Rene
From my experience with JCAHO (from the standpoint of a nurse working in
a hospital, not as an IBCLC), they will want to see your protocols, how
you document, and, most recently, are interested in your documentation of
resolution of problem and/or follow-up.
Hope this helps.

Trish Donley RN ND IBCLC
Fort Defiance, AZ
(on the Navajo reservation)
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