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Submission: On May 20 via automatic, source certstream-suspicious — Scanned from DE
Submission: On May 20 via automatic, source certstream-suspicious — Scanned from DE
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4 forms found in the DOMDonor_Interview.html
<form action="Donor_Interview.html">
<input type="submit" value="Donor Forms">
</form>
LabCorp.pdf
<form class="form" action="LabCorp.pdf" target="_blank"><input class="btn btn-default btn-sm" type="submit" value="LabCorp Sample Slip"></form>
Quest_Lab.pdf
<form class="form" action="Quest_Lab.pdf" target="_blank"><input class="btn btn-default btn-sm" type="submit" value="Quest Lab Sample Slip"></form>
Guidelines_for_Pumping_and_Handling_Breastmilk.html
<form action="Guidelines_for_Pumping_and_Handling_Breastmilk.html" target="_blank">
<input class="btn btn-info btn-lg" type="submit" value="Guidelines for Pumping and Handling Breastmilk">
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Text Content
Donor Instructions * Step 1 * Step 2 * Step 3 DONOR INSTRUCTIONS Dear Donor Mother, Thank you for your interest in donating your milk. We look forward to having you as a part of our team in improving the lives and health of the premature and sick babies we serve. THE DONOR APPROVAL PROCESS IS THREE EASY STEPS: STEP 1 Complete and return the indicated forms STEP 2 Complete required blood testing STEP 3 Deliver at least 100 ounces of milk to the milk bank or depot Please carefully read all of the enclosed important information sheets. The precious milk that you are sending will be fed to the most fragile and ill babies. Following our instructions will enable you to provide the purest, freshest, and most carefully handled milk possible. Please carefully read the Pumping Instructions and Medication Information, and feel free to call us if you have questions at any point during the process. We have staff available to answer any questions. After we receive your milk and all of your paperwork and blood test results, we will carefully pour, mix and pasteurize your milk by gently heating it to destroy any bacteria that may be present. Pasteurized donor milk has been found to be as protective against infection as fresh milk because the majority of antibodies survive the heating and freezing process. Next, we will distribute the milk to premature hospitalized babies or to sick babies whose doctors have prescribed donor milk for them. Not only does you milk contain very important antibodies to fight infection, it is also easy to digest and full of valuable nutrients. We sincerely thank you on behalf of another mother whose precious baby will benefit from your generous efforts. STEP 1:COMPLETING THE FORMS Please review all instructions on this page before completing the form After completing the form we will contact your healthcare provider for any needed supplimental information on mother and baby. Please review our Notice of Privacy Practices Please click this button to complete the required forms. STEP 2: GETTING YOUR LAB WORK DONE YOU CAN GET YOUR BLOOD WORK DONE AT ANY TIME ONCE YOU HAVE YOUR LAB SLIP. Should you arrive at a lab not having your lab slip please show the lab this sample slip. * FOR DONORS DROPPING OFF AT THE FLOWOOD OFFICE: Blood work is done at LabCorp on Lakeland Drive, Flowood, MS * DONORS OUTSIDE THE FLOWOOD AREA: The nearest Quest Lab or LabCorp (drawing facility) to you. We will send you a lab slip for the nearest lab to you. * DONORS NOT LIVING NEAR A QUEST LAB OR A LABCORP LAB: We will arrange lab testing on a case by case basis. Call our office at 601-939-5504 for arrangements. THANK YOU SO MUCH FOR GETTING YOUR LAB WORK DONE AS SOON AS YOU CAN AFTER DROPPING OFF YOUR MILK. WE MUST HAVE YOUR LAB WORK TO USE YOUR MILK. BLOOD TESTING INFORMATION TESTING REQUIRED FOR MILK DONORS Potential donors are screened serologically for HIV-1 and -2, HTLV-I and -2, Hepatitis C, Hepatitis B, and syphilis prior to the first donation. A certified laboratory does the tests, and results are valid throughout the time of donation unless life-style or medical issues suggest an increased risk for donation, in which case deferral or retesting is at the discretion of the individual milk bank. Negative test results do not require confirmatory testing. If a screening test is positive, the milk bank can defer that donor or follow up with a confirmatory diagnostic test. A confirmatory diagnostic test cannot be a repeat of the same test but must be more specific and less subject to a false positive, according to medical standards. Milk banks are not required to run diagnostic tests; however, they may do so. Donors are deferred indefinitely for any positive result on a diagnostic/confirmatory serological test. Any milk from this potential donor, that has already been donated and is being held at the milk bank, is disposed of according to institutional protocols. In all cases, whether or not screening tests are negative, a donor is deferred if her lifestyle or medical risks suggest that she could have harmful substances in her milk. WHAT IS AIDS? AIDS, or Acquired Immune Deficiency Syndrome, is a condition caused by HIV (the AIDS virus), in which the body’s normal defense mechanisms against certain infectious diseases are severely reduced. As a result, patients develop unusual infections and cancer, and ultimately die of these complications. There is no known cure for AIDS. Although some people may be infected by HIV and have no symptoms, it is believed that anyone infected by the virus may infect others by certain routes. WHAT DOES AIDS HAVE TO DO WITH DONATING MILK? Any infant who receives donor milk is extremely vulnerable to infections. It is known that HIV can be spread via body fluids. HIV can be found in the milk of infected women. Therefore, if you are in ANY of the high-risk groups listed below, we are asking that you voluntarily refrain from applying to donate milk. We truly appreciate your willingness to understand the critical need for these voluntary screening procedures. Sometimes the best gift is no gift. WHO IS AT RISK? It is known that certain groups are at high risk of contracting HIV as well as passing it to others: * Those with a positive result when tested for HIV. * Those with symptoms and signs of AIDS (unexplained enlarged lymph nodes, unexplained weight loss, night sweats, chronic diarrhea, fungal and viral infections of the mouth, unexplained dark skin nodules. * Sexual partners of HIV-positive individuals, or those who are at risk for HIV infection * Men who have ever had sex with another man since 1977. * Present or past abusers of non-medical, injected drugs. * Persons with hemophilia who have received clotting factor concentrates. * Sexual partners of individuals in any of the above categories. * Men or women who have engaged in sex for money or drugs within the last 12 months and persons who have been their sexual partners. MEDICATIONS AND LIFESTYLE GUIDELINES Do Not Donate if: * A. You, your baby, or any household member becomes ill. The exception to this is an uncomplicated cold, seasonal runny nose, or allergies, in which the sick person’s oral temperature is no higher than 100oF. The sick person must not be in the same room with you while you pump milk. With all other illnesses, we cannot accept milk collected in the 24 hours before the person became ill and until 24 hours after they are well. Illness includes active herpes, any sore in someone’s mouth (even a cold sore), or thrush in the baby’s mouth. If you have questions about this, please give us a call and we can discuss it further. Do not donate during the 4 week period following a case of rubella or chicken pox in your household, during the reactivation of latent herpes simplex virus or varicella zoster of the breast or chest area (may resume when lesion crust over). * B. If you need to take any medications or drugs, please check with us. * C. You have ANY breast tenderness. In the presence of plugged ducts or breast infection, unacceptable bacteria may be present in the milk. DO KEEP NURSING YOUR OWN BABY and collecting milk even though it cannot be used by the MMBMS. * D. You smoke cigarettes or use tobacco on a regular basis. * E. You use recreational drugs such as marijuana, amphetamines, cocaine, etc. * If any of the above circumstances has occurred and your milk has already been sent, please call the MMBMS immediately if you think there might be ANY reason to put a hold on distribution. Each situation is different. Sometimes your milk may be perfectly safe to use. We want you to keep in close touch with the MMBMS. If you have any questions please call us. Additional Instructions and Restrictions: * All nursing mothers need to eat a balanced diet with at least eight glasses of fluid per day. * Vegans should be taking a daily multivitamin. * Any alcohol intake requires a 12 hour waiting period before pumping. * Caffeine from tea, coffee, soda, or chocolate is acceptable if caffeine intake does not exceed more than the caffeine equivalent to that in 24 ounces of coffee per day. Cola and tea has less caffeine than coffee. If you are not sure, call us. * Herbal teas are okay, but limit to one cup per day. If greater than 1 cup, vary the type of herb. * Vitamins are acceptable in usual dosages. No mega-dosing and no herb-containing vitamins. STEP 3: DELIVERING YOUR MILK PLEASE PUT YOUR MILK CONTAINERS IN A PLASTIC BAG (FOR EXAMPLE: A CLEAN GROCERY STORE BAG) AND TIE IT CLOSED. INSIDE THE BAG PLEASE PUT A CARD WITH YOUR FIRST AND LAST NAME AND YOUR DONOR NUMBER IN PERMANENT MARKER. IF POSSIBLE, PLEASE WRITE YOUR NAME ON THE OUTSIDE OF THE BAG IN PERMANENT MARKER. AVOID GIVING US ANY CRACKED OR LEAKING CONTAINERS. PLACE YOUR FROZEN MILK IN AN ICE CHEST OR COOLER (ICE IS NOT NECESSARY, EVEN IF MILK IS IN THE COOLER FOR SEVERAL HOURS) FOR TRANSPORTING AND DROP IT OFF AT OUR OFFICE OR DEPOT. PLEASE BOOKMARK AND READ THESE DETAILED INSTRUCTIONS ON GUIDELINES FOR PUMPING AND HANDLING BREASTMILK. PLEASE CALL THE MMBM OFFICE OR THE DEPOT NEAREST YOU FOR ARRANGEMENTS TO DROP OFF YOUR MILK Hinds, Madison, and Rankin County Donors (also Central Mississippi) MMBM 2001 Airport Road, Suite 204, Flowood, MS 39232 601-939-5504 Gulfport Depot – Memorial Hospital at Gulfport 4500 13th St, Gulfport, MS 39501 228-867-4053 Gulf Coast Breastfeeding Center 6340 Kiln Delisle Road, Pass Christian, MS 39571 228-363-0158 Hattiesburg Depot – Forrest General Hospital 6051 U S Highway 49, Hattiesburg, MS 39401 (ask for Lactation Consultant) 601-288-3763 or 601-288-4500 Columbus Depot – Mom 2 Be 449 Wilkins Wise Road, Columbus, MS 39705-1756 Store hours: Tuesday – Saturday 10-6 662-570-4991 Tupelo Depot – North Ms Medical Center – Women’s Center 4566S. Eason Blvd., Tupelo, MS 38804 Call Mon. – Sat. 8:00am – 4:00 pm 662-377-5490 Oxford Depot – The Lactation Station 21 Shackelford Road, Oxford, MS 38655 662-816-8020 Meridian Depot – Anderson Regional Medical Center – Lactation Center 2024 14th Street, Meridian, MS 39301 Reba Lee, RN, IBCLC @ 601-553-6034 or Michelle Johnson, RN, IBCLC @ 601-553-6501 Vicksburg Depot- Merit Health River Region 2100 Highway 61 North, Vicksburg, MS 39183 Contacts: Lacey Griffith, RN, Director of Womens Services (601)-883-4209 Lacie Brewer, RN- OB Educator 601-883-5353 Starkville Depot & Lab-Starkville Clinic For Women 100 Medical Park Drive, Starkville, MS 39759 662-323-4427 Kings Daughters Medical Center 427 Hwy 51 N, Brookhaven, MS 39601 Contact: Angie Williamson RNC, BSN 601-835-9285 Delta Baby Café- Indianola (inside of Sunflower County Health Department) 227 North Martin Luther King Drive, Indianola, MS 38751 Contact: Jacqueline Lambert 662-763-1744 Out of Area Donors Please call us at 601-939-5504 for instructions regarding sending your milk via FedEx. We will send you a kit that includes an insulated shipping container and instructions on how to ship your milk. Mothers' Milk Bank of Mississippi