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Learning Objective 1: Learners will be able to describe one health authority's experiance of employing change management strategies to assure safe administration of EBM to NICU infants.
Learning Objective 2: Learners will be able to discuss strategies adapted to mitigate risk and assure accurate identification, charting and storage of EBM within the NICU setting.
Expressed breast milk (EBM) does carry the risk of transmitting infectious agents. Misadministration of EBM carries significant short-term consequences and potential long-term consequences for the donor, recipient, families, and the health care system. Therefore EBM should be handled according to practices used for other bodily with a minimum of a double check recommended at administration. The purpose of this project was to employ change management strategies to eliminate errors in administering EBM within the four Neonatal Intensive Care Units (NICUs) in the Fraser Health (FH) region. An environmental scan and chart audits of current process were conducted. Surveys, focus groups and presentations were used to elicit support, engage stakeholders, and implement early trials. This work was used to define a new process of EBM handling for FH NICUs based on literature and the reality of the clinical environment. A multidisciplinary shared work team was established to write a supporting policy which will be implemented across the four FH NICUs. Post implementation chart and observational audits will be conducted to evaluate the new process. EBM administration error rates will be tracked through FHs electronic patient safety system. Learnings gleaned throughout the process of this leadership journey will also be discussed.
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