Wow ! Reading this confirms the need of home visits . As a public health Nurse ,breastfeeding in the computerized charting within my organization only includes  assessing  how infant is receiving nutrition ,not the latch tool or proper documentation unless I type a narrative . I wanted to become a LC to talk the language in my documentation and best serve clients at home while visiting them for c/s wound or infant visit. I began thinking about the obstacles mentioned ,and if a home referral could be created for this matter- home bound is home bound and if the reasoning for a  referral could be newborn assessment / home safety / wgt check certainly the MD could include breastfeeding . I am planning on improving the home support of breastfeeding within my organization when I complete my LC . As well as reaching out to provide these services as a volunteer for those with out health coverage.However this should be a concern for all to receive Lactation Home Visits that meet the criteria related to obstacles r/t family dynamics .Funding for this would be a great asset but tackling this would probably best be initiated to those with medical benefits and homecare visits and then educating Registered Nurses . I know it's only a partial solution but a start/ the lactation consultant may be able to do a joint visit with the nurse much like a wound care specialist does  or nutritionist ,physical therapist etc. I'm in California - these are the possibilities that look possible in my environment. Sorry I posted directly to Ruth but am interested to know if this is already occuring in any hospitals or if homecare nurses like myself provide this service with an LC
Keesha Hollier-Gates R.N BSN PHN Homecare 

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