Staffing for hospital lactation programs: recommendations from a tertiary care teaching hospital.
A retrospective review of data from a lactation program's productivity reports at a large tertiary care teaching hospital (4200 births per year) measured actual hours worked by international board certified lactation consultants (IBCLCs) over a 2-year period, allocated the hours to their respective activities, and developed ratios for optimal IBCLC staffing for each component of service delivered. Optimal IBCLC staffing was calculated as follows: mother/baby inpatient requires 1 full-time equivalent (FTE) per 783 breastfeeding couplets; neonatal intensive care unit (NICU) inpatient requires 1 FTE per 235 infant admits; mother/baby outpatient requires 1 FTE per 1292 breastfeeding couplets discharged; NICU outpatient requires 1 FTE per 818 breastfeeding infants discharged; telephone follow-up requires 1 FTE per 3915 breastfeeding couplets or infants discharged; education requires 0.1 FTE per 1000 deliveries; program development/administration requires 0.1 FTE per 1000 deliveries; and research requires 0.1 to 0.2 FTE total. Using the formulas provided, IBCLC staffing can be calculated for desired services based on patient numbers.
Mannel
Rebecca
R
OU Medical Center, Oklahoma City, Oklahoma, USA. Rebecca.mannel@hcahealthcare.com
Mannel
Robert S
RS
D001942:Breast Feeding; D003253:Consultants; D005260:Female; D006784:Hospitals, Teaching; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007363:Intensive Care Units, Neonatal; D017283:Neonatal Nursing; D009741:Nursing Staff, Hospital / Q000600:supply & distribution; D011181:Postnatal Care; D012189:Retrospective Studies; D000078329:Workforce