The bf policies are practically useless IMO. For example, the policy states
mom must wear bra. Also there are no policies on method of supplementing.
There are policies for routine blood glucose testing on ALL babies and even
more for the high risk groups, eg LGA, IDM. If blood sugar is 40 w/ symptoms
the babe is to be suppl. If bld sugar is 30 or less the babe is to be suppl
even w//o symptoms. When I tried to change these, they said it was not time
to do so. Changes are done every xxx years. But the consensus from the ones
of you who wrote seems to be work on changing the policies to align w/ bfhi
practices and don't worry about the care plan. Thanks. This is where I think
we will go then. I will ask the mgr if I can rewrite and get approval from a
committee or convene a committe to do the rewriting. This will take a long
long time. But it has to be done, nonetheless.

Laurie Wheeler, RN, MN, IBCLC
Violet Louisiana, s.e. USA

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