Ellen says:
<<On a few occasions I had to really do detective work to get =
the name of a doctor who had seen some moms with really worrying =
situations. The vital info I take in is the name of the well baby clinic =
and the nurse who takes care of the mom. At least that way, I can track =
down more info. In many cases, they cannot even tell me the name of the =
nurse and more often than not, they see more than one nurse.
Once again, we have to remember that there are different medical setups =
in different countries. therefore, it would be hard to make rules that =
are fitting for all systems.>>

I'm curious -- for those of you outside of the U.S. -- and for that matter,
inside the U.S. where the primary health care provider may not be a physician,
but may be a clinic or group of physicians, or GP, or midwife, or FNP or PNP
or whathave you,  does the mother/baby have a CHART in which pertinent
information is documented?  For example, Suzie Jones takes her baby Jared into the
local clinic for a check up at 1 month of age.  She sees the clinic nurse who
weighs and measures him and gives a couple of immunizations.  Is this information
not recorded SOMEWHERE?  Let's say shortly thereafter, Suzie calls you as an
IBCLC with some bf concerns, and you see Jared, discovers he is not gaining up
to par, and you do your thing -- whatever your thing may be.  Would it not be
appropriate to send a report of some sort to the clinic to be placed in the
baby's chart so that whoever is her primary health care provider (it does NOT
have to be a physician) would have access to that information?

We keep focusing on the physician, and it is evident in many situations that
there is no physician involved.  The post that started this whole thread had
to do with a mom/midwife/baby/homebirth situation in which the mother did not
have a physician.  But she DID have a "primary health care provider" -- her
midwife.  So in that situation, should a report of some kind, either verbal or
written, be made to the midwife?  In which case, you could document that a
verbal report was given to the midwife.  I, being me, would probably send a written
report as well -- especially in the U S of A where we can be sued for
sneezing upwind instead of downwind, I wouldn't want to rely on a verbal report only.


The question is, what is the spirit of #23?  And I don't think we'll know
until we hear from the powers that be....

Jan Barger, RN, MA, IBCLC, RLC
Wheaton, Illinois
www.lactationeducationconsultants.com

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