I think Melinda's comments remind us that communication is a two way street. 
And Laurie's shows us what happens when someone puts up a road block!  I 
think the biggest problem with the SoP is the "contradicting and ignoring 
the advice of the HCP."

I wouldn't do # 5, not permitted in NJ under my RN, or APN SoP and I don't 
see it as appropriate as an IBCLC (even if we all do wish we could  clip 
tongues !)

As far as prescribing - I'll always remember the OB who called me late one 
Sat pm to ask me what to give the mom for thrush on her nipples. ( I had 
told her to call the OB and get a medicine for them :-)

Other specialties who are non medical (ie: not dr)  are PT, pharmacy, 
respiratory etc.  They contradict the dr if what dr is ordering is 
inappropriate.  I see IBCLC as an advanced practice person, just as a PT  is 
an advanced practice person.  What do PT's SoPs look like?

I'm not sure what the answer to this mess is, for now I don't think I'll be 
using my credential IBCLC  (21 years), unless IBLCE immediately rescinds the 
published SoP.  I am very upset about this, as I am phasing out of my ped np 
work and wanted to work in lactation.
Thoughtfully, Pat in SNJ

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