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Fri, 4 Apr 2008 10:06:15 -0400 |
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I would like to know about prevailing structures for inpatient hospital LCs. It
seems that there are many variables. There has been some discussion on
qualifications here recently. What I'm wondering about is the overlapping
services of nursing staff, LCs and other HCPs. For BFHI all staff is to be
trained. If everyone is trained, how are the roles divided up? Who assists
mothers? Are all breastfeeding assistance requests funneled to LCs? Are LCs
only for those difficult problems? Is there a middle ground? Who sets up
pumps? How many families can an LC care for on a post partum ward? in NICU?
What's involved? A quick question, such as 'how's your breastfeeding today',
or an in depth exam and consult? Does it depend on the total number of
clients on a ward? What about communication.. verbal, computer or written
referrals? What about the day to day BF report on each client? When we add
in warm lines, equipment care, employee pumping care, inservices, paper work,
etc., how is everyone fitting this all in a day's work, so all parties feel
satisfied? In most places around the world, are nurses happy to assist with
breastfeeding, or happy to hand it off? What is a balance? I'm wondering this
in relation to the references to staffing ratios. What's realistic? What's
happening in different areas? I wonder if lack of definition causes friction. Judy
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