Excellent idea. Will seek them out for info and talk to the Nsy and OB Educators for their buy-in. Then there's our NIDCAP specialist who will need to participate. She has mostly been into nesting, quiet in the NICU, pain assessments, and the like. 
This will be a big project - but worthwhile if it 'takes'.
Phyllis

---- "Pam Hirsch wrote: 
> Phyllis:  Maybe you could arrange for a speech or occupational therapist who 
> has experience in infant feeding inservice your Level II and Level III nursery 
> staff on oral-motor and developmental feeding issues in the young infant.  Our 
> Level II nurses have done a complete turnaround in their management of 
> bottle feedings to embrace paced feedings after being inserviced and trained a 
> few years ago by our therapists.  Initially, they were reluctant, like any 
> change in practice, but now would not do a bottle feeding any other way.  
> Once our therapists have done an evaluation, they write up a feeding and/or 
> positioning plan for the baby and leave it prominently at the baby's bedside so 
> that caregivers and parents can follow their recommendations when caring for 
> the baby.  The plan is modified as needed over time.  It's a win-win situation. 
> Parents are happy, staff is happy, and babies are happy with this continuity 
> and teamwork.
> 
> 
> Pam Hirsch, BSN,RN,IBCLC
> Clinical Lead, Lactation Services
> Advocate Good Shepherd Hospital
> Barrington, IL   USA
> 
 
--
Phyllis Adamson, IBCLC, RLC
Glendale, AZ.
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