Hi Kathleen,  Are you refering to advising use of any over the counter 
product? Or are you saying that you can not advise use of a mixure of OTC?  
In Minnesota, it is in an RN's scope of practice to recommend OTC.  
Sincerely, Rachel Wahl RN IBCLC


>
>Date:    Tue, 1 May 2007 15:20:57 -0400
>From:    Pam MazzellaDiBosco <[log in to unmask]>
>Subject: Re: CAPNO
>
>I have looked in the archives a few times and often see it mentioned, but
>not as often the recipe.  Shouldn't we substitute the Neosporin for
>Polysporin or Bacitracin?  I just substitute an otc version of whatever is
>in Dr. Newman's recipe.  In  my area getting it mixed up is easy.  The
>ninety dollar price tag that will not be reimbursed by insurance because
>most do not pay for compounded prescriptions makes many mommas prefer to
>make their own.
>
>Take care,
>Pam MazzellaDiBosco, IBCLC, RLC
>
>------------------------------
>
>Date:    Tue, 1 May 2007 19:22:32 -0400
>From:    Kathleen Bruce <[log in to unmask]>
>Subject: Capno
>
>Hi Pam. While I appreciate the ease of getting over the counter ingredients
>and mixing them into a mixture to help sore nipples, as a nurse, I would 
>not
>advise clients to do this. This is, I believe, out of the scope of the 
>scope
>of nursing practice, and I could definitely lose my license over a
>prescription of this sort.
>
>Kathleen
>
>
>Kathleen Bruce RN IBCLC
>Independent consultant:
>Lactation Resources of Vermont, Medela, Inc. Listowner Lactnet listserv
>[log in to unmask]
>

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