I'm as concerned as Brenda about this thread. Please discuss on line as
we'd all like to see it. As far as "just a piece of paper" goes...It is
an entry level exam which implies competencies in the areas we are
questioned on. True, it is not a license but  most of our work settings
require that we demonstrate competencies in these areas and as IBCLCs
should be recognized as the expert. This is very touchy (no pun
intended) and I think the seminar givers are promoting the "requirement"
that all IBCLCs be RNs or other licensed personnel. We all need to check
our workplace and find out what liability coverage they provide. Check
out the ILCA publication: Standards of Practice for LCs. It states that
one of our responsibilities to "procure the mother's written consent
prior to initiating care." It is also our responsibility to communicate
and collaborate with the other health care professionals involved; we
are NOT the primary caregiver - that would be the doctor and if our
advice is in conflict with the MD, the mother is informed of her
options; consequences of outcome and the need to dialogue with her HCP.
Our legal responsibilities extend to "established parameters of
professional practice" and institutional standards. If there is any
question, I would contact my supervisor and see what the standards of
practice for that institution include. If other non-licensed staff can
give advice and touch patients, we should be able to as well.
Keep us updated, please
Mary Kay Smith,
Romeoville, IL