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• Subject Matter Expert : Pam Erickson
• Interview : 27-SEP-18 ?Transcript?
• Source : Donor milk transparency and traceability

• Pam is a NICU lactation consultant at one of the largest healthcare facility within a healthcare system that has over 900 facilities
• She is specialized due to the size of the facility with NICU lactation consultants and in-patient lactation consultants being distinct roles; her focus is on mother's milk, not donor milk
• At smaller facilities, lactation consultant responsibilities includes management of donor milk as well as mother's milk
• Pam has offered to take an advisory role moving forward, and she is going to refer us to the dietician that manages the donor milk in the facility
• As a NICU lactation consultant, if a mother's supply is good and might expire or if there has been an infant loss, they offer donation as an option
  • They refer mothers to WakeMed Donor Bank and they have fliers that they pass along
  • They do not do donation collection within the facility
• If a baby or mother is transferred to another facility within the healthcare system, the mother's milk has to be relabeled facility to facility - an opportunity to standardize the labeling across the full healthcare system
• When Mother's bring in their milk for their baby in the NICU, there are kiosks where the mothers can check in the milk; they use a barcode labeling system
• Expiration of milk
  • In the NICU in deep freezers milk can hold up to 6 months
  • At home in deep freezers the recommendation is 6-12 months
• Donor milk is the responsibility of the dietician on staff who manages the supply with donor banks and the milk preparation onsite
  • There is informal sharing of donated milk across facilitates within the healthcare system and visibility on supply could be better - an opportunity to improve the donor milk network between facilities within the same system