Kathy,
You are perfectly right.  This is the scenario we have been up against .  The 
hospital that I work for has spent a lot of money to send their postpartum 
RNs to a full day workshop on breastfeeding.  Nothing difficult--mainstream, 
normal breastfeeding in the hospital setting, with how to help or avoid problems. 
 We did include a piece on the near term infant, basically so the nurses 
would stop expecting these babies to act and feed as full term infants.  We told 
our manager and our director, and this is a quote, "You can spend all the money 
you want on breastfeeding education.  It does no good if management will not 
hold the nurses accountable for their practice."  So, their solution--to stop 
the classes and continue to NOT hold the nurses accountable for their 
practice.  Also, to cut our department's FTEs by one-third.  According to the 
director, this will make the nurses accountable--they will have to do it.  
I have to tell you, that's not what the mothers tell us in the breastfeeding 
class that we run daily.
Thanks again for saying it so well.
Maureen Allen RN, BSN, IBCLC

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