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SLP follow up
Please encourage families to book a follow up in the BFC after referrals are made. We received some feedback from our partner providers that families do not have additional follow up in the BFC after receiving SLP or dentistry treatments. When interventions are introduced, its helpful for families to continue to have the breastfeeding elements supported. Sometimes the referrals take time, so tell the families to call for a BFC appointment once they receive their appointment with the referred service, so that we can continue to support them in a timely way post intervention.
Please encourage families to book a follow up in the BFC after referrals are made. We received some feedback from our partner providers that families do not have additional follow up in the BFC after receiving SLP or dentistry treatments. When interventions are introduced, its helpful for families to continue to have the breastfeeding elements supported. Sometimes the referrals take time, so tell the families to call for a BFC appointment once they receive their appointment with the referred service, so that we can continue to support them in a timely way post intervention.
Nipple Shields
It seems that there is still mixed opinions as to weather the 20mm or the 24mm shields are the best to stock. We have a new method for ordering nipple shields in bulk, which makes the cost more reasonable. However, we are only able to order the 20mm size in bulk. As a result, we can get the 20mm size for $2.11 each while the 24mm cost $7.50 each. Please take this into consideration when introducing a shield. I still have a few nipple size guides if you feel using it would be helpful to determine what might be the most appropriate size for a client.
It seems that there is still mixed opinions as to weather the 20mm or the 24mm shields are the best to stock. We have a new method for ordering nipple shields in bulk, which makes the cost more reasonable. However, we are only able to order the 20mm size in bulk. As a result, we can get the 20mm size for $2.11 each while the 24mm cost $7.50 each. Please take this into consideration when introducing a shield. I still have a few nipple size guides if you feel using it would be helpful to determine what might be the most appropriate size for a client.
A few rules for nipple shield use:
1. 1 shield per client (so please make sure you choose the right size before opening packages)
2. When possible, please have clients purchase their own.
2. When possible, please have clients purchase their own.
3. Please document that you have given a shield to the client so that another nurse doesn't open an additional shield.
4. When introducing a shield, it is important that you inform the client of the benefits and risks of nipple shield use. Pumping to support supply or long term reliance on the tool may play a part in their decision to use a shield.
Saskatoon Pediatric Dentistry
We have received an update on services available to clients by Dr. Koneru at Saskatoon Pediatric Dentistry. The consultation fee is now $80. A Sask Health card number will pay for the lazer release of either/both lip and/or tongue. The clinic can direct bill to NIHB for the $80 as long as the baby has a treaty number. They are not able to use the parent's treaty number.
This may be a barrier to some NIHB clients as it takes time to obtain a treaty number (8-12 weeks after obtaining a birth certificate). If they are able to pay upfront, the $80 can be submitted for reimbursement after the treaty number is issued.
I don't think this is new - but they are still accepting self referrals.
MORE TcB news
Calculating the ΔTSB in newborns between 12 and 120 hours of
age indicates how close the measured TSB value is to the threshold for
phototherapy treatment. The smaller the ΔTSB, the closer an infant is to
requiring phototherapy treatment. Transcutaneous bilirubin (TcB) values can
also be used in this calculation.
To calculate the ΔTSB - you can use the Measured TSB or TcB. As you are aware, the TSB (when available) is the most accurate value to use, and should be used for the calculation. In the absence of a TSB value, the TcB would be used in the equation.
These edits have been added to the Newborn Hyperbilirubinemia Record for future printing (but may not appear in charts immediately).
Free Workshop
We
often hear online that breastfeeding and maternal mental health don’t mix, that
it adds stress, pressure, or guilt. But that’s not what the research, or many
moms’ lived experiences tell us.
When we listen to our bodies and our babies, we
find that connection, rhythm, and responsive care can actually support
maternal mental health.
Join us for a free virtual workshop
exploring the relationship between Maternal Mental Health and Breastfeeding.
We’ll unpack what the research says, reflect on our own experiences, and
explore how connection and community help families thrive.
Dates: Wednesday, November 26
Time: 11:00 AM–1:00 PM CT
Cost: Free
Format: Virtual via Google Meet
Register here: www.lllc.ca/maternal-mental-health
Time: 11:00 AM–1:00 PM CT
Cost: Free
Format: Virtual via Google Meet
Register here: www.lllc.ca/maternal-mental-health
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