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Tue, 4 Dec 2012 07:05:47 -0500 |
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Holly queries,
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Our CNS has contacted me because the hospital is trying to figure out how
to best implement the 'exclusive breastfeeding' portion of the Perinatal
Core Measures. As lactation consultants we chart in the computer. This
charting includes information about the supplementation of breastfed babies and
we can run a report that includes those stats.
The concern is that her information about the Core Measures states that
the supplementation must be documented by either a physician or a lactation
consultant, and it must be documented on every baby not just the
breastfeeding babies. As lactation consultants, we don't visit the bottlefeeding
mothers. (No flames please, we are understaffed and have no time:-).
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I guess I don't get what the problem is. Is a formula fed baby being
"supplemented?" If you give a formula fed baby a bottle of formula (or an
ounce or two or whatever), the baby is simply being *fed*, not supplemented.
So it would be documented as a feed by the nurse who is caring for that
baby. Why would the physician or the lactation consultant be involved in
documenting feeds of a formula fed baby?
Perhaps I'm missing something here -- but I'm not sure what the problem
is. Unless, of course, there is an assumption that what is in the bottle of
the bottle feeding baby is expressed breastmilk, and then if you are
supplementing with formula, documentation of why that would be....
Jan Barger, RN, MA, IBCLC, FILCA
Lactation Education Consultants
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