Winnie Could the doctor just make a 'referral' instead of an order? It seems if the doctor asks that the client be seen that is not the same as an order for a treatment or medication. Don't know the legalities of that and its impact on 3rd party payment if that is a factor. Re the role of the bf educator: I don't think this person should be seeing consults, but could be teaching the basics, supporting, and e.g. starting a mom expressing for a premie if the LC wasn't there. I realize this may be sabotaging the role of the ibclc, maybe the hospital would decide to 'let go' the ibclc and hire an educator. So there is this to consider. and in an ideal world there would be an ibclc each day. But if there is an ibclc shortage, like a shortage of RNs where nursing assistants help out?? This is a tricky situation to sort out. Laurie Wheeler, IBCLC, MN, RN New Orleans Louisiana, s.e. USA _________________________________________________________________ MSN 8 with e-mail virus protection service: 2 months FREE* http://join.msn.com/?page=features/virus *********************************************** To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or digest) To unsubscribe: unsubscribe lactnet All commands go to [log in to unmask] The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html