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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