I would like to support Rachel's interpretation that there is no
requirement for IBCLCs to send reports to other health care providers.  I
know from my US colleagues that this is common practice, and there's
nothing wrong with that.  And I see it as an excellent way to educate other
practitioners.  I feel it is necessary courtesy to send a report to a
referring health care provider too.  However if the mother comes from other
sources then I don't feel a letter is required, UNLESS there is a reason to
refer her on ie. you're recommending baby have a medical review.

I also pay indemnity insurance and assume professional responsibility.  I
don't need to defer to another health care provider when the problem is
within my scope of practice.

Just a note to Amy ... you may be refusing to see a person, but by giving
advice over the phone (you mentioned something about this in women you
weren't intending to take on) you have actually legally accepted a
professional relationship with the woman - and doing a phone assessment and
giving even minimal advice is pretty scary.  Perhaps some of our legal
people could comment here.  Iona - is this true in Australia.  Billie Jean
what's your comment re the US situation?  Anyone else?

Cheers
Denise

Denise Fisher
mailto:[log in to unmask]
http://www.health-e-learning.com

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