OK, this is directed primarily to the MD's on the list.  We have a situation in which floor nurses not trained in the technique are using finger feeds without LC direction or follow up.  MY question (thanks to those who have already responded to the first post; very useful!!!): Is there a competency validation you use and or a protocol for use of fingerfeeding in your hospital?  What feedback can you give on the situation we are facing here?  What reccommendations would you make in terms of staff training requirements, follow up requirements, and other interventions to be used (pumping, etc)??  What percentage of your supplementation / alternative feeding methods are finger feeding? What is the average duration and follow up for these dyads?  Thanks VERY much for any responses!!!!!!!
  Esther Friedman, IBCLC, RLC, not a big fan of finger feeding ;-)

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