Hi, All:  I'm trying to catch up on my e-mail after spending the last week 
(technically on vacation, but...) pretending to be a "real" nurse again serving 
as camp nurse for my church's summer camp program.  120 middle school 
campers/high school counselors/adult volunteers under my care!  My ER and 
clinic days came back REAL QUICK!  It was fun, but exhausting.  The energy 
level of these kids is amazing!  I wonder how many were breastfed?!
At our hospital, when a mom (or a baby) is readmitted, they are given a 
private room whenever possible so that we can minimize separation.  If the 
mom is the patient, she can have her baby with her for as much as she wishes 
or can tolerate.  We ask that a responsible adult remain with her while baby is 
in the room, so that the adult can provide care for the baby.  The nursing 
staff is not responsible at all for any baby care.  The staff provides a 
pump/instructions/milk storage containers as needed.  I have inserviced the 
staffs on other units on how to set up/operate pump and milk storage.  There 
are usually some medication concerns that I will discuss with the 
nurses/doctors.
If the baby is the patient, he is admitted to our peds unit and the mother is 
free to room-in for the entire hospital stay.  The room has both an adult bed 
as well as the crib.  The nursing staff is not responsible for any of the mother's 
care.  She does get meals, or can bring in her own.
When a nursing couplet is seen anywhere in the hospital (ER, testing areas, 
etc.) the staff knows to call me.  I like to stop in even if the mom is saying 
she doesn't have any concerns, to either reintroduce myself or introduce 
myself for the 1st time if she delivered elsewhere.  I give them my card with 
my contact numbers and/or write my name and phone extension on the white 
board in their room so that they can call me with any questions during their 
stay.  I do offer a daily visit (or plan on one, if I feel there is a need) 
otherwise a lactation visit is prn during the hospital stay.
Hope this helps.


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

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