Jena, We looked into patient record computer programs when we started renting pumps. We didn't find too many out there. TLC (The Lactation Consultant) from Infonation is the one we decided on (I have no financial interest in this company). We use this for all outpatient records, including phone calls. They have advertised, I believe, in JHL and have been at all the US ILCA conferences. You can get it in just a consulting form or with rental information (for a higher price). For the rental section, it has the ability to track rental records even after pumps have been returned, a shortcoming we found in the other programs we looked at. The various lists (actions taken, problem list, strategy list) fell very short of what we needed. Some options made no sense and there were many more we wanted to add. Fortunately, this was quite easy to do, so we now have our own "custom" version. Some other lists were locked in and don't have exactly what we want, but it works pretty well anyway. (For example, positions are listed as "cradle", "football", "side lying" and "other" I would like to see "cross cradle" as a separate one instead of considering it "other" since we do use it so often when mom is having trouble getting an effective latch.The biggest problem is that it can't be linked to other systems like your MIS (Material Information System or whatever you call it) at your hospital. This made for some challenges being sure the records weren't considered "shadow charts". For inpatient records, we devised a computer charting program where we assess and report interventions in the categories of latch, suckling, ending, infant assessment (as it relates to breastfeeding), breast, nipples prefeed and nipples postfeed. Each has a list of "normal" which we simply check if all is OK in that category. We can indicate this is by LC observation, RN report or mother's report. Then when a category doesn't fall in the "WNL" (within normal limits) category, We have a list of potential common variances, plus a place to write in any not on that list. Then from that screen, we go to one where we type in the intervenions/plan for dealing with the variation. We originally planned to have a list of interventions to select from, but decided that was too involved and typing in each situation hasn't been that big a job. We fill in all seven items at least once during the hospital stay and will repeat any areas where there have been changes at subsequent observations/visits. Since this program belongs to the hospital, I believe it is copyrighted and don't think I can share the full listings. Sorry. Hope this information is helpful. Winnie *********************************************** To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or digest) To unsubscribe: unsubscribe lactnet All commands go to [log in to unmask] 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