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Date: | Tue, 19 May 2009 19:25:23 -0400 |
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Dear all:
The drop-in clinics that we run are 2 hours on paper --- with the expectation that we may
from time to time get situations that will keep us there for 2-1/2 hours. If we tell
mothers that the clinics run for 2-1/2 hours, then I end up sometimes needing 3 hours ---
and I'm sure that it would keep extending out for that extra half hour no matter how
many hours you allot. The 2 to 2-1/2 hours seems very comfortable. I am able to do
some history taking and give mini cards with simple tips --- reminders of suggestions.
All babies get weighed during the group and it is used to reinforce their own observations
of their babies intake via swallowing cues and behavior. The drop-in groups that have
varied from 4 to 21 women. When it gets above 12 women I have to work very
efficiently, but it isn't too stressful. Above 18 women and I take routine deep breaths --
address common problems to the whole group and tell everyone to make sure that they
ask their questions before they leave or call me if they forgot a question. I'd say 6-10 is
an ideal group because you can get them to talk to each other and share ideas. At that
size, it is likely that each mother will also find another mother who is experiencing
similar problems with whom she can empathize. It works particularly well for follow ups
because I already know the whole history in depth.
One of the ways that I conserve time during a home visit is to do the charting according
to when the baby is ready to eat. I do it first if the baby is not ready to eat and fill in
additional info during the feeding. If the baby is ravenous -- I save it for the end. Some
situations just really need the extra time so I just allow for that and make sure I have
enough time to eat lunch and make calls.
Best, Susan
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