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Wed, 1 Nov 2006 10:27:34 -0500 |
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Micki: Yes, you always have to have a signed health care consent. One of
the perks of being hospital-based is that the hospital has a nice multi-
copy printed consent form that the mom signs when she comes in to deliver.
This covers all the care, including lactation, that she receives as an
inpatient. If I see a mom or baby as an outpatient in the office, I have
her sign another consent for either herself or her baby, depending on if
it's a mom or baby issue. And you always send a report to the appropriate
physican. This serves several purposes - it keeps the doc in the loop. It
helps with consistency and continuity and becomes a part of the chart in
the doc's office, so that even his office nurses are able to see what the
lactation recommendations are and help to review/reinforce this
information. And it is the right (legal) thing to do. I fax my reports to
the doc.
The doctor's order (I operate on standing orders), copies of the mom's
driver's license/insurance card, and a copy of the signed consent go down
to medical records to be added to the mom's or baby's chart so that the
hospital also has a permanent record that she has been seen at the hospital
as an outpatient. And, yes, my outpatient consults are covered by
insurance, which is why I have a standing doctor's order - nurses currently
are not 3rd party reimbursable, at least in my state. I also keep a hard
copy of the chart in my office.
Pam Hirsch, BSN,RN,IBCLC
Clinical Lead, Lactation Services
Advocate Good Shepherd Hospital
Barrington, IL USA
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