Leanne,
Go for Baby-Friendly Designation! All the strategies your hospital needs
are in the BFHI.
Go to the BabyfriendlyUSA web site and download the excellent Report which
is a compilation of effective strategies gleaned from the first 50 US
hospitals to be Designated.
http://www.babyfriendlyusa.org/eng/docs/BFUSAreport_complete.pdf
Also, get copies of "Continuity of Care" for key leaders. It's terrific!
http://www.jbpub.com/catalog/9780763751845/
The Academy of breastfeeding Medicine www.bfmed.org has protocols for
appropriate supplementation.
Disclosure: I am ILCA's Liaison to BFHI and receive a small budget for
liaison work. The more I learn about BFHI, and work with BFHI hospitals and
implementation, the more I'm impressed by the program!
Linda J. Smith, BSE, FACCE, IBCLC
Bright Future Lactation Resource Centre, Ltd.
6540 Cedarview Ct, Dayton OH 45459
ph 937-438-9458 / fax 937-438-3228
www.BFLRC.com
-----Original Message-----
From: [log in to unmask] [mailto:[log in to unmask]]
Sent: Wednesday, February 18, 2009 8:51 PM
Subject: Formula for when to give formula
Hi! Well am on a mission from my Nurse Manager and Chief of Peds.
Our Press Ganey remarks (for those of you not familiar, this is a survey our
patients complete and return after discharge and it covers all aspects of
their hospital stay from nursing, doctors, rooms, enviromental and dietary
services. There is one question on Lactation regarding education and
services) our scores have declined despite 2 LCs.
The comments included that the Nurses' gave different information, didn't
spend enough time teaching or working with the patient couplet regarding
breastfeeding.
So my Breastfeeding Taskforce Committee and the 2 LCs are asked to get the
scores up. First, give inservices so everyone is on same page of
information, especially regarding length of time to breastfeed (we have
tried to tell patients "Watch the baby not the clock". But there are some
who continue to recommend 15 min each breast.) Can you hear me tearing my
hair out?? So here we go again.
Next, we need a policy so we can invoke that with the people who continue to
slip bottles and give information that is not evidence based and what we
feel is the correct party line. Our chief of Peds/Neo would like to know how
long time before one waits before giving formula when you have a sleepy or a
baby who isn't breastfeeding or not feeding well. So I posted on Florida
Lactation Consultants Association site, but no one has given me evidence
base.? So I am asking the wise women and men on LactNet.
I need information by the beginning of next week so I can give it to our doc
and he can approve it and take it so we can rush this policy through
committee.
HELP!! Please.
I have a copy of Glover algorhythm, but I don't know if there is something
more pertinent or current.? Dr. Nancy are you out there?
Please post or send to me off list. There are several other inquiries on
FLCA since I posted. So this seems like a burning questions where
populations are very
worried about baby not getting fed enough, jaundice or babies losing >7%
birth weight. This is referring to term babies.
Much thanks,
Leanne Jewell RN-BC, IBCLC, LCCE, FACCE
South Miami, Florida USA
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