In a message dated 95-11-02 00:00:54 EST, you write:

>
>We're in the process of updating our Newborn Nursery charts.  Our clinical
>specialist says that she agrees that we should be charting that swallows
were
>or were not heard but others on the committee want to see a standard of care
>that lists it.  She called AWHONN and they did not include it @ this time.

We use the LATCH scoring system as developed by Jensen, Wallace, and Kelsay
from JOGNN Jan 1994.  The "A" signifies "audible swallowing."  Our nurses
assess this at every feeding (either by listening or asking the mother).