I was working as an IBCLC without being a RN. I have a BS in community health 
education.  I was getting paid about the same as an entry level RN. I think a 
BS/IBCLC should be paid more then an RN with a 2 year associate degree. I was 
writing grants, making suggestions for policy changes, supervising interns, 
writing and presenting staff inservices, writing patient education materials ( 
after conducting an assessment and readability study), conducting needs 
assessments, etc. These are all areas that a BS in public health provides and an RN 
does not always have these skills. Howver, I cannot and would not ever think 
about inserting a catheter or an IV.  I think you need to assess what skill 
competencies you need at your agency and hire the best person for that position.
After I was injured and had to leave my job due to injuries, the manager 
changed the job description to require an RN, so I will never be able to return to 
work there. Even with my  22 years of experience, teaching, and leadership 
roles, they would hire a new RN with a breastfeeding course over me.
Barbara Whitehead,BS, IBCLC, RLC
eastern NC

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