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Date: | Sat, 16 Jun 2007 21:54:14 -0400 |
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I believe it is a requirement that ANY patient including healthy newborns must
have orders -such as diet orders. It is my understanding most maternal child
areas will have standing orders that read: Breastfeed ad lib per protocol (in
my facility there is a protocol about the minimum but none for maximum, and
even an order that mother's choosing to breastfeed-the nurse must initiate
breastfeeding within 1 hour) or Formula feed- parent's fomula of choice per
protocol. These again are standing orders, which reflect department policy
and procedures. The doctor just has to "sign-off" on standing orders within
24 hours thus the pediatrician does not need to be called in the middle of the
night for a healthy, stable newborn. If the facility does not have standing
orders, the facility must obtain orders upon admission (or birth). Without
orders, policy and procedures, Nurses would be consider to be practicing
beyond the scope of a nurse's practice. It's a legal thing. JACHO does not
care if there are standing orders. They only care that there are orders and is
the hospital following it's own protocol for obtaining orders, are nurse's
following orders etc.
Renee Palting-RN, IBCLC, RLC
-former Risk Management for OB/GYN in AZ
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