I've always adhered strictly to item 23, as referenced earlier....In my
hospital based practice, I must have a physician order to work with
outpatients, inpatients have a standing order.  I dictate a consultation
report which is transcribed for the medical record, one is sent to the
baby's HCP, one comes to me for my records.  I know our physicians expect a
report of some kind.  I believe this has been a tremendous educational
opportunity.  The physician reads the note, his medical/office assistant may
read the note, all having the opportunity to learn something more about
breastfeeding, as well as building a reputation with the local practices
that brings more moms/babes in for help.  I see this as collaborative,  an
adjunct to baby's routine well-baby care.  I know my situation is different
from those in private practice,  the physicians in our area are more likely
to support and value a service that they know something about- and that
influences a woman's decision to access that service.
Katherine Abdun-Nur RN IBCLC
Grants Pass   Oregon




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