Kathy,
I do routine f/u phone calls and try to hit day 3 and/or 4, and f/u after
that as needed, and f/u with moms of premies.
There is no definitive answer to your questions about when and how many
times to call a mother back or leave a message. Here is what I do. First of
all, realize that some moms will not be able to be reached. Sometimes you
get a phone no. but they decide to stay at grandma's and you won't have that
number. So I always ask for the phone no. where she will be during the first
week. If I take the no. from the chart, often it is not where the mom will
be staying in the early days. Next, always give your card and phone no. ( I
give the nsy no. which will have staff there 24/7, and they know my home and
cell ph. no. in case a mother needs to talk asap - rare) and urge mothers to
call you or the primary hcp for any bf question, concern, or problem. I urge
them to call sooner rather than later. This way, you know that if you
haven't reached a mother, she could still call you if she was having
concerns.
Next, send a quickie report, fax, or make a phone call to the primary hcp if
there are truly any concerns that you are worrying about or feel need f/u.
You could also give the mother an appt if you feel the baby needs f/u with
you or for a wt check, for example.
After the above things are done during the inpatient stay, I call 3x,
leaving messages or if no answer I document either way. Then I file her
away, as unable to be reached. I think only once I was really worried about
something and got the physician involved trying to find the mother/reach
her.
According to my boss, related to HIPAA guidelines, we do not leave a
detailed message identifying any particular problem, but say something like
"this is Laurie Wheeler, BF Services, 244-5380, please call me." Hope this
helps some.
Laurie Wheeler, IBCLC, MN, RN
New Orleans Louisiana, s.e. USA
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