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Date: | Wed, 4 Jan 2006 09:11:30 -0600 |
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Several wonderful people have written me off-list already this morning
offering to send me policies and protocols, but I apparently was not
clear in my message last night (too tired, long day). These are not
protocols for the nurses that my hospital is wanting--those I have
written over the years and can come up with fairly easily from all the
wonderful references out there. What my manager wants are protocols for
the lactation consultants--for all the lactation advice we might give
over the phone or in a consult. For example, what advice do the
lactation consultants give a mother with sore nipples? Well gosh--it
depends how old her baby is, when it started, what they look like, how
bad are they--is it likely due to thrush, or poor latch when she got
engorged, or because the baby has been latching poorly from the start,
or she has a nipple bleb, or baby is tongue-tied, or !!!? The advice
can go sixteen different directions depending on what she tells me!
That's why I said "my protocols are in my head and in a constant state
of flux as I read new research and go to conferences" and why I'm having
trouble wrapping my head around this. Anybody have anything like this?
Or maybe just knowing that no other hospital-based lactation consultants
are required to have something like this might help. Again, thanks.
Becky Krumwiede, RN, IBCLC
Appleton, Wisconsin
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