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Subject:
From:
"Pam Hirsch, BSN,RN,IBCLC" <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Tue, 26 Jun 2007 16:47:07 -0400
Content-Type:
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Robin:  When I used to work staff (a bazillion years ago) I worked the evening 
shift.  I was the only staff member who was not allowed to make the overhead 
announcement on the unit that "It is 8:00.  Visiting hours are now over."  They 
were afraid I was going to add "So get the h--l out of here!"
This is why I am trying so desperately to get "nap time" instituted in our 
hospital.  The parents want it!  And it would make our lives so much easier.  
We are looking at 1:00-3:00 PM.  The unit would go into lock-down with the 
hall lights dimmed, patient doors shut, staff conversations kept at low volume.  
NO ONE (including docs) would be allowed in a room unless it was a medical 
emergency.  People in the room would be limited to mother, baby, her partner 
or support person, and baby's siblings (if of appropriate age).  Moms would 
have the option of having their baby in the nursery, but this would not be 
encouraged.  The purpose is for uninterrupted bonding/nursing time, as well as 
sleep time for the new family.  On the plus side for the staff, this would give 
them time to complete paperwork/charting and tie up any loose ends before 
change of shift.  We are realizing we would need to look at co-ordinating care 
(brand-new nursing concept!  Didn't we all learn this in Nursing 101?), to 
minimize trips into a patient's room.  
I also have no trouble asking families to leave so that we can work on 
nursing.  Sometimes they are out the door as soon as I introduce myself.  
Some moms say they don't care if family members stay and that's OK with me 
because these are her support people at home.  They all hear and see the 
same thing.  The staff is also pretty good at putting a sign on the patient's 
door:  "Do not Disturb.  See Nurse" that usually stops visitors from entering.  
The room phones have a no call button she can push that makes incoming 
calls go away and I encourage the parents to turn off their cell phones 
(unfortunately, cell phones can be used anywhere in the hospital except 
ICU/OR areas).
Another issue I want to comment on is the sense I'm getting from some of the 
posters that you are either an RN or an LC, not both.  LC vs RN - there is no 
versus.  I am an RN whose clinical specialty is Lactation.  Unless an RN has let 
her license go inactive, an LC who is an RN is accountable at a different level 
than a non-licensed LC and must adhere to her state's (or country's) Nurse 
Practice Act.  Same holds true for other licensed HCPs.  This has been 
discussed before and lots of posts can be found in the archives.


Pam Hirsch, BSN,RN,IBCLC
Clinical Lead, Lactation Services
Advocate Good Shepherd Hospital
Barrington, IL   USA

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