For the record, big hospital, medium or small, you can't be a good RN and a
good LC at the same time, ie: on the same shift.  One or the other of your
roles and responsibilities will suffer and in the long run the families you
serve won't get the attention and care that they need, whether it is for
breastfeeding or postpartum care.  Yes, every staff RN "should" be able to
help a mom out with basics,    but if mom and baby need more, they deserve
your undivided attention.  Yes, I feel strongly about this!  Sincerely, Pat
in SNJ