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Subject:
From:
Denise Altman <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Fri, 3 Jan 2003 18:49:33 EST
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In a message dated 1/3/2003 10:26:34 AM Eastern Standard Time,
[log in to unmask] writes:


> I feel that telephone counseling is a must for new mothers.  How does
> everyone out there handle telephone counseling?  What about routine call-
> backs?  What about clients calling in for help?

This was brought up at a break out session at the last ILCA. As a result, I
went to our legal dept. to make sure that we were avoiding potential
problems-as much as possible in the hospital setting anyway.

At our hospital, we don't give out the nursery number and enc. call backs for
questions like we did in the good ol' days. The Perinatal staff can't answer
any questions that are not specific to labor/antepartum. Instead they refer
to the caregiver or warmline. We have a warmline and also do 3 f/u calls.

Our practices were reviewed by the law firm that we use as well as in-house
risk management. They state that we should only use an expert in the field
(IBCLC) for the warmline and f/u calls and have documentation/records of
expertise (certification, continuing ed, etc)on file.  All calls are
documented and logged with appropriate referrals as needed. As an LC we try
to make sure that we are mostly offering support and information. If there is
a breastfeedingproblem that requires a lot of assessment, we strongly
encourage a consult.

Denise Altman
Columbia, SC

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