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Subject:
From:
Lori Peters <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Mon, 3 Oct 2005 10:21:29 -0400
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I cant imagine having to go through 6000 practice hours!!!! That is quite 
an accompliment!  I would have to say that you were probably better 
prepared for many types of problems than I was as an RN entering the LC 
arena with my limited amount of hours and limited oppotunity (how much new 
and different stuff does one see when dealing with a 2 day old baby all 
the time and never seeing anything else?). 

Many of the complicated propblems I ran accross after I became an IBCLC 
are things that I never had to deal with as just an RN....women did not 
come back to the hospital to see me when I was just a nurse who like to 
help nursing moms, so I often did not see the complicated cases to their 
end.  Unfortunantly I spent about 2 years as a brand new IBCLC learning 
how to deal with these issues.  Probably not the best way to di things!

As for RNs being pulled to do other duties...I think it depends on the 
unit one works on to decide if this works or not.  I have 1 main job and 2 
casual jobs.  

My main job is working at a small ob unit with the average census of 4 
babies.  We see all babies 2 days after discharge as well.  If I did not 
do things other than LC work, I would not get enough hours in!  I also do 
staff education, staff nursing, patient education and fill in for my 
supervisor as well as fill in for evening supervisor of the hospital twice 
a month.  This does not affect my LC duties and everyone leaves me alone 
when I have moms to see.   

Another hospital has me do only LC work, but they average 12-16 babies a 
day plus outpatient consults and CONSTANT phone calls, so there is planty 
of work to do.

The third hospital is a mess and I rarely work there anyome for that 
reason.  They average 8 babies a day.  They understaff the labor nurses 
and I am looked at as the "extra" staff member if a labor patient comes 
in.  There is no way I can take care of both a labor patient (which SHOULD 
be one an one care as labor progresses) and still help the nursing 
moms....that situation is VERY frustrating and their lactation department 
has pretty much fallen apart.  

Lori Peters RN IBCLC

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