Dear Esther, along with "nurse-brain" in the hospital you will find "administrator-brain" and "fear of law suits brain" and many other interesting types :-) I think Winnie's post says a lot about how we need to work this idea of non nurse IBCLCs into the brains of hospital administrators. They need constant reminders that other non nurse people provide valuable services in the health care field - like PTs, OTs, RDs and so on. They will catch on eventually if you do this nicely and consistently! Sincerely, Pat in SNJ *********************************************** 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