Nancy and Others:  Amen!  Parents need to be encouraged to speak up, not 
only for their babies, but also for themselves.  Not only is that baby hers, but 
so is her body.  Any decisions made should be made by the mother (and 
father) after full disclosure of information by the health care team.  
Our hospital went to peds exams in the rooms about 3 or 4 years ago.  For the 
1st several months, most of the peds were very verbal in their dislike of the 
practice, but nursing management stuck to the decision and refused to be 
intimidated by the docs.  Because of this change in routine, we have happier 
moms/babies and happier docs!  We were able to provide more 
oto/opthalomoscopes for the docs use. They also realized that they actually 
saved time by doing the exam while simultaneously talking with parents, which 
allowed them to get to the office earlier.  They complained there weren't 
enough computers/desk space at the nurses' station for charting, etc. and 
now everyone benefits from the construction of 2 more computer/desk 
stations that can be used by all staff.  All in all, it has been a win-win 
situation.  I strongly suspect that if we were to revert back to exams being 
done in the nursery, we would get the same amount of resistance from the 
docs as we had in moving exams to the parents' rooms.


Pam Hirsch, BSN,RN,IBCLC
Clinical Lead, Lactation Services
Advocate Good Shepherd Hospital
Barrington, IL   USA

Who is actually glad to be back to the organized chaos of work after taking a 
week's vacation in the midst of my in the process of being remodeled house.

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