Good morning. RE: time management and prioritizing clients to be seen in a hospital setting: When I worked in Wisconsin a couple of years ago, we had developed criteria for LCs to consult with clients, and I'm including that list here. Previous negative breastfeeding experience Mother requiring time-intensive assistance with breastfeeding No areolar grasp/audible swallowing by baby for > 24 hours Mother has flat/inverted nipples Mother has history of breast surgery Mother has sore nipples/nipple trauma Mother has severe, unrelieved engorgement Multiple births Infant is becoming dehydrated, developing hyperbilirubinemia or has lost >7% of birth weight Infant is premature (<37 weeks gestation) Infant/maternal separation Infant has congenital anomaly or neurological impairment which is affecting ability to breastfeed Of course, the LCs would also respond to MD/nurse referrals that weren't included in this list. Keep in mind, though, that we did >3000 births/year and had LC coverage (most of the time) from 0700-2300 weekdays and 0700-1700 weekends/holidays. Wanda Mertick, RN, MN, IBCLC Port Matilda, PA *********************************************** To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or digest) To unsubscribe: unsubscribe lactnet All commands go to [log in to unmask] The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html