"snip"

 > Just keep the baby in L&D.  Expect to be called a
 > troublemaker (among other names)  and yes it is aggressive.  But isn't
it
 > simple??   Just don't "give" the baby to the nursery staff!  Remember,
 > whose baby is this anyway?  Who's needs are being served here?

 Reminds me of when I some of my earlier years in L&D, I also proposed
 keeping the infant in the LDR with mom and the L&D nurse completing the
 newborn assessment.  There were many reasons to do this...including short
 staffing...Well, it had mixed reviews, however over the past 10 years
since
 that proposal what was looked at as 'too hard' has become standard newborn
 admission care.

 Sometimes you have to consider that you are a visionary...able to see
 things, plan things, etc, and not all will be on the same page (in
history)
 as you are but just need alittle reading to catch up!

 One thing that helps to weed some problems out is to have a short
 survey/problem identifier that willing participants can fill out to list
 what was considered a problem in the admission process.  Maybe it'll help
 you too.

 Good Luck
Lucy, WI


> > boss) to complete and document the neonatal assessment myself at the
> > mother's bedside.  When I go to the nursery to get the scale to weigh
the
> > baby at mom's bedside and the necessary paperwork, I often get these,
> "oh,
> > your working tonight...(it's that breastfeeding lunatic again)"
comments
> > from the nursery staff.  I'm not at work to make friends-I'm there
> provide
> > quality care to new families.  This is the same nursery staff who were
> > delighted to go to the presentation on Drugs and Lactation given by the
> > formula company, eat their food, and take their free gifts.  Same staff
> > that suctions breastmilk from the baby's stomach after it has nursed in
> L&D
> > ( and I've told them so beforehand).  The same staff who just gives the
> > baby a bottle of formula when they won't latch...ARGHHH!  I've offered
my
> > services to formally educate the staff but no action has been taken as
> yet
> > by the manager of  the unit.  I'm just doing it one shift, one nurse at
a
> > time now.
> >
> > Our L & D is at one end of the floor and the nursery is clear at the
> other
> > end of the floor.  Using the old way, by the time I take the baby to
the
> > nursery for it's admission and go back to L&D, I can have my neonatal
> > assessment completed and haven't separated mom and baby.  Presently, I
> > still have to go to the nursery to get the scale, but sometimes, I can
do
> > this while mom is still in labor.
> >
> > The vitamin K injection and eye drops do not have to be administered
> > immediately after birth.  Breastfeeding and skin-to-skin contact helps
to
> > regulate infant temperature.  The point of this trial is to emphasize
> that
> > with a few willing participants (myself, another nurse midwife student
> and
> > another CBE), separating the baby from mom is not necessary.  Instead
of
> > shoving a new concept down people's throats (in the typical Army
> fashion),
> > we are trying the concept out beforehand, doing a careful assessment of
> > what barriers we'll need to overcome before full implementation.
> >
> >
> > Maurenne Griese, RNC, BSN, CCE, CBE
> > Birth and Breastfeeding Resources
> > Manhattan, KS  USA
> > [log in to unmask]
> >