Wendey,
One of the many frustrations at my hospital was the lack of support from
management.  We had wonderful, updated breastfeeding policies in place, had
inserviced the entire staff with breastfeeding classes, and provided mini
updates at staff meetings.  However, when I found a problem with a
breastfeeding baby and a particular nursing practice or particular nurse,
the manager would stand behind 'her' staff or simply do nothing.  If the
nurse however, had altered a policy or protocol on 'resuscitation' for
example,  she would have had an incident report filled out, mentoring with
one of the charge nurses, and possibly probation if it was a serious
problem.  Breastfeeding was not viewed as important nor was the management
of breastfeeding infants taken seriously by anyone besides me and a few
supportive bedside nurses.  Yes, it happens, especially when the powers
that be are aligned with the ABM distributors.

Beth McHugh, RN, BSN, IBCLC
Teton Lactation Consultants