You might check with the nursing licensing body in your jurisdiction.
In Ontario, the college of nurses has very definitely stated that
giving supplements without *informed* consent constitutes professional
misconduct, *even* if the supplement has been ordered by a physician.
Now, I wish I could say that this has made a huge difference (I doubt
it), but it is a weapon which can be used, and at least some nurses
will think twice before supplementing.

Secondly, policy and procedure can include using alternative methods
first (which includes improving latch and positioning *before*
supplementing), before giving bottles.  The bottles are given because
they are easy for the nurses.  Make it more difficult to supplement,
and maybe something will happen for the better.  Of course, if policy
is not backed up with sanctions for not following policy and nice
strokes for following policy, everything is useless.

Jack Newman, MD, FRCPC