Hi Celine,  I know how you feel.  I struggled with the same thing.  We are 
suppposed to "fix" the problem right?  It took a while, but I can honestly say, I 
spend more time in the pt's room teaching them until they can latch the baby 
on by themselves.  I have gotten in trouble for spending to much time on the 
clock, but I cannot in good concsious leave a mom and baby when they need 
me.  I have clocked out and come back many times to avoid getting in trouble 
with the manager.  I use the Newman video on latch and it gives the moms 
good info and they are able to see another mom latch her  baby on properly.  
You are feeling this way because of your background, and it WILL get better 
in time.  I try to get moms to conquer one kind of latch so when they go home 
they have something that will work no matter what.  I often find when bb's 
won't go to the breast and other staff are breathing down my neck and 
threatening to give the baby a bottle if the blood sugar doesn't come up, to 
have mom in a sidelying position.  This works about 99% of the time.  This 
position however requires me to help.  At this point, I get the dads or 
significant other to hold the breast and latch the baby.  Once moms belly goes 
down they can manuever the baby much closer and usually get them on.   I 
only use this if i have to.  So, Celine hang in there.. Knowing you are doing 
good work.  Try your best... Some days everyone is having trouble and you 
will feel like you must fix it before you leave.  Do you have someone following 
you the next day to finish what you have started?  We use a pad and paper 
and write down who we saw and what interventions we used if any.  It is also 
in the moms chart.  The RN's are supposed to follow our plan of care.  So if I 
need to use a sns to get a sleepy jaundice baby to the breast, the RN should 
be able to do the same.  If a mom has had a c/s and can't bf at the moment 
then either I or another RN should start mom pumping.. delegate these tasks 
to the other staff.  The other RN's certainly can show mom how to pump if 
you need to leave.  At least that starts the ball rolling.  Try inservicing your 
staff, so they know how to use a nipple shield properly and the sns properly.  
I have had to hide a few of my supplies, but most of the Nurses now tell the 
moms to wait for the LC before initiating a nipple shield.  And they need to 
docucment the reason why.  These moms will need follow up.  You are doing 
good work.  I started out the same as you.  L&D, got babies to the breast 
right after delivery, then home health for phototherapy, that was a challenge 
getting those babies to breastfeed then now as a LC in the FBC.  All in all 
about 17 years of moms and babies.  But the role did shift as I tried a more 
hands off approach and more teaching... Good Luck, the hospital is lucky to 
have you... Don't you forget that!

Robin

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