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Date: | Fri, 18 Jul 2003 13:54:19 EDT |
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Brenda says,
> One of the things that was suggested to me by one of our charge nurses
> - have a CNA follow me around for a couple of days and chart down
> everything I do in a time study. I plan to do this. Have you thought
> about this?
I'd be interested in knowing how the management team defines "productivity."
Is it numbers of babies/moms you see? Numbers of problems you solve?
Numbers of pumps you rent or phone calls you take/return? What about counseling the
mom that is in tears because her baby is a reluctant nurser and she thinks he
doesn't like her? How does counseling fit into the productivity scale?
(Decreased mom's use of kleenex for tears from 5 in 10 minutes, to 1 in 20
minutes???).
Part of the problem is that NO ONE (grrrrr) understands that the lactation
consultant has to work at the baby's pace. They seem to think that you can walk
into a room, ram a sleeping baby on the breast and he'll eat because it's
TIME to eat....similar to ramming a bottle down the baby's throat when he's
sleeping. Hey -- I'm a GOOD nursery nurse -- I can make virtually any newborn take
a bottle at any time. I'm also a good IBCLC -- and I can't just *make* any
newborn take the breast.
So I'm interested in what they call productivity. What is high and what is
low? Nursing productivity can be measured by completed tasks -- meds out on
time, procedures done, IV's hung, charting completed, (and in the old days,
beds & baths accomplished). Being an IBCLC isn't like that. We don't just do
*tasks*. We work in a collaborative manner with the mother and the baby to
facilitate breastfeeding. And sometimes that just doesn't fit into a time study.
But Brenda, I want to be first in line to hear the results of yours. It
would be fascinating -- perhaps a paper could come out of our discussion here?
Jan Barger, RN, MA, IBCLC, RLC -- who has the best job of anyone because
there are no time restraints!!!
Wheaton Pediatrics, Wheaton, Illinois
www.lactationeducationconsultants.com
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