Dear friends,
I'm sure Morgan's intend was not to insult any of the individual NICU staff persons on this list. But still she *is* right in her view that not all and every one of NICU's and their staff are the best possible  based on scientific evidence. Many a routine in NICU's is not evidence based to the highest standards; not every pediatrician is knowledgeable in infant feeding, let alone breastfeeding, almost none (in Western societies) are knowledgeable in Kangaroo Mother Care as the evidence based proven best care for premies. And then you can do your very best and a bit more and work your butt off, if routines and protocols do not these criteria NICU is no good enough.

And: the bacteria in powdered milk get there whilst made and packaged. Powdered milk for infants is in no way a sterile product.

Warmly,
Gonneke, IBCLC, LLLL in Southern Netherlands

--- On Sun, 11/16/08, Lisa Jones <[log in to unmask]> wrote:
From: Lisa Jones <[log in to unmask]>
Subject: [LACTNET] Shocked
To: [log in to unmask]
Date: Sunday, November 16, 2008, 9:01 PM

I have to admit to being extremely shocked and  insulted by Morgans post
regarding NICU personnel. Others on the list have been very polite in their
answers. I am struggling to keep the same tone. 
 Fortifiers were approved for continued use in the NICU because they were in
single dose packages. One of the CDC concerns  was that the contamination
possibly occurred due to people "dipping" into a big can over a long
period
of time. The single use package was seen as less of a risk and therefore not
mandated to be mixed only under laminar hoods. 
Morgan- as a NICU nurse for over 30 years I  dispute your cruel and
insulting comments about NICU and most medical personnel. I'm also an IBCLC
who took great pride in making significant changes within each facility I
have worked and worked my butt off to improve staff education and family
support. In all my years, on the extremely rare instance that someone
wasn't
a good "match" to the NICU environment they were let go. No one who
sweats,
cries and prays for these very fragile babies and their families involved in
this struggle for life could ever do so just to collect the pay check as you
infer. I honestly cannot believe a fellow lactnetter could spew such
falsehoods. Whatever your "personal experience" I am sorry it damaged
you to
this extent.
Lisa Jones RN IBCLC

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