Pat - I'm an FNP, and I feel the same way, there are certain procedures we
can do with certain training - ie: sutures, small biopsies, but a
frenulotomy is not one I would even want to attempt even if it was within my
scope of practice. Now lets say I worked for an ENT who did them and he
trained me to do it and we did them frequently. Then it might fall (at least
in some states) within both my scope of practice and my level of training
and experience provided the training and experience was documented. No, I'll
just call around and find an ENT who was willing (thankfully I have one) and
let the expert do it. I don't want the liability in any way shape or form. 

Michelle

Pat Young said "I'm a PNP/IBCLC and I know clipping tongues is not within my
scope of practice in NJ, maybe it is different in other states.  I think if
CNMs clipped tongues they would be censured or lose their license.  We live
in a very litigious society, unfortunately, I just don't see that it is
appropriate to go  down this road now.  As I said before, I think we need to
educate the ones who are licensed to do it, MDs, DOs, DDSs.  It is all part
of making breaastfeeding normal.  Most young drs think tongue tie isn't a
problem because most babies are bottle fed and they don't see and problems
on that rubber nipple!  More articles in their journals are needed.  More
studies, more pictures like those Cathy has of the disorganized suck of a
tongue tied baby, need to be shown.  We are supposed to be doing evidence
based medicine now days.  Let's get the evidence out there!  Pat in SNJ" 

          

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