I think your CNS needs more info.  Looks like Jan's statement is a good 
start ! The CNS obviously hasn't thought this thru.    Pat in SNJ
> ************************************************************************
> Our  CNS has contacted me because the hospital is trying to figure out how
> to best  implement the 'exclusive breastfeeding' portion of the Perinatal
> Core Measures.  As lactation consultants we chart in the computer. This
> charting includes  information about the supplementation of breastfed 
> babies and
> we can run a  report that includes those stats.
>
> The concern is that her information  about the Core Measures states that
> the supplementation must be documented by  either a physician or a 
> lactation
> consultant, and it must be documented on every  baby not just the
> breastfeeding babies. As lactation consultants, we don't visit  the 
> bottlefeeding
> mothers. (No flames please, we are understaffed and have no  time:-).
>
> ***************************************************************************
>
> I guess I don't get what the problem is.  Is a formula fed baby  being
> "supplemented?"  If you give a formula fed baby a bottle of formula  (or 
> an
> ounce or two or whatever), the baby is simply being *fed*, not 
> supplemented.
> So it would be documented as a feed by the nurse who is  caring for that
> baby.  Why would the physician or the lactation consultant  be involved in
> documenting feeds of a formula fed baby?
>
> Perhaps I'm missing something here -- but I'm not sure what the  problem
> is.  Unless, of course, there is an assumption that what is in the  bottle 
> of
> the bottle feeding baby is expressed breastmilk, and then if you are
> supplementing with formula, documentation of why that would  be....
>
> Jan Barger, RN, MA, IBCLC, FILCA
> Lactation Education Consultants
>
>
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