At our hospital it is pretty well known that there are Lactation Consultants.
 They call the Family Birthplace to get a pump.  If we are not there our
Clinical Managers take it to the patients.  We usually have a message the next day
to go check on these moms.  Do some of them get mishandled?  I am sure.  We
have found out days into an admission about a Mom who has an abscess for
example.  So not everyone knows what they should be doing.  But we get frequent
calls from adult and pediatric ER and ICU, Med/Surg floors.  So far I have not
been told to clock into their cost centers when I go.  It is a courtesy the
Family Birthplace provides at this time.  But that could change with budget cuts.

Pam Hendrix, BA, RN, IBCLC
S. Florida Hospital Based

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