Claudia, I don't know the standard, even if there is one, and from whom. However, I have been thinking about a checklist of sorts that the mother or staff or both should check off PRIOR TO DISCHARGE. Just thinking now off the top of my head: ___I know how to comfortably position my baby ___Baby latches effectively and w/o pain (or signs of a good latch) ___Swallows are seen/heard ___I know what to expect w/ my breasts/supply ___I know what to expect w/ diaper counts or I know how to tell baby is getting enough ___I know how to manage engorgement ___I know how to prevent sore nipples ___I know how to express milk ___I know who to call for help My idea is that mom can check off and she/nurse can initial. Anyone can teach it, and if this is accomplished w/ observation of one feeding, ok. Unfortunately sometimes I do get to obs. one feeding. Hopefully the staff are reinforcing, and obs. some too. Laurie Wheeler, IBCLC, MN, RN New Orleans Louisiana, s.e. USA *********************************************** 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(R) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html