I am an IBCLC at a community hospital in the southwestern US.  I had worked
as a staff RN for 3 years and childbirth education coordinator for 1 year
when I passed my test.  I do staff inservices, head up the breastfeeding task
force, help breastfeeding moms on my regular shifts and occassionally get
called in to do a consult.  I get my regular staff RN salary for all of this.
 The hospital reimbursed me the IBCLC exam rate and pays the conference fees
for some of the conferences I attend.  Since I am not on salary as an LC I do
have the advantage of being able to make overtime pay.    Bonnie