> ------------------------------
>
> Date: Fri, 18 Jul 2003 10:35:50 -0400
> From: "Pam Hirsch, RN, BSN, CLC" <[log in to unmask]>
> Subject: time management
>
> Hi, All: I have been following this thread with great interest as this
> issue comes up periodically during the 18 years I have been a hospital-
> based LC. I started one of the Chicago-area's 1st hospital-based
lactation
> programs back in 1986 and ran it for almost 9 years before I realized that
> working more than F/T as an LC was not very conducive to having 2 more
> babies. I semi-retired (dropped down to teaching a monthly prenatal
> breastfeeding class series for 5 years) and am now back to more than F/T
in
> the hospital setting as the clinical lead for Lactation Services in a
Level
> 2 community hospital which does 2000+ deliveries/year and with a 95%
> breastfeeding rate. Time management becomes an issue when you end up with
> a manager who is indeed CLUELESS. One manager I suffered with for many
> years would actually say to my face as well as to the staff that she
> couldn't believe that the hospital was so stupid as to waste a paycheck by
> paying me to breastfeed! I now work with VERY supportive managers - 2 of
> the three worked with me in my previous life and were involved in the
> creation of my 1st program. wonder of wonders, they hired me in my
present
> position to travel back in time and set up a program again at my present
> hospital.
> Unfortunately, even when you do formal time studies for these clueless
> managers, they still don't believe the time expenditure it takes to
> emotionally support and empower women. Now that I'm much older and not
> necessarily wiser, I find that I can more easily maintain my sanity by
> tuning out all the day-to-day crap and just doing the best I can for
> mothers. After all, mothers and babies are what we are all here for.
>
> Pam Hirsch, RN,BSN,CLC
> Clinical Lead, Lactation Services
> Advocate Good Shepherd Hospital
> Barrington, IL USA
>
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> ------------------------------
>
> Date: Fri, 18 Jul 2003 11:09:01 EDT
> From: Dee Kassing BS MLS IBCLC <[log in to unmask]>
> Subject: Re: breast biopsy
>
> Karen, you asked about a stainless steel implant left in the breast after
> biopsy. It is becoming more common to do this. The stainless steel
easily shows
> up on future diagnostic tests and quickly alerts the radiologist reading
that
> test (who may not be the same person as the radiologist who read the
> original) that the area of the breast with the stainless steel needs
particular care
> in reading. It lets them more easily compare what's going on in the
current
> pictures with what seen in earlier pictures if the radiologist knows
exactly
> where to look. (Of course, it's not meant to allow the radiologist to
skip
> looking at the rest of the breast!)
> Dee
>
> Dee Kassing, BS, MLS, IBCLC
> Collinsville, Illinois, in central USA
>
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> ------------------------------
>
> Date: Fri, 18 Jul 2003 08:17:12 -0700
> From: "Malo, Janet" <[log in to unmask]>
> Subject: Re: Time management
>
> As a hospital based LC time management is one of my biggest hurdles. The
> thing that has helped me the most is to go to the shift change report
every
> morning. I hear about each mom and baby on the floor and how they are
doing.
> This way the nurses don't have to track me down as I have the same
> information that they do. It gets me here at the too early hour of 7 am
and
> I am available to speak to the doctors while they are doing rounds. I also
> have made a "triage" list that the nurses can put mom's name on to be sure
> they are seen when it is busy.
>
> We do about 100 births per month, have a level 3 NICU and have a 97%
> breastfeeding initiation rate. I am the only lc and work m-f 7 am- 3:30
pm.
> I feel completely busy most of the time.
>
> 28 couplets a day would send me over the edge! Your boss has no idea what
> you do. Good luck, I think the idea of having her shadow you is great.
>
>
> Janet Hoover, LM, IBCLC
> Lactation Consultant
> Santa Cruz, CA
>
> mailto:[log in to unmask] <mailto:[log in to unmask]>
>
>
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