I work at a hospital that has 500-600 births a year and we have 1 part time
position allowed for lactation coverage.  The nurses are wanting 24/7
coverage and the nurse manager is not willing to increase the number of
lactation hours budgeted.  What do other facilities do to cover the time
when lactation support is not in house?  Do you take call?  Do you split
your hours to cover days and nights?  I am only allowed 20 hours per week
and I am struggling with when the best time to be here is for the moms and
babes.  I also think my role is getting confused by many staff nurses.  Do
any of you use a screening tool so you just see high risk couplets, or do
you see everyone?  Currently when I am here I see everyone and go over all
of the education with the patient regarding breastfeeding.  Many times when
I am not here the packet of information is handed to the mom and she is
told "Here is some breastfeeding information".  Any suggestions would be
helpful.
 Thanks,
Kim Rehling-Anthony BSN,RN,CLC
North Platte, NE

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