Margaret-
The nurse-expert who scared your boss sounds like she thinks she's
meeting the needs of the institution, not the needs of the patients. But
I don't think that will happen either, if you pursue this policy. As you
are constantly being asked to bring in evidence, could you ask this
nurse-expert for the same: chapter and verse laws/mandates, case law
and/or legal argument? And haven't hospitals been claiming for years
that ERs are crammed with non-ER situations? This new directive, if
that's what it is, strikes me as ludicrous, and, if you have a good
relationship with your superior, I think it might not be a bad idea to
push back a little bit. Who is the client going to see in the ER? The
triage nurse? What, exactly does the triage nurse know about
breastfeeding? And what on God's green earth is a newborn going to be
exposed to as mother waits in the ER? The hospital should want to
connect the right caregiver with the patient; you are doing that now
with a system of callback telephone calls that works from a practical
standpoint for the hospital (stats & outcomes), for you (follow-up &
follow-through) and the client (who, at 3 days PP, is just realizing she
delivered a placenta and not an instruction manual along with the baby
and needs encouragement and is just so darn relieved you called).
I'm sorry, I've posted a lot lately, but this one just got to me. I
don't work in a hospital setting, so I don't know how much this is
worth, but now you have my reaction to the policy.
Natalie Rawlings Kraut
LLL Leader, Plantation, FL
Regional Conference Administrator - Great Lakes, Eastern US Div., LLLI
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