"I don't understand why an inservice is needed.  It's a breastfed baby.
Don't give it anything else.  Isn't giving it a bottle against
orders(parents or ped) and hence 'punishable'?"

I don't think in the hospital I work in that it  would be 'punishable' if we
gave a breastfed baby a bottle- I will have to look that up next shift I
work.  We have a standard of care guidelines for breastfed babies, but the
nurse can convince any unknowing and vulnerable mom who doesn't want to harm
her baby that some formula is necessary, or that it won't do any harm to
keep the baby in the nursery, or the baby is spitty and it will be safer and
watched more closely in the nursery (yeah, along with the dozen other babies
in there!)  No matter what the policy, though, these nurses are quite
well-practiced at convincing a mother to agree to whatever the nurse thinks
is "the way to do it".  Mothers who have just gone through birth, especially
a C-section that may have been a total surprise, are very vulnerable to the
suggestions given by the nurses, especially if they see the nursing staff as
"the experts".

Discouraging, isn't it?

Janette, mother-baby nightshift RN, and one of those "breastfeeding
fanatics"!!