One description of the "nurse-brain" - who uses the same "fix" for everyone
- is not really "nurse-brain" as it is "beginner brain".  Please let us
remember that when people begin any new profession, they often get "hooked"
on what they see working - and as they have limited experience, they have
only seen a few things work.  

As they get more experienced, be they nurses, dieticians, La Leche League
Leaders, peer counselors or moms (or dads) they get better at suggesting
and implementing different options.

Right now I am working with some nurses who have been scared stiff about
bilirubin by the Neonatologist at the hospital.  It does not matter what
the baby does, how he acts, etc - if the baby has a yellow "tinge" he
becomes the target of poking, pinching, etc (to blanche the areas from head
to toe), and the parents see this and get frightened.  Is this a
"nurse-brain" or is it simply the reaction of our lawsuit-frightened
society?  

However, there are two ways that I know of to ask "administration" to
consider IBCLCs who are not RNs which have worked:
1. IBCLCs who are not RNs don't belong to a union, so they actually can
have more flexibility many times (I have worked places where the nurses
union limits a lot of choices - even to the detriment of some of the RNs
themselves!)
2. IBCLCs can have malpractice insurance.

Jeanette Panchula, social worker, mom, La Leche League Leader, IBCLC (and
yes, I gave in and got it) RN 
Vacaville, CA

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