Mothers sign consent forms upon being seen.  Reports are sent to referring physician's).  
We have been playing with NICU card - have seen great results.  We are ordering one at a time and designating it for pumps.  Yes, the cost is an issue, but since we are buying one at a time hopefully not a big impact.  We don't use these in NICU - only on the floor for inpatients.  The nurses like them also because it is so automated that even very ill moms can use these.  Working on an idea for a "cheap" hands-free device that can be constructed from available materials in the hospital.  Any ideas?  Mesh panties with the crotch cut was my first attempt, but it's a little weak and too big for smaller gals.  Ace bandages are expensive.  Most of the gals aren't wearing bras at first, so rubber bands and safety pins aren't a good option!  Although that works, when there's something to hook to.  Have used that for a mom in a body cast.  

-----Original Message-----
From: Lactation Information and Discussion [mailto:[log in to unmask]] On Behalf Of Julie Ash
Sent: Sunday, February 07, 2010 8:51 PM
Subject: Physician Reports/Medela Premie Card

Requesting information from outpatient lactation programs:
Do you sent a report to Pediatrician & OB-GYN doctors regarding consult on mother and baby seen by LC?
When you send reports,do you require a consent by the mother to fax report to physician?

Also requesting more input on NICU's using Medela Symphony Premie card.  Have you converted all pumps in hospital or a limited number of designated pumps?  Is cost of program a concern for hospitals considering the new card?  
Thanks Julie

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