Hi All,
I am happy to hear from so many of you. I totally agree with Winnie about
this and don't blame the hearing test itself. I think the bottom line issue
for me is, do we have the right to give a baby a pacifier without parent
consent? I have been given many excellent suggestions from all of you and
thank you. Now, what about the consent issue. Again, I will work hard to
influence change however I am angered over the fact that we (nurses, I'm
one too) don't respect babies as we do adults. We would never give an adult
a pacifier to do a test like this without asking or telling them this may
happen and explain the risks. How many hospitals that still have pacifiers
in the dept. have some sort of consent? I have the same problems with the
nurses doing gastric lavage on spitty babies,oy. I'm still trying to work
out my strategy with all of you before I talk to the nurses.
Thanks,
Star Siegfried RN, BA, IBCLC
>Subject: Re: Hearing tests
>
>Actually, I don't think the hearing tests themselves are "rearing
>their ugly heads". It is how they are handled. Since early
>intervention can go so far in helping infants with hearing defecits,
>I think they are very worthwhile. It is a way to identify possible
>problems very early. What Star described is a problem in how they
>are handled. First of all, sucking on a pacifier isn't necessarily
>sleeping! Baby needs to be truly sleeping. At our hospital,
>parents are told from the start to let the nurse (actually the nurse
>extender-nurse's aide-does the test) know a time when baby is
>sleeping quietly and the test will be done then. If baby wakes up,
>they just take it back to mom and try again later. I don't know of
>any so far that there hasn't been an opportunity to catch baby
>sleeping at some time during the stay, even in those cases where mom
>goes home in 24 hours.
>So, yes, it is worth the battle to change the approach, not the test
>itself. You might want to see if you can collect data on what
>percentage don't pass when using a pacifier vs the ones that don't
>pass when sleeping normally.
>
>Winnie
>
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