On Sun, 26 Mar 2000 10:28:26 EST [log in to unmask] writes:
> Every once in a while in the midst of working with a newly pp mom and
> baby in
> hospital, I've had/created a teaching opportunity with a nurse whose
> advise
> has been less than helpful.  If we are working on a latch-on or
> positioning
> issue and the nurse strolls in for something else, I try to bring
> them over
> to show her how wonderfully they are connected right now and
> emphasize what
> is right about the situation - not what advise worked.  It's a
> learning
> opportunity for the nurse and hopefully, everybody's ego remains
> intact and
> valuable information is acquired and the attitude of working as part
> of the
> team approach is maintained.

Where I work, the procedure is that when we see a pt for a consult (in
hospital consultant) the nurse assigned to that pt comes with us for the
consult.  That way they are learning what we do to help the infant latch.
 They also hear what we are telling the pt.  Also during the orientation
classes we give our inservice and show a video .  The orientee then
shadows an LC for 4 hours before they actually start working on the unit
w/o a preceptor.  This happens with NICU, LDRP and antepartum nurses.
Hopefully the Pediatric nurses will soon be part of this procedure.  It
takes time, but I am finding it is worth it.  There are still per diem
nurses that fall through the cracks and those that come and don't always
want to be there, but they are exposed and it is better than nurses who
may not care one way or the other to precept them for the breastfeeding
orientation.  I wish there was a simple answer.  I wish every nurse cared
about breastfeeding, but they don't and we have to keep on keeping on to
make it better.
Thank you,
Darlene Breed, BSN, RN, IBCLC
Coordinator, Milk Bank & Breastfeeding Center, Worcester, MA (USA)
Treasurer, Human Milk Bank Association of North America (HMBANA)

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