During our recent visit by JCAHO the assessor went by the model of speaking
with each discipline that came in contact with the patient(s) she was
reviewing. She reviewed a labor patient, a vaginal delivery and a c/section
delivery as well as NICU (neonatal intensive care unit) infant. She was
interested in each discipline's role and the process(es) involved. I was
able to tell her our processes for "normal" mom/baby situations (whether
c/section or vaginal delivery), and situations where mom/baby are separated.
(The c/section patient she reviewed happened to have a premature baby in the
NICU, so I was able to cover bonding, getting mom pumping and all the
teaching involved and discuss support from the NICU perspective!)
It was really a wonderful opportunity.
Jean Macomber, RN, IBCLC
Jacksonville, Florida
southeastern USA
----------------------------------------------------------------------
Date: Thu, 29 Dec 2005 16:24:31 EST
From: [log in to unmask]
Subject: JCAHO & Lactation services
Melinda asks:
<<Does JCAHO look at lactation services at all?>>
No, not officially. It is not in their guidelines, nor in the issues that
concern them r/t OB. You may get an individual assessor that will ask
questions about breastfeeding/lactation, IBCLCs, breastfeeding outcomes,
etc, but
basically they don't dictate how many staff or what kind of staff the
hospital
has. JCAHO is interested in outcomes. If you can demonstrate that you
have
had X number of breastfeeding babies readmitted to the hospital that went
home that were not breastfeeding effectively which is directly related to a
lack
of experienced, knowledgeable, breastfeeding support and services, you
might
get someplace because kernicterus/jaundice/hyperbilirubinemia is one of
their sentinel events, and is the only place in all their literature in
which
lactation consultants are mentioned.
(\__/)
(='.'=)
(")_(") Jan Barger, RN, MA, IBCLC
ILCA's Rep to JCAHO
_Lactation Education Consultants_
(http://www.lactationeducationconsultants.com/)
_My Mother of the Bride Blog_ (http://www.motherofbridebyjan.blogspot.com/)
_Torrey's Wedding Webpage_
(http://weddings.theknot.com/pwp/view/co_main.aspx?coupleid=3216252686617334
)
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