Hi friends,

Since I get so much knowledge and support from you all, who better to
turn to to vent about my job?  I started the LC postition at my hospital
10 years ago and have worked 20hrs/week at at hospital that formerly
delivered approx. 1500 deliveries/ year.  Well, our largest practice
sold to a competing hospital and the census will drop , but no one can
really predict how far.  To get to the point,  I was just told out of
the blue that administration can no longer support a 20hr/wk position
and my hours have been cut to 10/wk. How do I deal with complaints from
patients who expect to see an LC, even those who do not really need my
services, but want to talk to the "expert".  We have a upper middle
class, mostly caucasion population.  I obviously will not be available
as much. How about when a MD writes for a consult with the LC. Am I
legally obligated to do that,and what if I have already done my 10 hrs.?

As you can see, I am confused and downhearted.  I have a meeting with
the adminstator who decided this to discuss the above, but would love to
hear how you might handle this. Thanks.

You are the wise ones.

Mary Alice Tinari, MSN, IBCLC
hospital based LC (barely)
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