You're right, but I can just see myself writing an order like that- when they
have standing orders that are prewritten so most docs are not 'composing' their
own orders- and the RN's complaining about me to someone superior to me- I
would have to be very sure that the parents wanted it that way too- and a few
parents that I prenatal consulted never chose me as a pediatrician- I think
maybe because I pushed breastfeeding too hard :(  The RN's in this hospital are
allowed to decide things like when to order Bili- so I don't think they would
appreciate having to "inform" me before giving formula- especially when they
(this was the night shift) told me that they think "Breast AND Bottle is the
best!"

Quoting "Suzanne Berman, M.D., FAAP" <[log in to unmask]>:

> Amy, this is a situation when a good doctor in charge writing strict orders
> is helpful!  Obviously, there's been lots of discussion about docs writing
> bad orders/banning LCs, but here's a good opportunity to use your physician
> "power" for good.
>
> Our diet order for breastfeeding babies clearly state, "No glucose water,
> formula, or pacifiers."  This is a diet ORDER, not a diet SUGGESTION.  If
> mom is asking for supplements, nurses need to explain why healthy babies
> really don't need formula, and/or at least notify you that mom is having
> doubts.
>

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