Lactation Consultants: Where do they chart?

[Choircat]

Where do your Lactation Consultants Chart? On the baby's chart or mother's

[tammki5g]

in one of the hospitals where I worked the Lactation consultant had her own paperwork to fill out and never charted on anychart. I always had a problem with this because then how are problems and care plans passed on to the nurses. I think a lot gets missed doing it that way. I would think that any charting of teaching on breastfeeding should go on mothers chart because she is the one being seen, educated, assisted, and treated (cracked nipples, lansinoh cream.....)

but that is just my opinion.

[sirI, MSN, APRN, NP]

I've seen this charted on the Progress Notes with other consults.

[palesarah]

I've seen it in both, depending on what the issue was. If it was mom's cracked nipples and no problems with baby, then it was in mom's progress notes, but usually the issues were baby issues (latching problems, what and how much to give if baby needed supplementation, etc) and the lacation plan would be outlines in baby's chart where it wouldn't be missed. My current facility, the LCs have their own paperwork that is kept with the newborn flowchart.

[SmilingBluEyes]

Both in mom's computerized chart in the education section and in baby's as to how he/she is nursing.

[RNmommy]

Our LCs have their own consult worksheet. It is triplicate and the original goes in mom's chart, one in baby's chart and another gets filed in the LC office (for future reference if mom calls for help afer discharge). They are in the chart under the "consults/progress notes" tab.

[tammki5g]

that makes sence. I should suggest that at work that way everyone is on the same page with the plan of care.

[daisybaby, LPN]

Our LC writes her notes in the mother's chart, in the nurse's notes. She also documents feeds on baby's assessment flowsheet. It's a little confusing, but I guess that's how it's always been.

[Graciegirlienurse]

at my hospital we chart feeds and a latch assessment on the baby's chart, but the lactation assessment, plan, and notes go in the moms chart under a lactation tab(pink) it is very easy to find.

[nancimarie]

I am taking a course to become certified and need to develop a history form...any ideas out there???

[zahryia, LPN]

I am taking a course to become certified and need to develop a history form...any ideas out there???

Some obvious things that come to mind are:

parity

meds

medical hx (including surgeries like masectomy(s)

breastfeeding hx (initiation, duration, exclusivity)

psychosocial/demographic (married, employment, religion, race, ethncity,etc.)

intention

I think it would be interesting to note if mother and/or grandmother breastfed.

[MissMonica]

At my hospital, they have their own separate sheet just for breastfeeding eval/notes. Its great because its one less person grasping for the chart when you have it!