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Date: | Sat, 23 Jun 2007 01:26:29 -0400 |
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Hi Celine, I know how you feel. I struggled with the same thing. We are
suppposed to "fix" the problem right? It took a while, but I can honestly say, I
spend more time in the pt's room teaching them until they can latch the baby
on by themselves. I have gotten in trouble for spending to much time on the
clock, but I cannot in good concsious leave a mom and baby when they need
me. I have clocked out and come back many times to avoid getting in trouble
with the manager. I use the Newman video on latch and it gives the moms
good info and they are able to see another mom latch her baby on properly.
You are feeling this way because of your background, and it WILL get better
in time. I try to get moms to conquer one kind of latch so when they go home
they have something that will work no matter what. I often find when bb's
won't go to the breast and other staff are breathing down my neck and
threatening to give the baby a bottle if the blood sugar doesn't come up, to
have mom in a sidelying position. This works about 99% of the time. This
position however requires me to help. At this point, I get the dads or
significant other to hold the breast and latch the baby. Once moms belly goes
down they can manuever the baby much closer and usually get them on. I
only use this if i have to. So, Celine hang in there.. Knowing you are doing
good work. Try your best... Some days everyone is having trouble and you
will feel like you must fix it before you leave. Do you have someone following
you the next day to finish what you have started? We use a pad and paper
and write down who we saw and what interventions we used if any. It is also
in the moms chart. The RN's are supposed to follow our plan of care. So if I
need to use a sns to get a sleepy jaundice baby to the breast, the RN should
be able to do the same. If a mom has had a c/s and can't bf at the moment
then either I or another RN should start mom pumping.. delegate these tasks
to the other staff. The other RN's certainly can show mom how to pump if
you need to leave. At least that starts the ball rolling. Try inservicing your
staff, so they know how to use a nipple shield properly and the sns properly.
I have had to hide a few of my supplies, but most of the Nurses now tell the
moms to wait for the LC before initiating a nipple shield. And they need to
docucment the reason why. These moms will need follow up. You are doing
good work. I started out the same as you. L&D, got babies to the breast
right after delivery, then home health for phototherapy, that was a challenge
getting those babies to breastfeed then now as a LC in the FBC. All in all
about 17 years of moms and babies. But the role did shift as I tried a more
hands off approach and more teaching... Good Luck, the hospital is lucky to
have you... Don't you forget that!
Robin
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