Look at the Academy of Breastfeeding Medicine Protocols as there is one on supplementation.
Look at ILCA's 2005 Clinical Guidelines available on their website as a download and fully referenced.
Jane Ciaramella RNC,IBCLC,MS
----- Original Message -----
From: [log in to unmask]
Date: Wednesday, February 18, 2009 8:53 pm
Subject: Formula for when to give formula
To: [log in to unmask]
> Hi! Well am on a mission from my Nurse Manager and Chief of Peds.
> Our Press Ganey remarks (for those of you not familiar, this is
> a survey our patients complete and return after discharge and it
> covers all aspects of their hospital stay from nursing, doctors,
> rooms, enviromental and dietary services. There is one question
> on Lactation regarding education and services) our scores have
> declined despite 2 LCs.
> The comments included that the Nurses' gave different
> information, didn't spend enough time teaching or working with
> the patient couplet regarding breastfeeding.
> So my Breastfeeding Taskforce Committee and the 2 LCs are asked
> to get the scores up. First, give inservices so everyone is on
> same page of information, especially regarding length of time to
> breastfeed (we have tried to tell patients "Watch the baby not
> the clock". But there are some who continue to recommend 15 min
> each breast.) Can you hear me tearing my hair out?? So here we
> go again.
> Next, we need a policy so we can invoke that with the people who
> continue to slip bottles and give information that is not
> evidence based and what we feel is the correct party line. Our
> chief of Peds/Neo would like to know how long time before one
> waits before giving formula when you have a sleepy or a baby who
> isn't breastfeeding or not feeding well. So I posted on Florida
> Lactation Consultants Association site, but no one has given me
> evidence base.? So I am asking the wise women and men on LactNet.
> I need information by the beginning of next week so I can give
> it to our doc and he can approve it and take it so we can rush
> this policy through committee.
> HELP!! Please.
> I have a copy of Glover algorhythm, but I don't know if there is
> something more pertinent or current.? Dr. Nancy are you out there?
> Please post or send to me off list. There are several other
> inquiries on FLCA since I posted. So this seems like a burning
> questions where populations are very
> worried about baby not getting fed enough, jaundice or babies
> losing >7% birth weight. This is referring to term babies.
> Much thanks,
> Leanne Jewell RN-BC, IBCLC, LCCE, FACCE
> South Miami, Florida USA
> [log in to unmask]
>
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