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Lactation Information and Discussion

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Subject:
From:
Jim & Winnie Mading <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Wed, 20 Feb 2002 06:38:31 -0600
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I'm sure the phone nurses have guidelines when other types of calls need
to be passed on.  They wouldn't try to "talk through" a person with
concerns about chest pains, for example.  They can be helpful with some
basic concerns, but need to have guidelines as to when the mom needs to
be referred to a specialist (the LC).  It concerns me that the attitude
is that "any" nurse has the info to solve all breastfeeding concerns.
Certainly she (or he) would be able to give guidelines on milk storage.
A mom asking if Lansinoh or Pure-Lan needs to be washed off before
nursing can get that info from a phone nurse, but is a triage nurse
likely (or have the time) to go into why the mom is using it.  If she
has cracked, bleeding nipples but believes it's normal and she just has
to "toughen up", she needs more than just the simple answer to her
initial question.
Certainly BAB is a good source.  Our "Nurse-on-Line" nurses have it.
They do the routine 2 day post d/c follow-up calls for all our
discharged OB patients, but are taught to refer moms with breastfeeding
problems to us.  (It helps that many of these nurses have worked OB
before.)
Winnie

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