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Date: | Thu, 15 Mar 2007 22:24:55 EDT |
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In a message dated 3/15/2007 8:59:56 P.M. Eastern Daylight Time,
[log in to unmask] writes:
"This statement helps me understand non-nursing IBCLCs a little better, if
this is really what you think it is like in a hospital setting. That is NOT
what it is like---nurses question doctors all the time, without any fear of
losing their jobs."
Melinda and Lois, thank you for you for explaining this to me because it has
not been my understanding at all. Not to start a new thing here, but can all
nurses safely without fear of reprimand correct a doctor regarding orders to
start formula for a breastfed baby or discuss tongue tie when a doctor has
said it is not a problem or discuss the options for jaundice treatment when the
doctor has ordered formula supplementation? I am curious. It seems to me
that I remember stories on Lactnet that made me think otherwise. Also, I do
know plenty of nurses and it has happened that there are negative consequences
for sharing accurate and up to date research that contradicted a doctor's
information. I am not saying this is true of all doctors or every situation,
but did assume there must be some serious reason to pick out 'do not contradict
a doctor' and put it into a scope of practice. If it meant an even playing
field for nurse and non nurse LCs at least it had some purpose. Now it is
losing even that if all the doctors welcome the contradiction and questioning of
their orders by nurses. And if that is true, now what? A nurse who is
bound by her RN license to speak up and contradict now must be silent because of
the IBLCE SoP? Or, does the RN supersede the IBCLC so she can speak and now
we non RNs cannot? Yikes. Still not good for us non licensed health care
providers.
Take care,
Pam MazzellaDiBosco, IBCLC, RLC
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