In a message dated 6/16/2007 12:16:49 P.M. Central Daylight Time,  
[log in to unmask] writes:

At my  hospital, they do require an order for NPO, or for feeding, and manner 
/  substance of feeding for Level II and Level III babies. 
Never heard of it  for Level I babies.



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I can imagine these are the babies that are whisked right to the NICU and  
are under the immediate care of the neo-of-the-day; babies so sick they are  
unable to breastfeed immediately.  So yes, that would make sense.  But  to have 
the baby's pediatrician have to SIGN an order to feed the normal  healthy 
newborn would be the height of stupidity as often the baby isn't seen by  their 
peds until the day after they are born when the doc makes his/her usual  rounds.  
 
Methinks there is something not quite complete in the translation  here.  But 
I'll look forward to seeing what the actual order is from  JCAHO.
 
The other thing to consider is that it might be that one inspector thought  
this a good idea and suggested to the powers that be that this should be  done. 
 Meaning, it isn't a universal mandate, but a suggestion.  If  the person to 
whom it was suggested didn't tell the JCAHO inspector that was a  ridiculous 
suggestion, then how would the JCAHO inspector, who most likely  hasn't 
darkened the doors of a hospital in 20 years as staff -- and may have  worked in a 
medical surgical unit prior to that -- or could be a pharmacist, for  pity's 
sake, have a clue?  So this one does have to be tracked down, and  Pat, if it 
isn't on their website -- it may not be -- then names have to be  obtained and a 
letter is written to JCAHO citing name/suggestion/date/hospital  and asking 
for an explanation -- not to mention a cease & desist and  why.
 
 
 Jan  Barger
_Lactation  Education Consultants_ 
(http://www.lactationeducationconsultants.com/)  




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