Kerry asks:
<<So what do IBCLCs do in these situations? When a woman calls directly,
has not been referred by an HCP, and does not, in any meaningful sense, have a
PCP, how does an IBCLC fulfill this obligation to report?>>
Who is the baby's HCP? And which doc/nurse midwife/family practice
physician actually attended the event of the birth of the baby? (Short of a
C/Section, the MOM birthed the baby). For our practical purposes, THOSE are the
folks that are the HCP for the baby and for the mom.
BTW, I love it when a mom has a Family Practice Physician who takes care of
both her and the baby as they do in Australia. What a best case scenario.
Except that I believe wholeheartedly and firmly in midwives.
But of course, they are "alternative" here in the US of A.
Sigh.
Which brings me up to one other thing: in the (rightful) flap over the SOP
(and Marsha, I sincerely hope you are going to pass your words of wisdom on
to the "board....") we have missed one small item that also needs our
attention (sigh.....how many things can we deal with at once?).
Someone on Lactnet mentioned it and I truly apologize that I don't remember
who it was, but it HIT me like a ton of bricks. I mentioned, a few (hahaha)
posts back, that the IBLCE had changed the criteria for calculating CERPs
from the 50 minute hour to the 60 minute hour, but had retained the same number
of CERPs needed for both certification (45) and recertification (75). Only
one person on Lactnet picked up on that, and she said something that I hadn't
realized in my frustration that IBLCE didn't bother to tell us until
September this was going to happen (after LEC's printing of nearly 18,000 brochures).
The kicker is this: It is going to cost each of us a minimum of 20% MORE
to certify/recertify based on the new criteria.
For example: as a CERP provider, if LEC does a one day conference that runs
from 8:00 to 4:30, with one hour for lunch and two 15 minute breaks, under
the old system, that would have been worth 8.4 CERPs. Under the new system,
it is worth 7 CERPs.
Because the providers are working just as hard, teaching just as long, and
doing all the same work, they aren't going to charge any less for the program.
So, assuming $100 charged for the day -- you are now only going to get 7
CERPs instead of 8.4 for the same price.
While it doesn't look like much, when you are adding up 75 CERPs, it is a
lot.
Just thought you might like to cogitate over that along with the second
credential and the scope of practice.
To paraphrase our (way too often) IL (nasty) political ads: "What ARE they
thinking?"
Jan Barger, RN, MA
_Lactation Education Consultants_
(http://www.lactationeducationconsultants.com/)
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