Hi Pam,
Our hospital is also being visited at the end of October. We just had this
discussion at our monthly leadership meeting. The current Sentinal Event is
newer than 2001and happens to coincide and references the new AAP
guidelines. We will be looking at this more closely. Currently the nurses
can order bili's on any baby if in their assessment it is needed especially
given risk factors and baby's age without a MD order. It's great to see the
support for breastfeeding and this is another piece through continued
education that we will be looking at. Unfortunately when the unit is busy
and staff is short, breastfeeding isn't followed as closely as it should be
and then of course everyone knows how to bottle feed so there's no issue
there!!!! I say that tongue in cheek. We will never be bored or without
work to do. Good lick during your survey!
Laura Walker RNC, IBCLC
Binghamton, NY
----- Original Message -----
From: "Pam Hirsch, RN, BSN, CLC" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Thursday, September 16, 2004 9:31 AM
Subject: Hyperbilirubinemia and JCAHO Recommendations
> Hello, All: Our hospital is being visited the end of October by JCAHO
> (national hospital accreditation body here in USA) and of course we have
> all been industriously reviewing policies & procedures, etc. in
> preparation. Our department director brought to my attention A "Sentinel
> Event Alert" published by JCAHO in April, 2001 re: guidelines in the
> management of hyperbilirubinemia. Apparently there is concern in the
> medical community that kernicterus is on the rise. Some of the JCAHO
> recommendations are #1(!) Promote and support successful breastfeeding.
> Also recommended is that "women who are breastfeeding receive appropriate
> oral and written instructions about newborn jaundice. Infants should be
> breastfed at least eight to 12 times a day for the first few days to
> stimulate milk production and help keep the baby's bilirubin level down."
> The AAP (American Academy of Pediatrics) is also recommending "...and
> support and promote breastfeeding with on-site certified lactation
> counseling in support of breastfeeding." Does this mean there is hope
> after all?
> This information can be found at www.jcaho.org as well as at www.aap.org.
> The AAP's recommendations are a lengthy (but interesting)document.
>
> Pam Hirsch, RN,BSN,CLC
> Clinical Lead, Lactation Services
> Advocate Good Shepherd Hospital
> Barrington, IL USA
>
> ***********************************************
>
> To temporarily stop your subscription: set lactnet nomail
> To start it again: set lactnet mail (or digest)
> To unsubscribe: unsubscribe lactnet
> All commands go to [log in to unmask]
>
> The LACTNET mailing list is powered by L-Soft's renowned
> LISTSERV(R) list management software together with L-Soft's LSMTP(R)
> mailer for lightning fast mail delivery. For more information, go to:
> http://www.lsoft.com/LISTSERV-powered.html
>
***********************************************
To temporarily stop your subscription: set lactnet nomail
To start it again: set lactnet mail (or digest)
To unsubscribe: unsubscribe lactnet
All commands go to [log in to unmask]
The LACTNET mailing list is powered by L-Soft's renowned
LISTSERV(R) list management software together with L-Soft's LSMTP(R)
mailer for lightning fast mail delivery. For more information, go to:
http://www.lsoft.com/LISTSERV-powered.html
|
