I was talking with our neonatologist yesterday about the bili guidelines -
she and one of our NICU nurses will be inservicing the nursing staff on
hyperbili later this month.  I gave her the powerpoint presentation from an
excellent talk I heard at a one-day conference last year given by a local
APN who does bili for a living.  The APN gave an excellent review of some
of the latest research on breastfeeding and jaundice and some of the latest
evidence-based recommendations.
Anyway, in the course of our conversation, she mentioned that hospital-
based LCs have excellent job security as long as JCAHO is recommending that
hospitals have on-site lactation counseling available to their mothers.  So
maybe this is something those of you, especially on the US coasts, can
bring to your institutions when you hear of hospital lactation programs
being cut from budgets.

Pam Hirsch, RN,BSN,CLC
Clinical Lead, Lactation Services
Advocate Good Shepherd Hospital
Barrington, IL  USA

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