Thanks for all responses. The HIPAA stuff is just coming about at our facility. I will have to discuss with my manager what I will have to change in my hospital practice (my files, phone calls etc). Re the dyad in question about child protection: The mother states she has seen a pediatrician, she gave me the name and no. and I sent my report to the doc. Mom states baby is now 8#6, at day 23 (b.wt was 8#8). What really had me concerned was ruling out some kind of metabolic or other disorder in baby versus plain old inadequate milk intake, which is what I was likely seeing. But I needed to 'prove' that baby would gain and thrive when given adequate milk. Mom did feed baby in my office after consult and bf eval, baby took 4 oz by bottle. At that point he was 18 days old and weighted 7#11. This would be a mom I wouldn't want at all to 'turn in' to CPS, however she was just not following up as needed. What I would *hope* is that CPS would not just take the baby away or to the hospital but would really help the mom with her social situation to really facilitate mom caring properly for this baby. On this thread, does anyone slip moms a card about domestic violence issues and where she can call for confidential help? Laurie Wheeler, IBCLC, MN, RN New Orleans Louisiana, s.e. USA _________________________________________________________________ MSN 8 with e-mail virus protection service: 2 months FREE* http://join.msn.com/?page=features/virus *********************************************** To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or digest) To unsubscribe: unsubscribe lactnet All commands go to [log in to unmask] The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html