Is a pacifier a chargeable item in your facility?

  1. To try to cut costs, one of my staff members suggested making pacifiers a chargeable item. They are about 1-2$ a piece and sometimes patients end up with 3 or 4 of them. Some other people I work with consider pacifiers a standard of care and patient should not be charged. What do you do at your facilities and what do you think?
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  2. 33 Comments

  3. by   Jolie
    The ones provided by the formula companies are not charged. The Nuks which are comercially available are charged, although I don't know how much.
  4. by   layna
    Thank-you, Jolie. I will have my assistant contact the formula company about this.
  5. by   SmilingBluEyes
    NO the formula companies send 'em along with formula and bottles/nipples. so not chargeable to the hospital, just to those who buy formula, as a passalong charge.
  6. by   NICU_Nurse
    I don't have the slightest idea how we get them, but we have three different types: The NUK's, the childmed preemie (vanilla scented?) pacifiers, and the wee pacifiers for extreme preemies. None of these are charged to the patient.
  7. by   Browneyedgirl
    Since pacifiers are a substitute for actual care (from MOMMIES, not NURSES), I wish ALL hospitals would STOP providing them at all.

    I think it would be IDEAL if all hospitals would at least strive to become designated as "Baby-Friendly" by the World Health Organization.

    that's my 2 cents.
  8. by   fergus51
    Pacifiers are chargeable for normal babies at most hospitals I have worked in. For those in the NICU they are considered an important aspect of care and are not usually charged. We do also make pacifiers by using the formula nipples attached to large syringe plungers.

    I don't really ever want to be in a completely baby friendly hospital, but I do like many of the principles behind it.
  9. by   NICU_Nurse
    I can't speak for the well-baby nurseries, but in our NICU pacifiers are used all the time to promote "self" soothing and non-nutritive sucking. It's particularly important for preemies and a large number of other situations/circumstances because of the depressed or dyfunctional sucking reflexes exhibited in those types of babies. I don't feel they should be charged, but that's just a personal opinion.
  10. by   Mimi2RN
    We do have NUK pacifiers, available for any baby, but they are a charge item. They used to cost $6-$7 apiece.......Now we can't get into the computer program to look up the cost of charge items, so I don't know if they have gone up. Mostly it's the level II babies that need them, sometimes along with a little sweet treat to keep them happy. We do make them with nipples, too.

    I feel sorry for those poor babes whose moms say "No pacifiers", they nurse their babies and leave when they fall asleep. Those moms don't seem to understand about non-nutrative sucking. I'm always please to find a thumb or finger sucker at those times. One babe was born with sucking blisters on both wrists!
  11. by   sbic56
    Pacifiers are rarely used at our place. No charge. (But very nice to have around when some babies just need to suck!)
  12. by   imenid37
    yes we charge for the nuk pacifiers.

    Since pacifiers are a substitute for actual care (from MOMMIES, not NURSES), I wish ALL hospitals would STOP providing them at all.

    i don't agree that totally baby friendly is the way to go in our culture, though some ideas are good. if babies only suck when they are hungry and need to nurse. why do they suck their fingers, thumbs, etc. in utero? i guess i am a little biased toward pacifiers. two of my 3 took them. they were a sanity saver for me. these girls LOVED to suck. they were healthy breastfed infants. the third sucked her thumb and will still put it in her mouth in her sleep. we were able to take the pacifiers away and tell the girls they were too "grown up" to use them. not to be offensive, but please don't imply that a mom who uses a pacifier isn't taking care of her baby. she just has a diffrent idea of how to do this than you do perhaps
    Last edit by imenid37 on May 31, '03
  13. by   layna
    A very valid point and observation made by imenid37! I still have fond memories of watching my son on ultrasound at 26 weeks sucking his thumb. :-)
  14. by   Browneyedgirl
    Breastfeeding mothers can offer non nutritive suckling at the breast.

    I admit bias. I didn't use a pacifier with my children. I used a baby sling and lots of TLC.

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