Hospital LCs or others:

Do you use any rating criteria on your patients as to their level of
complexity/degree of care needed? This is usually done for fee charging
purposes and can be done for staffing purposes as well. My boss has asked me
to develop "4 levels of evaluation and management" of bf inpatients. For
example, level one might be a multipara who has bf a previous infant and has
no identified risk factors in herself and her infant for current lactation.
Level two might be a primip without risk factors. My boss will be giving me
further details on this soon, but I thought I would ask now and if any of
you have such a system, would you be able to share it with me? If anyone
else has any ideas as to how to describe the 4 levels, feel free to chime
in. Thanks.

Laurie Wheeler, IBCLC, MN, RN
New Orleans Louisiana, s.e. USA

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