Sallie:  In the hospital for our staff nurses & support staff of all OB
areas & NICU we have a yearly reqired one day update with appropriate
competencies.  For bfing we have 4 areas taught:
        Assessment of a feeding (using a LATCH score)
        Discharge teaching
        Use of a breast pump
        Use of alternate feeding methods - cup, finger, SNS

They must attend this at least once/year, satisfactorily complete the post
test, and at some point after the course, they must seek one of the IBCLC's
to observe the actual assessment/teaching/demo with patients in all 4 areas.

Good luck with your endeavor!

Debbie Shinskie RN CES IBCLC in Millersburg, PA, USA
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"The cure for anything is salt water - sweat, tears, or the sea."
                                                -Isak Dinesen