Marery, I work in a hospital setting and have the title of Coordinator of Milk Bank and Breastfeeding Center. My responsibilities include in patient consults to both the NICU and the post partum floor. I also consult with antepartum inpatients who are expecting multiples also patients who have infants readmitted to pedi post discharge. I teach the prenatal breastfeeding class and also do the outpatient consults. We only charge for the outpatient consults. My productivity report, however, does include the number of phone calls I receive, the number of consults I do anywhere in the hospital, pedi and recovery or post surgical area. If anyone needs a pump post surgery I also keep track of those as consults. If you would like to email me privately please do so. My responsibilites are many and I haven't even mentioned the resposibilities of the milk bank or pump rental depot, because of the many NICU parents that are pumping. So, yes I understand your dilema. My managers are looking for the almighty dollar as well and don't take into consideration the many (over 350) phone calls that are handled every month. However, I do keep a phone log and the number is entered in my monthly stats. I don't know if this has helped at all, but just know you're not alone. Darlene Breed RN, BSN, IBCLC