Hi, Melinda,

So by co-signing, does that imply the LC endorses the reason for
supplementation?  What if the nurse tells the patient she must supplement
with formula and you do not agree that it was medically indicated?  Does the
nurse have to get an order for the supplementation first?

Linda Anderegg, BSN, RNC, IBCLC in Chicago





<Date:    Thu, 17 Apr 2014 09:45:03 -0500

<From:    "Glenn, Melinda A." <[log in to unmask]>

<Subject: Re: Joint Commission



<Dear Camille:



<At our hospital, we have interpreted it as only a Lactation Consultant,
Physician or Nurse Practitioner can <document this.  I am a CLC & another
CLC works at our hospital as well.  When we round on patients, we do
<document this but have a place in our electronic charting where the
Lactation Consultant has to co-sign this <charting.  I hope this helps.  I'm
not sure if the LactNet thread will show the screen shots I am posting
<below of what our charting looks like but I will email them to you
privately for you to see what it looks <like.



<Sincerely,



<Mindy Glenn, RN, CLC, CPST



<NICU Discharge Planner/Educator

<West Jefferson Medical Center

<Office: (504) 349-2173

<Pager: (504) 668-0362

<Fax: (504) 349-6122




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