Beloved Lactnetters,
This is a quick question that may open up a big ol'
can of worms...

For those LC's working in hospitals in the U. S., what
pay scale are you on at your facilities?  Same pay
scale as Registered Nurses?  Specialized pay scale for
LC's?  Same pay scale as the Advanced Practitioners?
(Stop, I hear snorting already!) Any financial
incentives provided--differential pay, one-time bonus?

Just curious...
Carole
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<[log in to unmask]> wrote:
> There are 9 messages totalling 407 lines in this
> issue.
>
> Topics in this special issue:
>
>   1. Night wakings in 4 month old
>   2. re Swaddling from Kathy Dettwyler PhD
>   3. fees
>   4. TRANSVERSE LIE
>   5. Conferences
>   6. Kangaroo clothes
>   7. Hands in the way
>   8. watch and be wary of studies
>   9. swaddling to calm
>
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----------------------------------------------------------------------
>
> Date:    Thu, 12 Dec 2002 11:54:11 EST
> From:    [log in to unmask]
> Subject: Night wakings in 4 month old
>
> Pat in OH says,
>
> > Weight gain has been about 3 oz a week.  Now
> Camden is
> > >waking several times during the night--all since
> mom initiated that extra
> > >feed.  What should a 4 month old be gaining per
> week?  Mom in the last
> > >week has tried a little rice cereal also,
> although she knows Camden
> > >doesn't need it.
> >
>
> My expectation is that 4 and 5 month old babies WILL
> wake during the night as
> their feeds during the day are generally less than
> stellar -- too
> distractable.  They have great feeds at night and
> make up for at night what
> they are missing during the day....of course,
> everyone is likely to tell mom
> to just let the baby cry it out -- if she didn't
> need night feeds last month,
> she certainly doesn't need them now!  But I find
> they really do -- and moms
> corroborate this -- yes, the feeds during the day
> are suck suck -- there's
> the dog -- suck suck -- there's the fan - suck suck
> -- I hear a car -- suck
> suck suck -- I see a light.....you get the picture.
> At night they hunker
> down and EAT.
>
> I'm thinking the change with the rice cereal may be
> co-incidental, but Pat
> from WI may be right on about it being a digestive
> upset sort of thing as
> well.
>
> Jan from IL
> Jan Barger, RN, MA, IBCLC, RLC -- Wheaton IL
> Lactation Education Consultants
> www.lactationeducationconsultants.com
>
>
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> ------------------------------
>
> Date:    Thu, 12 Dec 2002 12:22:49 -0500
> From:    Kathleen Bruce <[log in to unmask]>
> Subject: re Swaddling from Kathy Dettwyler PhD
>
> I'm not familiar with Dr. Karp's  book, no, though I
> have a vague general
> idea of what he says. I think he is starting from
> the premise that it is
> NOT NORMAL to wake up often at night to nurse, while
> I would say that it IS
> NORMAL. And when a baby cries, that's because it is
> in physical or
> emotional pain and NEEDS SOMETHING.
>
> Now, people in many cultures have used swaddling to
> calm babies down and keep them quiet. I think
> definitely that it WORKS.
> Whether this is always a good thing, though, is
> another question entirely.
> If swaddling works to quiet down a baby in pain, but
> that means you don't
> find out what the source of the pain is (hunger,
> thirst, too hot, too cold,
> lonely, diaper pin open, formula-allergy) then you
> have solved the immediate
> problem, but not the long-term problem. It would
> seem to me to be a better
> option to find out what the problem is. I don't
> believe that 'normal'
> babies cry a lot. When a baby cries a lot, it is
> because its needs are not
> being met, or because something is the matter with
> it (neurological problem,
> crack withdrawal, etc.).
> Feel free to post this to LactNet.
> Kathy
>
>
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> ------------------------------
>
> Date:    Thu, 12 Dec 2002 13:14:32 -0500
> From:    Johanna Berger <[log in to unmask]>
> Subject: fees
>
> All this discussion of fees has been interesting.
> What I see as the big
> issue is not seeing the "professionalism" of the LC.
>  Volunteering is
> great!  Being an LC is great!  The two are not the
> same.  We would never
> expect to go to a job and have our employer say,
> "You have been
> invaluable to me today.  I don't know what I would
> ever do without you.
> Thank you so much for giving of you time and
> energy."  Then patting us on
> the back and sending us on our way with no paycheck!
>  We would never
> stand for this.  But, because we are "helpers" we
> feel the need to do
> this with the women we see.  When we see clients for
> free, we are no
> longer LCs, we are volunteers and will be treated as
> such by everyone
> (i.e., hcps, insurance companies, etc.).
>
> Don't get me wrong, I'm a huge proponent of sliding
> fee scales and free
> services when necessary.  I just don't think
> everyone I see is poverty
> stricken.  I also feel people need to pay something
> for
=== message truncated ===


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