Hi everyone,

I've been a lactnet "lurker" for the past few months and have really
appreciated all of the thoughtful posts.  I'm learning so much from all of
you.

I wanted to comment on the pacifier with hearing test issue.  In Wisconsin,
all babies are supposed to have a hearing test before discharge.  We had
the same problem with pacifiers being left behind in the cribs and going
back to the rooms with baby.  Although it didn't make us very popular, we
were able to get our supervisor to support removing the pacifiers from the
unit.  The nurses can still get them from distribution, but usually by the
time distribution gets one sent up, the problem is solved and everyone
forgot who it was for in the first place.

We've had good luck with teaching the moms to call us when the baby is in a
deep sleep and getting the test done then.  I know of another hospital in
the state that has a machine that they take from room to room, so the test
can be done with the babe in his/her mother's arms.  It's definately a
challenge to change staff thinking on this one,  but we found that having a
baby who was vigorously sucking on a pacifier made it hard to accomplish
the test anyway.  Once people made that connection, they were less likely
to cuss us out. (Either that or they save their swearing for after we leave
the unit!)

Good Luck!
Barb Fibich, RN, CLC
Froedtert Hospital
Milwaukee, WI

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