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Date: | Mon, 3 Oct 2005 10:21:29 -0400 |
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I cant imagine having to go through 6000 practice hours!!!! That is quite
an accompliment! I would have to say that you were probably better
prepared for many types of problems than I was as an RN entering the LC
arena with my limited amount of hours and limited oppotunity (how much new
and different stuff does one see when dealing with a 2 day old baby all
the time and never seeing anything else?).
Many of the complicated propblems I ran accross after I became an IBCLC
are things that I never had to deal with as just an RN....women did not
come back to the hospital to see me when I was just a nurse who like to
help nursing moms, so I often did not see the complicated cases to their
end. Unfortunantly I spent about 2 years as a brand new IBCLC learning
how to deal with these issues. Probably not the best way to di things!
As for RNs being pulled to do other duties...I think it depends on the
unit one works on to decide if this works or not. I have 1 main job and 2
casual jobs.
My main job is working at a small ob unit with the average census of 4
babies. We see all babies 2 days after discharge as well. If I did not
do things other than LC work, I would not get enough hours in! I also do
staff education, staff nursing, patient education and fill in for my
supervisor as well as fill in for evening supervisor of the hospital twice
a month. This does not affect my LC duties and everyone leaves me alone
when I have moms to see.
Another hospital has me do only LC work, but they average 12-16 babies a
day plus outpatient consults and CONSTANT phone calls, so there is planty
of work to do.
The third hospital is a mess and I rarely work there anyome for that
reason. They average 8 babies a day. They understaff the labor nurses
and I am looked at as the "extra" staff member if a labor patient comes
in. There is no way I can take care of both a labor patient (which SHOULD
be one an one care as labor progresses) and still help the nursing
moms....that situation is VERY frustrating and their lactation department
has pretty much fallen apart.
Lori Peters RN IBCLC
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