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Number of Hospital Beds and JCAHO
Just to clarify, JCAHO does not set the standard of what staffing should
be. Proffessional organinations do. Currently IBCLC's in Hospital
Practice have no staffing guidelines. 2 years ago at ILCA I did an
informal survey of 55 participants of the Hospital Special Interest
Group ( US participants). On average there were 2.35 IBCLC's per 3393
deliveries per yr. Variables that skewed the results were that some
NICU's and OP services staff IBCLC coverage separately. The range
included one hospital with 1 IBCLC FTE for 7200 deliveries a year and a
hospital with 2.5 IBCLC FTE for 420 deliveries a year.
The California Nurses Association and AWHONN have staffing
reccomendations for LD and MBU units, that data is what JCAHO and
auditing organizations use (the bean counters-the ones that recommend
to cut IBCLC positions); What WE can do is join ILCA and your local
affiliate encourage them to conduct a national survey on IBCLC's in
Hospitals, then we would have meat to practice with.
I also gathered information on what we "do" at work it is exhausting
and shows clearly what an IBCLC is capable of doing. I also feel
strongly that we should also look at how non-US IBCLC's practice in
hospitals, this may show things that the US IBCLC"s can do better.
So I know I said this before, please join your professional organization
which is ILCA.
Best Regards
Karen Querna, RN, BSN, IBCLC
Spokane WA USA
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