She has applied and taken the IBCLC exam, she knows the Policies,
Procedures, and had to sign their Scope of Practice before the exam I
believe.  She knows, I am afraid she chooses to not practice within her
scope of practice.  She has not passed the exam twice.  I do understand
what you are saying and thank you for your input. In most cases I do choose
to talk to people, in this case she is very defensive and it is a very
uncomfortable situation.

On Thu, Mar 15, 2012 at 5:53 AM, Sonya Shaver <[log in to unmask]> wrote:

> Tricia,
> Can you talk to the person directly yourself?  Maybe she doesn't even
> realize that these things are happening.  Maybe you could provide some real
> guidance to her that would result in actually helping the end result, which
> would be better help to the clients she is serving.  I guess I would want
> to know that from people who approached me directly, in a collaborative and
> democratic way, who could offer me constructive and productive advice on
> how I could do better.  Even if what you share with her is just getting a
> better feel for knowing when to refer.  It may be difficult to do, but I
> have a feeling there is a way that you could approach her in a collegial
> way that could result in a better referral network.
>
> Sonya Shaver, BS, CHES, IBCLC
>
>
> On Sun, Mar 11, 2012 at 9:29 PM, Tricia Williams <[log in to unmask]
> >wrote:
>
> > I know a CLC who is practicing as an IBCLC.  She has failed the exam
> twice,
> > but she has her own business, has had it for years , not under the
> > supervision of an IBCLC, charges as much as an IBCLC.  She has many hours
> > logged but alone,not under any supervision.  She has had another IBCLC,
> who
> > works in a hospital sign her off, but we know as a fact that she has been
> > an independent contractor for years.  She has her Bachelors in Journalism
> > or Writing, English or something, and goes to doctors offices, brings
> them
> > lunch, and get's their referrals.  We took care of a set of twins that
> > ended up in the hospital the day she saw them for dehydration, she did
> not
> > even detect the problem.  It is difficult for us because we live in a
> small
> > town and word would get around that we exposed her.  A nurse practitioner
> > friend says that someone has to say something, but she is unwilling.
>  This
> > person has applied for the test twice, failed, yet she still markets
> > herself as a lactation consultant.  What should we do?
> >
> >
>
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