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Sun, 19 Feb 2006 22:01:55 -0800 |
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Esther wrote on 2/9: "Could you share some tips on how you intend to teach
your colleagues?? I have to do another
in-service soon and would really like some great concrete ideas on how to
teach the nurses to asses a latch, given that they have very little time
with the mother."
Last year, when I was training the nurses as part of our Baby Friendly
program, I taught positioning and latch skills. I spent approximately 30
minutes with each nurse. I worked with them during their shifts when they
had a slow period. I brought them into an empty patient room either one or
two at a time. Using a baby doll I would have the nurse pretend that she
was the mother. She tried to position the baby in a cradle hold, a
cross-cradle hold, a football hold and lying on her side. By practicing
these skills herself, she was then better able to get a sense of what these
positions were like for the mothers. Then I worked with them on getting a
good asymmetrical latch. This technique was news to many of them.
I was so very pleased when the nurses would approach me a few days after the
training sessions to say, "I tried the techniques you taught me and they
really work!"
Our hospital had approximately 150 nurses in L&D, couplet care and NICU. As
you can imagine, this was a time-consuming process for me. I had to work
odd hours so that I could train both the day shift and the night shift. But
as more and more nurses attended the training, I noticed that more patients
were being instructed in good positioning and latch techniques.
============================================
Ellen A. Steinberg, RN, LCCE, IBCLC
Tarzana, CA
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