I think that many of the allied health professions derive their scope of  
practice from the licensing entity, which in the US is the state. Because we  
have no LC licensure here I think the responsibility for creating both the scope  
and standards falls to ILCA, the professional association. I looked in my old 
 files from when I served on the ILCA board of directors and I believe we 
wrote a  document that contained both a scope and standards, then combined the 
two into  what is ILCA's current Standards of Practice today. I do not think 
that IBLCE  should be defining the scope of IBCLC practice, nor creating a new 
lesser  credential and defining that one's scope too. Taking the current scope 
off  the website does not remove us from the  legal and professional bind that  
we are in. IBLCE may even be exceeding their "scope" of what they can do  
according to the NCCA standards for certifying agencies. We are not yet out of  
the woods on this one.
 
Marsha Walker, RN, IBCLC
Weston, MA

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