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Date: | Mon, 11 Jul 2005 06:48:57 EDT |
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June,
I work at a Hospital with 12 LDRP beds, 43 Post Partum beds, and Level II
NICU. There is NO way that I can see every post partum mom. The nurses are
required to take a 2 hour (with CE credits) with me and follow at the bedside for
2 hours. Back when the budget was much better they took a 4 hour class and
followed us at the bedside for 4 hours. We also had two LC's on duty during
the days Monday through Friday. One on the weekends and Holidays. Now we have
one LC on duty Monday through Saturday. (There used to be 4 LC's, now we have
2, one moved and one started her own business, but they had cut our hours
drastically.) I am trying to work a little mother-baby regular RN bedside duty to
get back some of my skills and maintain them. As we started getting pulled to
work the floor whenever they needed us. My Director dictates when I teach
classes as the budget doesn't call for much "non productive" time. Hmmm. I am
teaching this week and later in September. I already taught earlier in the
year. I try to send emails to the unit. I am sure as soon as some of the
nurses see they are from me, they delete before they even read them. But most do
read them and are very appreciative.
I work 36 hours per week, some weeks I spend 12 hours as a regular nurse.
The other LC works 20 hours per week. We rely on the nurses to triage for us.
I know we miss a lot that way but some are really getting better at their
skills and we love when they are working. There is NO way we can see everyone
they are begging us to see let alone every mom. I am not supposed to work more
than 8 hours a day as an LC but can't help go over time just a little
frequently and still feel badly that I am leaving. I can see patients on an outpatient
basis up on the unit, they pay in Women's Serices/Radiology outpatient area.
But we refer a lot to our preferred providers outpatient LC services.
If the staff can step in and see what I am doing I encourage it, but they are
usually busy doing 10 things at once. Sometimes I will go and get them so
they can see what I have done. Especially if it is a new nurse. I prioritze by
who is going home, we need beds constantly for the newly delivered moms. Oh,
and I might get called to Peds, Peds ER, ICU, adult ER, or one of the other
med/surg floors for re-admitted patients, etc.
Time to go to work!!
Pam Hendrix, RN, IBCLC
South Florida Hospital Based
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