As a last resort like in the case of hypoglycemia, I could understand and support these actions, after the breast has been offered. Otherwise, is this not similar to not following a diet order? Read incident report? Why aren't their managers and their peers telling them this is wrong!? This isn't a training problem. It's a performance problem! If a nurse, however, had deviated from hospital policy on medication administration, for example, she would have had an incident report filled out on her. If it caused actual or potential harm to the pateint, the case would be referred to her peers and quite possibly reported to the state board of nursing. Unfortunately, in some places I have worked too, some nurses did not view breastfeeding as important. It was easier to give a baby a bottle of artifical baby milk than to help a woman breastfeed. Also, solving breastfeeding problems was taken seriously by no one but me and a handful of other nurses. I hear where many of you are coming from. After 4 years as the manager of a hospital education department, I've definitely come to believe that you can train people until you are blue in the face. I can teach til my jaw, hands, and breasts fall off (you know they come in handy when teaching about BF)! Training alone isn't going to do the job of discontinuing poor nursing practice. If policy isn't enforced by management and pressure isn't put on the nurse from their peers that this or any deviation in standard practice is WRONG, then it will continue. Otherwise, what are the consequences for these professionals? Steaming mad Maurenne Griese, RNC, BSN, CCE, CBE Manhattan, KS USA