Laurie writes:

have  caught alot of 
babies in trouble who would not be seen by the doctor for a  week or more. i 
have gotten moms in and corrected poor latches etc  easily.


Dear listmates,
 
I was wondering if this is done on a formal basis, like an outpatient  clinic 
(program), or informally, as in bringing the baby into the maternity unit  
and meeting with the LC when the LC is available.  This had been done in  our 
local hospital, until the risk management people put a stop to it as there  was 
no formal hospital-patient relationship, no formal documentation of  
assessment, no written follow-up to pedi.  The issue also raises the  question about 
IBCLC standards if there are no written consents  obtained, HIPAA rights given 
out, written documentation, etc.; perhaps the LC in  question could be seen as 
not adhering to standards of practice?  I  actually have addressed this 
concern in a proposal which I have written in the  hopes that our local hospital 
will set up a comprehensive lactation  service.  
 
Our telephone follow-up educator (CLC) now refers people to the home care  
agency who has IBCLC (me) or PPLC's or pedi's instead of suggesting  they call 
the hospital special care nursery nurse who is IBCLC to return back to  the 
hospital.
 
 
Mary-Jane  Sackett, RN, BSN, IBCLC, CCE, CD(DONA)
Registered Lactation Consultant,  Certified Childbirth Educator and Doula
Maternal Child Health Visiting  Nurse
Pittsfield, MA



             ***********************************************

To temporarily stop your subscription: set lactnet nomail
To start it again: set lactnet mail (or digest)
To unsubscribe: unsubscribe lactnet
All commands go to [log in to unmask]

The LACTNET mailing list is powered by L-Soft's renowned
LISTSERV(R) list management software together with L-Soft's LSMTP(R)
mailer for lightning fast mail delivery. For more information, go to:
http://www.lsoft.com/LISTSERV-powered.html