Diane,
Well this may end up as more of an LC job for you, or it may get more and
more frustrating. It is hard to see more than 1 "tough case" in an hour.
What I would do is LEAVE AFTER ONE HOUR. Then it will get back to you that
someone else needed help but you had to leave. Inform the nurses that you
are approved for ONLY 1 HOUR and have them document that other patients
needed your assistance and expertise. Hopefully they will see that you are
needed more than 1 hr, and your other job duties will be cut as you take on
more LC work, if that's what you want.
Have a few mtgs and document what cases have the highest priority to be seen
by you. Off the top of my head, here would be some clients that would need
more expertise than the general staff can give:
anatomical problems - mother or baby (nipples, tongues) or breast surgeries
preterm births or near term babies
twins
non-latching babies
babies who have lost greater than 7% weight

One way to provide staff education is to have them come in with you whenever
possible to hear the information you give and to see the techniques you use.

Laurie Wheeler, IBCLC, MN, RN
New Orleans Louisiana, s.e. USA

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