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Lactation design webinar - handout


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Lactation design webinar - handout

  1. 1. Lactation Design: Facility Solutions for Supporting Breastfeeding in the Hospital, the Community and the Workplace Institute for Patient-Centered Design, Inc.
  2. 2. The Mom Friendly Network 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:
  3. 3. GSC Architects (512) 433-2613 DeKalb Office (770) 360-0240 Julie Zitter, IIDA Senior Associate, Interior Designer Qena McCarty, BS, MPAff Founder of Aqena, Inc. Aqena, Inc. (512) 699-1639 Melissa Morgan Manager Dealer Design Services Lactation Design: Presenters
  4. 4. 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.
  5. 5. Lactation Design: Healthcare Facilities
  6. 6. 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.
  7. 7. 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
  8. 8. Lactation Design: Healthcare Facilities
  9. 9. 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
  10. 10. 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
  11. 11. Lactation Design: Healthcare Facilities Case Study: University of Alabama (Birmingham) Multi-station lactation room with private bays for breast milk expression
  12. 12. The Workplace Lactation Design: Workplace Initiative
  13. 13. 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” Lactation Design: Workplace Initiative
  14. 14. 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” Individual Coverage of breastfeeding supplies: Lactation Design: Workplace Initiative
  15. 15. “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
  16. 16. Lactation Design: Lactation Design Research
  17. 17. 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
  18. 18. 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
  19. 19. 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
  20. 20. • 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
  21. 21. • 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
  22. 22. • 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
  23. 23. 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
  24. 24. 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 ` 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 “,” with a license agreement to use.
  25. 25. 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
  26. 26. 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: © 2013 Aqena, Inc. All Rights Reserved.