Thank you to those who have offered their experiences with the JHACO core measure on exclusive breastfeeding. I am still trying to understand how having this core measure is an incentive for staff if there is no consequence from JHACO for low compliance or low exclusive breastfeeding numbers.

I am also wondering how to implement this measure when a huge sector of our moms  request formula in addition to breastfeeding. Do you simply refuse to give formula to these moms? Or do you educate the mom on the risks of formula, offer her a pump or to teach hand expression first, and  then chart mom's refusal to comply? 

Thank you!
Brenda Phipps, BS, IBCLC

             ***********************************************

Archives: http://community.lsoft.com/archives/LACTNET.html
To reach list owners: [log in to unmask]
Mail all list management commands to: [log in to unmask]
COMMANDS:
1. To temporarily stop your subscription write in the body of an email: set lactnet nomail
2. To start it again: set lactnet mail
3. To unsubscribe: unsubscribe lactnet
4. To get a comprehensive list of rules and directions: get lactnet welcome