Thank you Jan! (and Pat)
 
Jan writes..."I guess I don't get what the problem is.  Is a formula fed baby  being 
"supplemented?"  If you give a formula fed baby a bottle of formula  (or an 
ounce or two or whatever), the baby is simply being *fed*, not  supplemented". 
 
Here is the link from JACHO. It sounds like the documentation must be done (by a physician or lactation consultant) on all babies even if the mother chooses to formula feed. 
 
http://manual.jointcommission.org/releases/TJC2013A/DataElem0274.html
 I too, thought our CNS was misinterpreting the requirement, however, I was hoping to get a response from any hospital who may have already gone through an inspection to see how all this is playing out in 'real time'. 

 
 
Holly McSpadden IBCLC
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