At my hospital, we have an arrangement with a durable medical equipment (DME) company. They supply us with clean pumps, sterile kits and the paperwork for rental plus the paperwork to submit for insurance payment. We (the LCs, RNs, & techs on the maternal child unit) rent pumps to moms who need them prior to discharge. We do the teaching and assure continuity of the established pumping pattern as our inpatients use the same brand pump while in the hospital. The parents return the rental pumps to the DME company at their location (not to the hospital) and they clean them, and send them back to us again. There is no minimal rental time so moms feel free to rent the pump for what ever purpose. The DME company does all the billing and collection of moneys and dirty pumps. They hold the lease with the pump company and order the kits. They pay the pump company bills and do their paperwork. They deal with the taxes. They also get all the profits. We get to teach the moms and have the equipment on hand when needed while avoiding all contact with the money end of things. -- Carla D'Anna, RN, IBCLC hospital based LC from Maryland, just north of Washington, DC mailto:[log in to unmask]