I think there is an interesting convergence  happening here that might 
help focus changes made to the SoP. It seems completely unnecessary to 
report back to an HCP concerning every case of  routine early sore 
nipples, difficulty latching on one side, instructions re pumping etc etc. 
You flood the HCP with a lot of unnecessary paperwork that has no impact 
on their practice.

OTOH, if one is contradicting an HCP involved in the case, it seems 
absolutely crucial that a communication of that contradiction be made. The 
HCP has the right and need to know that you are telling this woman to do 
something different, as that will have an impact on the care provided by 
the HCP, not to mention the possiblity of information the HCP may have 
that will have an impact on your care plan.

Kathy Lilleskov RN IBCLC

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