The only way you can possibly add LC home visits to your already full employment plate is to hire another LC! And how do you convince your "superiors" that this is necessary? We had a similar situation in our hospital 5 yrs ago; at that time, if you delivered a baby on the weekend, the LC wasn't available! What we did was begin documenting exactly how many inpt., outpt, and phone contacts we made daily. We also conducted a Pt. satisfaction survey--they provided glowing reports of our wonderful lactation services. This info. could be presented in mtg. format to your hosp. CEO's --also any info on revenue generated from your services is helpful. Today, we have 5 LC's on staff who take care of inpt. and outpt. bf issues as well as do our home visits. Therese Weickert, RNC, CLE