I do understand both sides of this issue. You can make an argument either way.

However, the code we are following is for IBCLCs and not for lay bf counselors.
IBCLCs are designated, I believe, as "allied health care providers"
and not as independent
practitioners. In my opinion, the IBCLC credential is not just an
add-on credential to show
you know alot about breastfeeding, but a credential showing you are
certified and intend
to work with challenging and difficult bf cases, and therefore you
would be working with
the primary hcp(s).

Other allied health care providers are physical therapists,
occupational therapists, respiratory
therapists, for example, and don't they work under a primary hcp and
have "orders" to see the
patient?

I wonder what the "code" is for LLL and other mother-to-mother counselors, and
do WIC (in USA) peer counselors have a mandate to report things to
mother and/or
baby primary hcp?

Laurie Wheeler RN MN IBCLC
Mississippi USA

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