The good thing about having non-RN IBCLCs in hospitals is that 
administration can not pull this person to do nursing work instead of 
breastfeeding. We had a great RN IBCLC here and she was constantly pulled to 
do nursing work and could never get to the BF patients or had to cancel 
outpatient appointments. She quit and has now been replaced twice by 
non-IBCLCs (not even on track to take the exam).

Non RN IBCLCs can also bring a different perspective to hospital work. They 
may see the patient differently than the nursing staff do. An IBCLC coming 
out of LLLI, for example, should have better counseling skills and knowledge 
of older baby issues than someone who has only been exposed to hospital 
work.

Kathy Eng, BSW, IBCLC 

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