Hello Wise Ones!

I am a newly certified family nurse practitioner, and a 4 year IBCLC veteran hired in an OB office to care for OB patients, plus provide lactation support to moms and babies in need.  I am looking for any advice you all may have to offer to get this role up and rolling, as this is a new role in their office.  Never before have they provided lactation support with an IBCLC, or any lactation specialist for that matter.  I shamedly admit I currently do not belong to ILCA or the USCLA, grad school sucked up a lot of $. :{     I have asked the clinic to purchase a membership for me to use with patients and providers.  They have declined...   So, in your opinions which association do you feel would have the most to offer for the clinic setting?  I would like to be able to show video clips, print informational material etc for patients, and if need I would like to have access to articles for providers also!  Eventually I plan to be a member of both organizations.  I am aware both have HUGE benefits, however would like to start with the one that may be more beneficial to my setting initially....   This may be a moot question as they both may be equally beneficial, in which I will then have to pick straws!  ;)  

So far I have these things in mind for my lactation patients, I plan to have them fill out a previsit form detailing the labor, delivery, and breastfeeding experiences in the immediate neonatal period after birth, gravida, para, breast feeding history of prior children, breast augmentation and reduction history, health history in general, medication use, etc.    I plan to schedule visits for a minimum of 30 minutes, (I can't do any longer than this per the clinic manager), however will have a private room with a recliner in which the pt and baby can veg  indefinitely.  I can interview, assess, and put baby skin to skin and leave to see other patients as mom and baby are bonding and we are simultaneously teaching baby this is a happy place, and depending on where baby is in his/her breastfeeding experience, waiting for baby to decide it is time to sample the breast etc....  There are a lot of unknowns and my plan will be tweaked/thrown out the window many times I think before things flow somewhat smoothly.   

Thus I am here asking for all your experienced advise.  With your help my start may be as efficient as a rookies can possibly be!  I will happily take advice on such tips as poster recommendations, video recommendations, pamphlet recommendations, visit flow recommendations etc.  I have gleaned quite a bit already from Lactnet, of beneficial videos etc to share with patients.  However, is there one video you suggest I show to all moms? This video is great for moms with these issues? etc.  Posters, pamphlets etc will all have to be purchased by me so unfortunately cost effective is important also.   While practicing as an IBCLC these past 4 years I mostly saw moms from the hospital I worked at as a L&D RN, so a lot of unknowns were already answered when I saw them.  

Thank you in advance.  Any advice you have to offer that I did not mention, please offer it.  I am a dry sponge wanting to learn all I can to help assure each clinic visit with me is as beneficial as can be for mom and baby.

Respectfully,
Kim Kuopus  FNP-C, IBCLC

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