I really feel that basic teaching and support including helping a mom
pump/express for a NICU baby should be the job of all the nurses caring for the
mom.  The challenge for us is to get all the nurses "on the same page".
Ideally, then the LC would be working on staff education and helping moms with
challenges.  I do still feel it is valuable for the LCs to at least briefly see
each new mom to verify that things are going well and to be sure she knows the
resources available for any concerns after discharge.
As to "referral" vs "order" - the reason for the order is to have better success
at getting insruance reimbursement.  For example, doctors don't "refer" a
patient to the lab for blood wrok or to radiology for an X-ray, they write an
order.

Winnie

laurie wheeler wrote:

> 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.

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