Hi Brenda,  

The dissatisfied NICU mom has done you a great favor by voicing  and having 
documented her non-optimal experience regarding feeding plan  inconsistency 
and therefore negatively effecting the patient/customer  satisfaction score 
for the NICU. In good hospitals managers are held firmly  feet-to-the-fire 
responsible for patient satisfaction scores, and for the plans  and 
initiatives to improve scores. So, you have an opportunity to jump  on. 
 
I much like Beverly's suggestion to work with the policy writing team,  and 
to attend rounds as often as possible. As you note; NICU babies have  
complicated problems and issues and they may stay in NICU a long time. This may  
be precisely why your valuable input may be overridden in just a few days 
after  given, or maybe in just a few hours, ...so many dynamics going 
on/frequent  changes in baby condition/status/needs = feeding plan revisions needed  
frequently. 
 
Additional improvement processes that have worked in my  experience 
include: mandatory NICU staff education (ie: during NICU  staff orientation, 
regular inservice ed, and yearly competency  reviews/testing) And having LCs who 
had a specific amount of time  devoted to NICU each day. This progressed to 
LCs devoted to  working solely in the NICU. 
 
Becoming more at ease in the NICU will come with more experience there.  
Daily/routinely make rounds, or visit a mom/moms pumping, whatever  amount of 
time you have to devote there.
 
Regarding all of the above: If you can make even just baby steps in the  
right direction - bravo!
 
 
 
Debbie Tobin
RN, BSN, 20 yr IBCLC -> lapsed
Fairfax  County, Virginia suburbs outside the Washington DC  beltway





In a message dated 1/31/2015 7:04:36 P.M. Eastern Standard Time,  
[log in to unmask] writes:

I'm  looking to see if anyone on the LACTNET list can chime in with 
improvement  process that worked at their facilities. 




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