Becky,
"So, I think I'm going to have to reevaluate my position! I don't think
I'm ready to have nurses initiating them yet, but I can always
reevaluate that position, too."
I hear you. (I've followed this topic sporadically this week and I hope I'm
not repeating) I was the same way, but have been confronted by a well-known
L.C. who pushed me beyond my comfort zone on this topic. I used to think
they were big, bad and ugly things that shouldn't ever be used. We had one
nurse who used them always.....she would say "I can get any baby to bf,
anywhere!" I was having moms pump after each BF when they use one. I have
come to appreciate them when it's between a breastfeed or no breastfeed
situation. I'd much rather have a mother use one when I know she NEEDS to
succeed than to do the try, try, try again technique that the mother can't
possibly repeat, at least for several days of practice. I use them when
moms have flat nipples or the baby is tongue thrusting and can't
quit...sometime the nipple shield will keep their tongues down so they can
breastfeed.
So, I've done individual teaching rounds, showing the nurses how to apply
them and when to use them. The topic of their use has been the subject of
several teaching opportunities for the staff. It goes well now.....it is
definitely a BABY STEP process. In fact that is the name of this game of
change.....baby steps to better breastfeeding here in our facility.
I, just today, copied from Medela's site that Barbara Wilson-Clay wrote
about nipple shields to distribute as teaching info for our pts.that start
using the shield.
This is a good 'thread', we are learning alot from each other on this one.
betsy
Betsy Wells-Gephart, RN, BSN, IBCLC
Lactation Consultant
Chandler Regional Hospital
480.728.3161 phone
602.519.9479 pager
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