My hospital has done "call-backs" to all PP mothers for many years, with a
nurse assigned for initial contact within 2 to 3 days after discharge.  As
the new LC, I currently contact all BF mothers at least once after
discharge, and I also tell them to call PRN for any questions.
My nurse manager has recently been informed by her manager that we can no
longer give out ANY information on the phone (this applies to LD, PP, and
she assumes BF as well), due to the advice of an expert nurse who was
brought in to advise us on legal issues.  We are now supposed to tell them
that we can't give out information over the phone; to come to the ER if
they have questions concerning their condition.
I feel that telephone counseling is a must for new mothers.  How does
everyone out there handle telephone counseling?  What about routine call-
backs?  What about clients calling in for help?  What about
signing "informed consent" in relation to new privacy regulations?  Are
there specific legal issues that need to be addressed?
Thanks for your help.
Margaret Pierce, RN, IBCLC

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