Cindy,

I, too, have worked in the dual role of staff nurse & LC.  I've found that
the nurses who leave the bf problems to me fall in to one of 2 groups:
 either they really don't know what to do (or lack the confidence in what
they do know), or they just don't want to spend the time.  I respond to both
groups the same way:

First, I ask them what they've assessed so far.  Then, I make a positive
comment to them, like, "It sounds like you've done a pretty thorough
assessment", or "So, you've picked up on the flat nipples--good call!"

Next, I say, "Of course I'll go see this woman.  Please come with me to
introduce me, and we'll work this out together with her."

In the room, I again make a point to comment positively on the first nurse to
the patient, like, "Nancy nurse has given me a great update on what's
happening with you.  We're going to work to solve this problem together."

Then, I talk out loud about what I assess, explain everything to Mom, etc.
 This way I'm not only teaching Mom, I'm teaching the nurse how to assess and
teach, without focusing on the nurse.

With this system, people quickly get the message that they can't just "dump"
a patient on me; they're still going to have to put in some time.  And many
of them come out saying, "I've never thought about doing it that way.  Next
time I'll know better."

Of course, there are still those who don't give a darn.  But an inservice
isn't going to reach them, either.  And at least they don't try to "dump" on
me anymore.

Good Luck!

Carol