We don't have an official policy either and I have certainly used that to my advantage.... I try to keep a lower profile so that no policy is created. Mine is a little different in that the nature of my work is very, very part time but it could be last minute. I am an RN/IBCLC that provides breastfeeding support through my local health dept. I can and do take my children on home visits if I have no child care and the mom has oked it and IF I feel comfortable taking my children into that particular home. When I work in the office, I take my babies with me until they are 12 months, no else ever has but I almost always go into to the office for a two hour or less time period.
I have to say I am suprised. I also provide BF support in teh home as an RN through our local health department and I have never seen anyone bring their child to work, nevermind a home visit. There is no policy around it, it is just understood that no one whether nurse,dr, OT, SLP, reception, security guard, or any occupation within the entire healthregion, community or hospital bring a child to work. I have worked for 3 different health regions in 2 provinces and have never seen or heard of anyone bringing a child to work, even once. Even with "bring your child to work day" there is a specific policy and if you do anything involving patients or health records where there could be a breach of confidentiality, you do not bring your child.there is BF policy wiht our union in that you could have someone bring your child to work/leave for break if allowed to leave(hospital nurses cannot leave the site during a shift even on break) to BF for 3 breaks a day, but you would be on a break and not seeing patients. Most people return to work after a year so you don't really see people acutally do this, but you could if you wanted to.
I'm not even sure how you could bring a baby along on a home visit. I can't imagine trying to examine a mom or baby, do blood work, focus 100% on the mom/baby with my baby there. Even with just breastfeeding alone I often end up kneeling beside mom stuck between a wall and a chair.
As far as making a policy, the things I think you would have to look at would be if there are any confidentiality issues you would have with older kids, any insurance issues you might have if a kid was injured. Clearly workman's comp isn't going to cover them. Also you might need separate part of the policy to deal with babies vs, 1-5 year olds, vs kids old enough to quietly do their homework/read a book.