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Subject:
From:
Jim & Pardee Hinson <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Mon, 21 Sep 1998 21:05:47 -0400
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I caution those of you who work in a hospital based lactation center to be
realistic when you propose a certain number of FTEs needed to do a
particular job.  Be sure you will be able to do what you say you can do for
the number of staff resources suggested.  Most of us overestimate what we
can do with our staffing budget.

Our hospital has about a 70% BF rate and about 1250 births a year.  We are
budgeted 2.6 FTEs for lactation center.  Our staff is running ragged and we
are constantly over budget.  There are tons of things that do not get done
and things that do not get done right.  We round inpatients, see
outpatients in our clinic, teach BF class for the education deptartment,
field 600 - 700 telephone calls per month, participate in hospital and
system activities, etc., etc., etc.....

I do not know of a staffing formula.   Whoever thought of the 1 FTE per
1000 deliveries must be living in a dream world or have a BF rate of
<10% !!

RE: Job Qualifications......
We have a systemized job description for lactation among our facilities.
It does not mention RN as a requirement since lactation is not a nursing
job.  We hire for the IBCLC qualification and expertise and leave the
nursing to the RNs.

IBCLC is the major required qualification.  Some of our most experienced
IBCLCs are not RNs.
The job classification and salary range is not the same, and it is not
related in any way to that of the nurse.

Pardee H. Hinson, MPH, IBCLC
Carolinas Lactation Center
Charlotte, NC
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