I am a staff RN/IBCLC.  I have to come up with ways to teach not train RN's 
the same thing.  If you can be creative with ways breastfeeding may make 
their jobs easier you will win them over.  We are understaffed and over 
worked.  I taught the Labor nurses (you could use this with the MNN) how to 
teach the sidelying position.   In my example, I showed the Labor nurses how 
to help the moms with vaginal births to get in the sidelying position.  Putting 
their babes snuggled next to them.  The babies self latched and the nurses 
got all their charting done.  They loved it.  And look at the outcome.  babies 
where self attaching, moms where becoming confident in their mothering skills, 
and all that wonderful skin to skin.  Thats one example.  Another might be to 
bring in some of the protocols from the academy or breastfeeding medicine.  It 
may speak to some of the nurses.  The info they have is wonderful on co-
sleeping, hypoglycemia, breastfeeding the near-term infant etc. Is the class 
mandatory or not.  If not then I would think the nurses are going to increase 
their knowlege base about breastfeeding.  I like your idea of bringing in some 
case studied from the JHL.  I bring in the page called ILCA's inside track.  Bring 
lots of those from older journals.  Those are short and sweet and packed with 
good info.  For some nurses, just going over how to correctly place a nipple 
shield  how to help them help their pts get a nice asymettic latch,or how to 
get moms pumping correctly might be helpful. I wrote a "how to tell if your 
baby is hungry" crib card and stated all the hunger cues for parents.  The 
nurses use it too.  talk about pacifiers slowing down the babies ability to learn 
to suck at the breast and why. I started with that sorta stuff when I did the 
mandatory station for all the RN's throughout the system.  In my opinion, 
based on being a RN on the floor (before I was certified) I loved info that I 
could really use.  Like in the middle of the night when your day old baby is 
screaming, maybe a gentle massage on the lower part of the belly, the 
desending colon to help pass meconium and gas.  I teach this to most of my 
moms now and the nurses listen.  Why it is okay to let a baby sleep 6 hours 
after a good feed after delivery.  Okay i rambled too long.
I hope that helps, hope you have a captive audience.

best,
robin

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