I do not have the right to talk to a patient or to view her chart unless I
have been consulted by that patient's primary physician (unless of course it
is an emergency and I am right there to help).

Our hospital has, as a standing order, "lactation consultation prn" - which
mean the doctor, nurse or patient can request a consult.  The LCs cannot just
initiate their own consult or review the medical records because they hear
about someone 2nd hand.  If our LCs hear about something, they go to the
doctor or nurse caring for the patient and ask to be consulted.

Nancy E. Wight MD, FAAP, IBCLC
Neonatologist, Children's Hospital & Sharp Mary Birch Hospital For Women
Medical Director, Sharp HealthCare Lactation Services
San Diego, California, USA
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