We are also gearing up for a review next year and had a Mock survey last month. The surveyors consisted of a nurse and a physician. I was required to be a part of the NICU's review with the physician. He focused on pain assessment and documentation, multi-disciplinary care and documentation and consult turn around times. When I asked for specific areas of concern with regards to lactation he asked about breastmilk storage and support coverage. His concern with EBM storage was in regards to in-advertent exposure potential. His concern with LC coverage is that we offer the same services 7 days a week. If we do not offer the same services over the weekend then what is the contingency plan, i.e. how is a LC consult handled on Saturday. If your institution allows a 24 hour response time for consults how do you handle a consult on Saturday when you do not have a LC on staff. You must have a protocol/procedure for how to handle these consults. Waiting until Monday will not get it. Referrals to other resources will. Hope that helps. Janet Bryant, RN, BSN, IBCLC Consultant, Lactation Support Service [log in to unmask] Arkansas Children's Hospital > Learn more about us at: <http://www.archildrens.org/> > > *********************************************** 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