To quote Kathy :
"This is why phone or email helping is problematic and can border on
unethical for IBCLCs. My understanding is that when an IBCLC talks to a
mother about her problem, whether in person or on the phone, our duty is
to communicate with the HCP afterwards. With phone or email helping, one
can not easily get written consent to send an HCP report. Plus, once you
talk to a mother on the phone, you own the problem and are responsible
for follow up. The other problem with phone or email helping is you can
not weigh the baby or see the baby and really know what is going on. You
just have a one sided explanation that may or may not be what is going on."
Whoa...now I am really confused. "unethical" to do phone and email consults?
So CLEs, CLCs, peer counselors, LLL Leaders, AABA facilitators,masters or
phD trained lactation professionals can all answer phone questions or email
but IBCLCs can't or shouldn't? LLLL help over the phone the majority of the
time and help mothers solve problems at various levels of complexity.
Weighing the baby is not always that important - don't many LC's opperate
without a scale? Mothers get real answers by phone and email from LLLL - it
may be more difficult but in many cases it is not. What if a mom has a
question that does not really necesitate a visit? Do you refer her to LLLL,
AABA or a peer counselor? I would be irritated if I had to run to an LC for
every little thing.
I am a little confused as to the professional benefit of being an IBCLC -
seems like a lot of red tape going on to do the job that others with other
titles do. That is so scary to me as I always thought I would become an
IBCLC and in the near future. I am trying to soak everything in, so please
continue to share. I am truly interested in different perspectives, learning
what others do, etc.
There seems to be some difference in how private LCs practice from hospital
based. Right? I do not intend to be a nurse or work in a hospital setting so
I am very interested in that perspective.
thanks for the continued discussion, ladies. I am learning alot, learning I
have a lot to learn!
Micky Jones, BS, CLE, CLD, CHBE
Mama of 3
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