Content-Transfer-Encoding: |
7bit |
Sender: |
|
Subject: |
|
From: |
|
Date: |
Sat, 25 Aug 2007 16:41:15 EDT |
Content-Type: |
text/plain; charset="US-ASCII" |
MIME-Version: |
1.0 |
Reply-To: |
|
Parts/Attachments: |
|
|
As the only IBCLC (our Director will only hire RN, IBCLCs) in our hospital
it is impossible for me to do it all. Supplementing happens constantly, but
not because of my decision. I do feel the majority of the day nurses (they
spend the most time with me) are less likely to jump the gun and supplement. I
am always walking a tight rope in my job. I have been accused of not giving
the patients choices and therefore not being Patient and Family Centered
Care(PFCC)in my job. ( I am on that committee and am probably the only nurse in
our unit that REALLY understands PFCC). When I supplement you better
believe it is for a reason, 99% of the time. The other 1% is because the mom is
not convinced but is trying HER best and I am at least trying to get her to
think about weaning off of that stuff when her milk comes in. I teach her
stomach capacity and give her an empty gradufeed to use instead of letting the
baby drink or drown!
I supplemented at the breast 3 babies yesterday. Two of which I was not
surprised. I suspected by my feeding observations on Thursday what might happen
in the next 12 or so hours, but output was good, so I let the dedicated
parents see how the night went. Neither succumbed to supplementing but by Friday
the babies were fretful, the BMs had stopped and I didn't see much
swallowing. So pumping and some formula had to be started. Both moms a wee bit
disappointed but not going to give up. One mom has a challenge of that C/S
swelling and the other is Diabetic. One of those babies is not totally organized
with his suck. The other was extremely sleepy, he did great with the SNS
feeding. The other was a little more difficult but we were able to do it and get
more organization from him.
So....my point...a RN, IBCLC....especially with tons of experience does not
jump to supplementing. A new IBCLC might be more nervous, especially in a
hospital setting where some Doctors/ARNPs may not totally get breastfeeding and
be on the back of the nurses/IBCLC to supplement. It isn't easy working in
a hospital setting. And the nurses think they are being kind (they want lots
of good comments on our patient surveys) so they tend to throw in that
formula "just in case" as the parents are leaving. The do not believe doing this
is potentially affecting breastfeeding. I am tired of saying the same thing
over and over. I am tired of presenting the evidence. And I guess my
director is tired of hearing it too because she feels no one reads my emails....she
has banned me from doing so anymore. Sad....I do know that many of the
nurses do love the email research info I present and some even print and keep in
their files. Oh, well.....I need that pay check. I love what I do. I just
keep plodding along the best I can.
Pamela Ann Hendrix Montoya
BA, RN, IBCLC
[log in to unmask] (mailto:[log in to unmask])
************************************** Get a sneak peek of the all-new AOL at
http://discover.aol.com/memed/aolcom30tour
***********************************************
Archives: http://community.lsoft.com/archives/LACTNET.html
Mail all commands to [log in to unmask]
To temporarily stop your subscription: set lactnet nomail
To start it again: set lactnet mail (or [log in to unmask])
To unsubscribe: unsubscribe lactnet or ([log in to unmask])
To reach list owners: [log in to unmask]
|
|
|