room Design,“ published in AIA Best Practices, February 2008

“Lactation Rooms: Employee to Station Ratio” (Lactation room planning calculations developed by the CDC) Findings: • For every 100 women in a building (or 200 employees, both male and female), there should be one lactation station. • 4 women can share one lactation station each day.

Lactation Design: Workplace Initiative

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Component Notes: *2-4 Walls Necessary to complete a full enclosure *Entry door With locking capability *Chair Tablet arm option for small spaces may replace a table Ceiling Partitions may extend to the existing ceiling, or require a suspended ceiling where existing

space is exposed to structure. Acoustical privacy is necessary. Table Sitting height for breast pump accessories Communal storage Used for lactation reference materials and general supplies, such as paper towels, cups, etc. Human milk storage In-room refrigerator or lockable milk storage bins that may be transported to the common

refrigerator Personal storage Lockers for users to store personal supplies Sink Recessed in counter for sanitizing supplies Counter Standing height for assembling pump accessories and sanitizing Microwave oven For sanitizing pump accessories in sterilization bags AV capabilities Monitor and i-pod dock for playing videos and/or music Privacy partitions or curtains

This may be necessary in booth configurations that accommodate multiple users.

* Minimum Requirements

Lactation Design: Workplace Initiative

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Lactation Room Champion: Kiana Ayers RN; Case Manager, Amerigroup Community Care Steps to creating a employee lactation program. 1) Approach Human Resources (HR) and explain the concept of a lactation room and program. Provide information on existing laws that protect nursing mothers in the workplace. 2) Search for a lactation support program to provide education, resources and supplies. 3) Make a presentation for HR complete with proposals and an estimated budget, highlighting the business case. 4) Set a timeline for the program to start and be persistent with the decision makers so that the initiative is not lost. 5) Communicate to employees: Ask for posters or an advertisement in the company newsletter. Try to make a quarterly company wide announcement as a reminder to prospective users.

Founder of Powerful Petals free breastfeeding education series

and support group

Lactation Design: Workplace Initiative

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• Personal Storage • Supply Storage • Ergonomic Seating • Technology • Outlets

7 x 7 Solution Description: This space offers accommodations for one user at a time. However, lockable storage has been provided so that multiple users have dedicated personal space. In this smaller space the following has been accommodated.

Lactation Design: Workplace Initiative

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• Personal Storage – multiple units • Open Supply Storage • Recliner – (Heat and Massage available) • Technology • ADA Sink • PPE • Trash Receptacles • Refrigerator • Mobile storage unit .

8 x10 Solution Description: This space offers accommodations for one user at a time. However, lockable storage has been provided so that multiple users have dedicated personal space. A larger lactation space has been provided with adequate storage and amenities including the following.

Lactation Design: Workplace Initiative

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• Personal Storage • Supply Storage – Upper and Lower • ADA Sink • PPE • Refrigerator • Trash Receptacle • Recliners in each space • Privacy walls and Doors • Media centers in each space • Personal storage in each space • Charging stations in each space

12 x 19 Solution Description: This space offers accommodations for up to three users at a time. In this larger shared space, individual lactation areas have been provided and will be private in nature with privacy walls and sliding doors to close off each individual space. However, the amenities area will be a shared area, with individual locking storage for individual accommodations.

Lactation Design: Workplace Initiative

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Lactation Design: Milk Expression Room

Options

$6,900 Lactette; 55 square feet

$3,700; 50 square feet $6,200; 80 square feet $33,000; 230 square feet

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We appreciate your interest in our programs.

Please join us on our mission. QUESTIONS? Contact: Tammy S. Thompson, RA, CLC, EDAC Institute for Patient-Centered Design, Inc. 235 Peachtree Street, NE; Suite 400 Atlanta, GA 30303 [email protected] www.patientcentereddesign.org www.MomFriendly.org `

Institute for Patient-Centered Design, Inc. does not endorse or guarantee the products or services shown during this presentation. The information presented is for educational purposes only.

Credits: Unless otherwise noted, images shown belong to the Institute, or were provided by the Institute’s partners, sponsors, or

case study subjects with permission to use. All other photographs are from “istockphoto.com,” with a license agreement to use.

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22 PLUMBING 22 42 16 Commercial Lavatories and Sinks

AQENA, INC.

LACTETTE®

is the new standard milk expression console in

dedicated lactation rooms for facility owners to ensure compliance

with various state and federal regulations (P.L. 111-148, March 23,

2010) for lactating women occupants needing a private place and

time for milk expression while away from their nursing infants.

LACTETTE® design meets health and food handling facility

guidelines to provide optimal hygiene for milk expression.

Applications

Dedicated, private lactation rooms in work and public facilities such

as offices, call centers, malls, convention centers, airports, multi-

tenant office buildings, performing arts centers, sports and

entertainment centers, large retail outlets, public assemblies,

courthouses, city halls, universities, and schools districts.

Features

Patent-pending innovative space-saving design

Seamlessly integrated sink, splashguard, and countertop

constructed of anti-microbial solid surface material

Ergonomic chair certified to 300 lbs.

Fixtures including hands-free faucet and soap dispenser

Durable commercial-grade materials; low maintenance and

operation

Available in attractive colors

Meets health care and food handling guidelines; ADA and TAS

compliant; GreenGuard, BIFMA, and ANSI certified

Meets Federal and State Regulations for nursing mothers’

workplace accommodation

Installs in much less time than millwork cabinetry solution

Some assembly required per installation instructions (electrical

and plumbing installation not included)

Benefits

Complete, hassle-free system to help comply with state and

federal regulations when installed in private room

Eliminates guess-work in design and operational policy issues

Optimizes health and productivity benefits

Serves up to 6 women per work day, one person at a time.

Suitable for accelerated depreciation schedule

Easy routine custodial cleaning

Other Products and Services Offered

Signage

Location test fit assessments for lactation accommodation

Worksite lactation program design consultation

Sensitivity training

© 2013 Aqena, Inc. All Rights Reserved.

Lactette® Key Components

Integrated Console: pre-fabricated, seamlessly integrated,

antimicrobial countertop, sink, and splashguards

Center Splashguard: research-based height and placement to

minimize cross-contamination from hand-washing

Hands-Free: fixtures are hands-free to minimize

contamination of expressed milk

Fixed Seating: attached, height-adjustable, fully ergonomic

BIFMA chair

Certified Design

Meets Health Care and Food Handling Facilities Guidelines

Potential LEED Building Rating System points: recycled

content, low-VOC, innovation credit for “employee wellness”

Potential BIFMA level sustainability standard

Warranty

Backed by manufacturer warranty

Patent Pending

Lactette® milk expression console

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22 PLUMBING 22 42 16 Commercial Lavatories and Sinks

Technical Requirements for Lactette®

Minimum Requirements

Countertop dimensions: 7’–10 ½” by 1’–10”

Room Dimensions: 6′ – 10″ by 8’ (55 sq. ft.) with occupancy

lock door

Electricity and plumbing connections

Not in a restroom

Stacked Lactette® Duo with Vestibule

Applications

Large employer worksites

Large multi-tenant office buildings

Universities, community colleges, and school districts

Benefits

Private, sanitary, and cost-effective milk expression facility

Based on public restroom paradigm with public access

and regular custodial cleaning

Serves at least 12 lactating employees per 8 hour work day

No gatekeeper or key access required by user

Lactette® enclosed in privacy partitions with latch doors

Safety and security enhanced with public vestibule

Sink with Offset Drain

Benefits

Reduces transmission of pathogens

Ramp wall reduces splash

Lactette® Duo with Breastfeeding Lounge

Applications

Convention and conference centers

Large transportation centers such as airports and train stations

Malls and large retail outlets

Large sports arenas, entertainment venues, museums, and

performing arts centers

Public assemblies such as legislatures, county courthouses, and

city halls

Benefits

Same as Stacked Lactette® Duo with Vestibule above

Provides discrete area for breastfeeding mothers (discourages

mothers from breastfeeding in Lactette®

room)

Attractive public amenity where women make up the majority

of customers, visitors, or clients

Signage

Universal, attractive, and discreet signage for LACTETTE®

milk

expression room

Contact

AQENA, INC., 12516 Wire Rd., Leander, TX 78641

P: 512-699-1639; F: 512-267-3875; E: [email protected]

www.lactette.com

© 2013 Aqena, Inc. All Rights Reserved.