In regards to my earlier message regarding JCAHO and breastfeeding, I wanted to clarify a few items. First of all, JCAHO is Joint Commission Accreditation Health Care Organization - in other words, the emblem desired by hospitals for the highest honors. Secondly, I agree with Kathy Dettwyler's comments regarding the nutrition assessment and lactation. In fact, I came to work the next day armed with my Ruth Lawrence book and the pages regarding maternal malnutrition and its lack of linkage to mom's milk supply. But, my friend listened to me and told me to give it up. She was right! The examiner was not listening to any of us. So, on the optimistic side, for a grouchy examiner to even mention lactation, I still find encouraging. With her attitude on life in general, I doubt she herself ever breastfed. She knew her standards for JCAHO, which included the process of referrals for nutritional needs. We found she didn't know many other evidence-based practices. We use NANDA/NIC/NOC documentation, which is evidence-based, and she didn't agree that it was a plan of care. She wasn't correct on a few other items. We got a score of 93% and I got a migraine! It was not a fun process! She was difficult to say the least. Carol Chamblin, RN, MS, IBCLC *********************************************** The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html