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Date: | Tue, 4 Dec 2012 07:50:12 -0500 |
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I think your CNS needs more info. Looks like Jan's statement is a good
start ! The CNS obviously hasn't thought this thru. Pat in SNJ
> ************************************************************************
> Our CNS has contacted me because the hospital is trying to figure out how
> to best implement the 'exclusive breastfeeding' portion of the Perinatal
> Core Measures. As lactation consultants we chart in the computer. This
> charting includes information about the supplementation of breastfed
> babies and
> we can run a report that includes those stats.
>
> The concern is that her information about the Core Measures states that
> the supplementation must be documented by either a physician or a
> lactation
> consultant, and it must be documented on every baby not just the
> breastfeeding babies. As lactation consultants, we don't visit the
> bottlefeeding
> mothers. (No flames please, we are understaffed and have no time:-).
>
> ***************************************************************************
>
> 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.
> So it would be documented as a feed by the nurse who is caring for that
> baby. Why would the physician or the lactation consultant be involved in
> documenting feeds of a formula fed baby?
>
> Perhaps I'm missing something here -- but I'm not sure what the problem
> is. Unless, of course, there is an assumption that what is in the bottle
> of
> the bottle feeding baby is expressed breastmilk, and then if you are
> supplementing with formula, documentation of why that would be....
>
> Jan Barger, RN, MA, IBCLC, FILCA
> Lactation Education Consultants
>
>
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