Faculty Disclosure Deal or No Deal (2012)? consult ... · (c) ECB JD IBCLC FILCA September 2012 For...

(c) ECB JD IBCLC FILCA September 2012 For individual use by NWA Conference attendee only 1

Deal or No Deal (2012)? Deal or No Deal (2012)? A Game Show Approach A Game Show Approach to Ethics for Lactation Helpersto Ethics for Lactation Helpers

National WIC Association Annual Education and National WIC Association Annual Education and Networking ConferenceNetworking Conference

September 11September 11--13, 201213, 2012Los Los AAngeles, Californiangeles, California

Presentation byPresentation by

Elizabeth C. Brooks, JD, IBCLC, FILCAElizabeth C. Brooks, JD, IBCLC, [email protected]@yahoo.com

© ECB JD IBCLC FILCA Sept 2012 1

Faculty DisclosureFaculty Disclosure

•• As a lactation consultant in private practice, I charge one fee for the As a lactation consultant in private practice, I charge one fee for the consult, whatever supplies are used. I have no retail operations.consult, whatever supplies are used. I have no retail operations.

•• I work in private practice (doing home visits), in a large hospital with a I work in private practice (doing home visits), in a large hospital with a Level III NICU (rounding on all postpartum breastfeeding mothers), and at Level III NICU (rounding on all postpartum breastfeeding mothers), and at a communitya community--based breastfeeding clinic offering a slidingbased breastfeeding clinic offering a sliding--fee scale in fee scale in order to serve all mothers.order to serve all mothers.

•• I have written a book, and one chapter in each of two other books, about I have written a book, and one chapter in each of two other books, about legal and ethical issues for the IBCLC. I selflegal and ethical issues for the IBCLC. I self--published a CDpublished a CD--R of HIPAA R of HIPAA privacy document templates for use by the USprivacy document templates for use by the US--based IBCLC private based IBCLC private practitioner.practitioner.

•• I am the ILCA President (July 2012I am the ILCA President (July 2012--14), and an elected director of the 14), and an elected director of the United States Breastfeeding Committee (Aug 2012United States Breastfeeding Committee (Aug 2012--14).14).

•• All content of this presentation is my own; my appearance is not paid by All content of this presentation is my own; my appearance is not paid by any commercial entity.any commercial entity.

2© ECB JD IBCLC FILCA Sept 2012

Objectives Objectives (75 (75 minutes)minutes)

•• Participant will be able to describe the role of a Participant will be able to describe the role of a voluntary practicevoluntary practice--guiding document (such as the guiding document (such as the ILCA Standards of Practice)ILCA Standards of Practice)

•• Participant will be able to describe the role of a Participant will be able to describe the role of a mandatory professional behaviormandatory professional behavior--guiding guiding document (such as the IBLCE Code of document (such as the IBLCE Code of Professional Conduct or IBLCE Scope of Practice Professional Conduct or IBLCE Scope of Practice for IBCLCs) for IBCLCs)

•• Participant will be able to describe the Participant will be able to describe the product product types covered by the types covered by the International Code of International Code of Marketing of BreastMarketing of Breast--milk milk SubstitutesSubstitutes


Ethical? Ethical? Legal?Legal?

4(c) ECB JD IBCLC FILCA Sept 2012

Image: http://www.flickr.com/photos/polkaroo/3416087874/

Law vs. EthicsLaw vs. Ethics

• Most BF-related issues are ethics-based

• How do I do the right thing?How do I do the right thing?

But we toss and turn over:

• What do I do when I think SHE is not doing the right thing?

(c) ECB JD IBCLC FILCA Sept 2012 5Image: LHG Creative Photography http://www.flickr.com/photos/16180154@N07/4811443010/

• Rules of the Road

6

http://www.theoaklandpress.com/articles/2012/02/15/news/doc4f3a9b01c0115536425773.txt


IBLCE Code of Professional IBLCE Code of Professional ConductConduct

•• These are your rules These are your rules ----““ tt ””your your “m“mustsusts””

•• Must = mandatoryMust = mandatory•• Downloadable:Downloadable:

www.iblce.orgwww.iblce.org


Image: http://www.flickr.com/photos/morjazzy/1800551523/

IBLCE Scope of Practice IBLCE Scope of Practice for IBCLCsfor IBCLCs

•• These are your These are your “boundaries”“boundaries”

•• YouYou mustmust staystayYouYou must must staystay

inside the inside the fencefence

• Must = mandatory• Must = mandatory

•• Downloadable:Downloadable:

www.iblce.orgwww.iblce.org


Image: http://www.flickr.com/photos/jack_waine/4555619997/

Scope of Practice for Scope of Practice for WIC Peer CounselorsWIC Peer Counselors


Loving Support PC Training: Module One http://www.nal.usda.gov/wicworks/Learning_Center/support_peer_materials.html

Mandatory “Ethics” Mandatory “Ethics” DocumentsDocuments

Mandatory policies at your workplace?

(c) ECB JD IBCLC FILCA June 2012 10

Mandatory “ethics” document at your workplace?

Image: http://www.flickr.com/photos/26284978@N02/4579221465/

ILCA Standards of Practice for ILCA Standards of Practice for IBCLC Lactation Consultants IBCLC Lactation Consultants

•• These are your These are your ““sshouldshoulds” ” ---- your your goalsgoalsgoalsgoals

•• Should = voluntaryShould = voluntary

•• Downloadable at Downloadable at www.ilca.orgwww.ilca.org, on the , on the Members Members Only sideOnly side

11© ECB JD IBCLC FILCA Sept 2012Image: http://www.dreamstime.com/free-image.php?imageid=178491

Voluntary “Ethics” Voluntary “Ethics” DocumentDocument

“The SGCTA describes specific steps people can take … to support mothers and babies ”


and babies …


Voluntary or Mandatory “Ethics” Voluntary or Mandatory “Ethics” Document? Document? International Code of Marketing of BreastInternational Code of Marketing of Breast--milk milk

SubstitutesSubstitutes

• IBFAN.org


? ? ?

Should turned into a must?

14

• Some flexibility in “rules” for your workplace


The Smell TestThe Smell Test

(c) ECB JD IBCLC FILCA Sept 2011

(c) ECB JD IBCLC FILCA Aug 2012Image: Helen Horstmann-Allen http://www.flickr.com/photos/hhbw/4215183405/

What if you are also an RN, What if you are also an RN, RDRD, , CNM, NNP….CNM, NNP….

17Image: http://www.flickr.com/photos/lotterymonkey/115959194/

Now Now -- on to the quiz!on to the quiz!

• Here’s how

we play …



Fact patternsFact patterns

•• Ask yourselves:Ask yourselves:

–– Is this a problem?Is this a problem?

–– Are there Are there ethicsethics issues involved? issues involved?

–– Does it pass “the smell test?” Does it pass “the smell test?”

–– What happens when we change What happens when we change the facts? the facts?


Got Milk?Got Milk?

•• Mom has a baby in NICU; 37 Mom has a baby in NICU; 37 weekerweeker, born at 34 weeks, born at 34 weeks

•• Mom has been pumping forMom has been pumping forMom has been pumping for Mom has been pumping for three weeks but supply is very three weeks but supply is very lowlow

•• Her sister has a 7Her sister has a 7--monthmonth--old old ----Sis has offered to provide milk Sis has offered to provide milk for the NICU babyfor the NICU baby


Got Milk?Got Milk?

A. Inform Mom about human donor A. Inform Mom about human donor milk banks, but only nonmilk banks, but only non--profit profit onesones

B.B. Wet nursing has been around for Wet nursing has been around for centuries; there is no issuecenturies; there is no issue

C.C. Inform Mom about the risks Inform Mom about the risks associated with the use of donor associated with the use of donor milkmilk


Touchy Feely Touchy Feely -- medical stylemedical style

•• Mom delivered in the hospital 2 Mom delivered in the hospital 2 days ago days ago

•• You are her RN You are her RN –– and you’re and you’re t d i f th IBCLCt d i f th IBCLCstudying for the IBCLC exam studying for the IBCLC exam

•• You are discussing discharge You are discussing discharge care with Mom and she asks you care with Mom and she asks you about this lumpy section in her about this lumpy section in her armpit armpit


Touchy Feely Touchy Feely -- medical stylemedical style

•• A. You may look at mom’s armpit A. You may look at mom’s armpit but only if you seek written but only if you seek written permission, first, to touch herpermission, first, to touch her

B Permission to be to ched asB Permission to be to ched as•• B. Permission to be touched was B. Permission to be touched was covered during admission covered during admission –– poke poke and prod all you wantand prod all you want

•• C. You cannot examine the Mom’s C. You cannot examine the Mom’s armpit at all; you must call in the armpit at all; you must call in the doctordoctor


Touchy Feely Touchy Feely –– IBCLC styleIBCLC style

•• Hooray! You passed the exam Hooray! You passed the exam –– you are now an “RN IBCLC”you are now an “RN IBCLC”

•• Mom (in hospital) wants toMom (in hospital) wants toMom (in hospital) wants to Mom (in hospital) wants to know how to handknow how to hand--express her express her milkmilk

•• She asks you howShe asks you how



Touchy Feely Touchy Feely –– IBCLC styleIBCLC style

•• A. Your new credential as an IBCLC A. Your new credential as an IBCLC allows you to show mom how to handallows you to show mom how to hand--expressexpress

•• B Permission to be touched wasB Permission to be touched was•• B. Permission to be touched was B. Permission to be touched was covered during admission covered during admission –– poke and poke and prod all you wantprod all you want

•• C. Verbal consent to be touched is C. Verbal consent to be touched is not sufficient to meet JCAHO charting not sufficient to meet JCAHO charting requirementsrequirements


http://newborns.stanford.edu/Breasthttp://newborns.stanford.edu/Breastfeeding/HandExpression.htmlfeeding/HandExpression.html


Touchy Feely Touchy Feely –– peer peer counselor stylecounselor style

•• You are teaching a BF education You are teaching a BF education class at WIC for pregnant or new class at WIC for pregnant or new mothersmothers

•• Mom of a fourMom of a four monthmonth old comes inold comes in•• Mom of a fourMom of a four--monthmonth--old comes inold comes in

•• Without warning, she lifts her Without warning, she lifts her shirt, and asks you about the sore shirt, and asks you about the sore tender spot on one breasttender spot on one breast


Touchy Feely Touchy Feely –– peer peer counselor stylecounselor style

•• A. Tell Mom you will talk to her, A. Tell Mom you will talk to her, privately, after the class is overprivately, after the class is over

•• B. Call 911 and have Mom arrested B. Call 911 and have Mom arrested for indecent exposurefor indecent exposure

•• C. After class, you may gently C. After class, you may gently palpate the breast, after consent, to palpate the breast, after consent, to explore your suspicion of plugged explore your suspicion of plugged duct duct –– but only if you wear glovesbut only if you wear gloves


Parsley, sage, rosemary and Parsley, sage, rosemary and thymethyme

•• Mom is concerned that she doesn’t Mom is concerned that she doesn’t have enough milkhave enough milk

•• On the Internet last night she found a On the Internet last night she found a it l t ith i t li kit l t ith i t li ksite, complete with a convenient link site, complete with a convenient link

to order some stuffto order some stuff

•• Her Q: How much of Herb XYZ Her Q: How much of Herb XYZ should she take should she take –– and is it better in and is it better in tea or pill form?tea or pill form?


Parsley, sage, rosemary and Parsley, sage, rosemary and thymethyme

•• A. You may discuss these matters A. You may discuss these matters only if you a boardonly if you a board--certified certified herbologistherbologist

B M b i i f tiB M b i i f ti•• B. Mom may be given information B. Mom may be given information about any treatment she asks you about any treatment she asks you about about

•• C. It is unethical to discuss herbs C. It is unethical to discuss herbs and nonand non--complementary therapies complementary therapies with a BF momwith a BF mom



Where’s my Bong?Where’s my Bong?

•• 22 22 y.oy.o. Mom had no pre. Mom had no pre--natal natal care, and arrived in the ER to care, and arrived in the ER to deliver this, her 4deliver this, her 4thth childchild,,

•• She wants to BFShe wants to BF

•• Her blood test came back Her blood test came back positive for marijuana usepositive for marijuana use


Where’s my Bong?Where’s my Bong?

•• A. Call social services: this is a child A. Call social services: this is a child neglect story waiting to happenneglect story waiting to happen

•• B Call the cops: this is a drug abuseB Call the cops: this is a drug abuseB. Call the cops: this is a drug abuse B. Call the cops: this is a drug abuse story happening right nowstory happening right now

•• C. Discuss with mother the risks of C. Discuss with mother the risks of marijuana use while BF, and the risks marijuana use while BF, and the risks of formula use for her infantof formula use for her infant


Now I Lay Me Down to AwakeNow I Lay Me Down to Awake

•• You are conducting a mother’s You are conducting a mother’s group meeting at your clinicgroup meeting at your clinic

•• One mother raves about all theOne mother raves about all theOne mother raves about all the One mother raves about all the great sleep she gets with her great sleep she gets with her baby right in bed with her!baby right in bed with her!

•• Your public health dept. has a Your public health dept. has a strict no costrict no co--sleeping campaignsleeping campaign


Now I Lay Me Down to AwakeNow I Lay Me Down to Awake

• A. Ask your supervisor to come in Ask your supervisor to come in to respond to this commentto respond to this comment

•• BB Tell the speaker she will smotherTell the speaker she will smotherB. B. Tell the speaker she will smother Tell the speaker she will smother her baby, so please cut it outher baby, so please cut it out

•• C. C. Ask the other mothers, “What Ask the other mothers, “What have you heard about safe ways to have you heard about safe ways to rest with your baby?”rest with your baby?”


Who Did You Say You Were?Who Did You Say You Were?

•• Mother attends your prenatal Mother attends your prenatal classclass

•• She says she already met withShe says she already met withShe says she already met with She says she already met with “the lactation consultant” “the lactation consultant” because she had BF issues with because she had BF issues with her firsther first

•• You are the only IBCLC in You are the only IBCLC in town…you’ve never met this momtown…you’ve never met this mom


Who Did You Say You Were?Who Did You Say You Were?

•• A. Get the name and number of “the A. Get the name and number of “the LC” so you can report herLC” so you can report her

•• B Explain your professionalB Explain your professionalB. Explain your professional B. Explain your professional experience and training before classexperience and training before class

•• C. Give mom a brochure about the C. Give mom a brochure about the different levels of training and different levels of training and certification for lactation helperscertification for lactation helpers



Looks Like a Duck …Looks Like a Duck …

•• Baby and Mother present with Baby and Mother present with symptoms indicating tongue tiesymptoms indicating tongue tie

•• You’ve been doing assessmentsYou’ve been doing assessmentsYou ve been doing assessments You ve been doing assessments like this for 15 yearslike this for 15 years

•• Mom is nervous about a division of Mom is nervous about a division of the frenulumthe frenulum

•• Her pediatrician does do themHer pediatrician does do them


Looks Like a Duck …Looks Like a Duck …

• A. Reassure mom that your 15 Reassure mom that your 15 years of diagnosing skill makes you years of diagnosing skill makes you wellwell--qualified to spot a tongue tiequalified to spot a tongue tieq p gq p g

•• B. Send a report/call the B. Send a report/call the pediatrician with your assessment, pediatrician with your assessment, seeking diagnosis and treatmentseeking diagnosis and treatment

•• C. Tell Mom this is less invasive C. Tell Mom this is less invasive than the circumcision her baby hadthan the circumcision her baby had


Mastitis?Mastitis?

• You are a WIC peer counselor and talk to a mom who describes classic symptoms of mastitis

• She tells you she hates that OB-GYN who gave her the C-section, and she’s never going to call that OB again


Mastitis?Mastitis?

A. You can diagnose mastitis since you are very “up” on your lactation literature

B. You can tell the mom her symptoms are suggestive of mastitis and sheare suggestive of mastitis, and she should see her doctor to find out for sure

C. You can write a report to the doctor (or give mom a report to hand to her doctor) describing what you see, and what mom described to you


Let’s Play Shop Keeper!Let’s Play Shop Keeper!

•• Your hospital has decided to open a Your hospital has decided to open a shop in the lobby offering shop in the lobby offering breastfeeding suppliesbreastfeeding supplies

•• It will be staffed by hospital It will be staffed by hospital y py pvolunteersvolunteers

•• They’ve ordered the bras and They’ve ordered the bras and pumps, but they want to know from pumps, but they want to know from you you ---- the IBCLC the IBCLC ---- which brands of which brands of bottles and teats are the best to bottles and teats are the best to have on displayhave on display


Let’s Play Shop Keeper!Let’s Play Shop Keeper!

•• A. The hospital can’t run a profitA. The hospital can’t run a profit--making making retail center; call the Joint Commission retail center; call the Joint Commission (JCAHO) immediately(JCAHO) immediately

•• B. Ask to meet with the administrators to B. Ask to meet with the administrators to learn more about the center’s operations learn more about the center’s operations and objectivesand objectives

•• C. Attach a .pdf of the C. Attach a .pdf of the Int’l Code of Int’l Code of Marketing Marketing to your eto your e--mail in which inform mail in which inform the hospital that it is unethical and the hospital that it is unethical and immoral to sell bottles and teatsimmoral to sell bottles and teats



1908

BF is best


Valuable added extras

Free sample

Easily digestible

2012

Free


Valuable added extras

Easily digestible

Free sampleBF is best

For the WHOFor the WHO--Code weary …Code weary …

•• ANYANY IBCLC IBCLC

•• And And ANYANY WIC PC WIC PC can can talk to talk to

•• ANYANY mother aboutmother about

•• ANYANY product product –– even by brand name even by brand name pp yy

•• In a oneIn a one--onon--one clinical or one clinical or educational settingeducational setting

andand

•• ANY ANY person may purchase person may purchase

•• ANYANY WHOWHO--Code covered product Code covered product (c) ECB JD IBCLC FILCA Sept 2012 45

/

I Can See Clearly Now The I Can See Clearly Now The MRI Has ComeMRI Has Come

•• Mother has fever and Mother has fever and unexplained severe abdominal unexplained severe abdominal pain Day 2 post cpain Day 2 post c--section; MRI section; MRI p y pp y p ;;is orderedis ordered

•• Radiologist orders mom to Radiologist orders mom to pump and dump for 24 hours pump and dump for 24 hours after procedureafter procedure


I Can See Clearly Now The I Can See Clearly Now The MRI Has ComeMRI Has Come

•• A. Assemble the evidenceA. Assemble the evidence--base base and contact radiologyand contact radiology

•• B Tell mom that you’ll help herB Tell mom that you’ll help herB. Tell mom that you ll help her B. Tell mom that you ll help her pump pump and save and save her milk for 24 her milk for 24 hourshours

•• C. Call mother’s nurse and OBC. Call mother’s nurse and OB--GYN GYN and complain about those and complain about those backward folks down in imagingbackward folks down in imaging


Oh the Poor Starving ChildrenOh the Poor Starving Children

•• Your facility receives formula Your facility receives formula discharge bags to give out to discharge bags to give out to BF mothersBF mothers

•• You open the bags and remove You open the bags and remove the readythe ready--mix formula withinmix formula within

•• You want to give the formula to You want to give the formula to the local shelterthe local shelter



Oh the Poor Starving ChildrenOh the Poor Starving Children

•• A. You were hired to provide A. You were hired to provide healthcare, not gifts. Leave the bags healthcare, not gifts. Leave the bags alone.alone.

•• B. The formula can be donated, but B. The formula can be donated, but only if you track the lot numbers in only if you track the lot numbers in case of recallcase of recall

•• C. Formula is expensive; shelter C. Formula is expensive; shelter moms who chose not to BF need helpmoms who chose not to BF need help


I Finely Balance MyselfI Finely Balance Myself

•• Your are a WIC peer counselor, Your are a WIC peer counselor, and just got your IBCLC!and just got your IBCLC!

•• You have opened a privateYou have opened a privateYou have opened a private You have opened a private practice, and do home practice, and do home visistsvisistson weekends.on weekends.

•• You give all your You give all your WicWic clients clients your private practice your private practice businesbusinescards. cards.


I Finely I Finely Balance MyselfBalance Myself

•• A. Not a problem! Business A. Not a problem! Business cards are great marketing.cards are great marketing.

•• BB Potentially a problem; letPotentially a problem; letB.B. Potentially a problem; let Potentially a problem; let me check with my supervisor.me check with my supervisor.

•• B. Not a problem! None of my B. Not a problem! None of my work is done on WIC time.work is done on WIC time.


Guilt by Association?Guilt by Association?

•• You are an IBCLC researcher with You are an IBCLC researcher with impeccable credentials and ethicsimpeccable credentials and ethics

•• Your article on BF in lowYour article on BF in low--income income populations has been accepted forpopulations has been accepted forpopulations has been accepted for populations has been accepted for publication by a prestigious journal publication by a prestigious journal

•• When the journal comes out, you see When the journal comes out, you see several prominent, WHOseveral prominent, WHO--Code violating Code violating ads for DHAads for DHA--enhanced formulaenhanced formula


Guilt by Association?Guilt by Association?

•• A. You must now be considered a WHO A. You must now be considered a WHO Code violator, because your article Code violator, because your article showed up in a magazine that markets showed up in a magazine that markets formula to health care providersformula to health care providers

B Y t id d WHO C dB Y t id d WHO C d•• B. You are not considered a WHO Code B. You are not considered a WHO Code violator, because you are a researcher violator, because you are a researcher ––not a HCPnot a HCP

•• C. You are not considered a WHO Code C. You are not considered a WHO Code violator, because only marketers can be violator, because only marketers can be violatorsviolators


Pay it ForwardPay it Forward

•• You read a great article in a journal You read a great article in a journal about infant “weight loss” after about infant “weight loss” after cesarean deliverycesarean deliverycesarean deliverycesarean delivery

•• You want to share it with your You want to share it with your colleaguescolleagues



Pay it ForwardPay it Forward

•• A. Make several copies and A. Make several copies and distribute at the staff meetingdistribute at the staff meeting

•• B Seek permission from theB Seek permission from theB. Seek permission from the B. Seek permission from the publisher to copy the articlepublisher to copy the article

•• C. Summarize, and share a link to C. Summarize, and share a link to the abstract at the staff meetingthe abstract at the staff meeting


Oops! Didn’t Mean To Do ThatOops! Didn’t Mean To Do That

•• You have several babies in You have several babies in your care at the NICUyour care at the NICU

•• You prepare their expressedYou prepare their expressedYou prepare their expressed You prepare their expressed breastmilk breastmilk

•• You give EBM A to Baby BYou give EBM A to Baby B


Oops! Didn’t Mean To Do ThatOops! Didn’t Mean To Do That

•• A. Immediately inform your A. Immediately inform your supervisorsupervisor

•• B Explain to the mother whatB Explain to the mother whatB. Explain to the mother what B. Explain to the mother what happened before you contact happened before you contact your supervisoryour supervisor

•• C. Hope no one sawC. Hope no one saw


“Jane, You Ignorant Lady”“Jane, You Ignorant Lady”

•• You are at a staff meeting, and You are at a staff meeting, and ask to report on the new study ask to report on the new study on BF and SIDS reductionon BF and SIDS reduction

•• Your Your manager manager rolls her eyes rolls her eyes and says “This is just and says “This is just ridiculous. Who would believe ridiculous. Who would believe that? Pleasethat? Please–– next agenda next agenda item.”item.”


“Jane, You Ignorant Lady”“Jane, You Ignorant Lady”

•• A. Send an anonymous eA. Send an anonymous e--mail to mail to everyone in the unit saying the everyone in the unit saying the manager manager has head licehas head lice

•• B Ask to have a meeting withB Ask to have a meeting with•• B. Ask to have a meeting with B. Ask to have a meeting with managermanager, to discuss the study, to discuss the study

•• C. Ask to have a meeting with C. Ask to have a meeting with managermanager, to discuss her , to discuss her unprofessional, public treatment of youunprofessional, public treatment of you


Didn’t you read my birth Didn’t you read my birth plan?plan?

•• Mom’s birth plan forbids the use of Mom’s birth plan forbids the use of pacifiers or formula unless medically pacifiers or formula unless medically indicated and Mom is first informedindicated and Mom is first informed

B b i i d th OBB b i i d th OB•• Baby was circumcised; the OB Baby was circumcised; the OB routinely uses “sweeties” and pacifiers routinely uses “sweeties” and pacifiers for the procedure, and did so this timefor the procedure, and did so this time

•• Mom frowns as she asks you why Mom frowns as she asks you why there was a pacifier in the bassinettethere was a pacifier in the bassinette



Didn’t you read my birth Didn’t you read my birth plan?plan?

•• A. Roll your eyes, and tell Mom the A. Roll your eyes, and tell Mom the docs and nurses are hopeless docs and nurses are hopeless dopes dopes

•• B Say you are uncertainB Say you are uncertain –– thenthen•• B. Say you are uncertain B. Say you are uncertain –– then then scamper and forewarn the nurse scamper and forewarn the nurse manager and the OBmanager and the OB

•• C. Tell Mom you picked it up off the C. Tell Mom you picked it up off the nursery floor, and placed it by nursery floor, and placed it by mistake in Baby’s bassinettemistake in Baby’s bassinette


Lightning Round!Lightning Round!

Your “Your “shouldsshoulds” as an IBCLC to guide ” as an IBCLC to guide ethical professional practice are:ethical professional practice are:

A Th IBLCE C d f P f i lA Th IBLCE C d f P f i lA. The IBLCE Code of Professional A. The IBLCE Code of Professional ConductConduct

B. The ILCA Standards of PracticeB. The ILCA Standards of PracticeC. The manners your mother taught C. The manners your mother taught

youyouD. Both B and CD. Both B and C



•• WIC Peer Counselors have a WIC Peer Counselors have a scope of practice that involves:scope of practice that involves:

AA Supporting the motherSupporting the motherA.A. Supporting the motherSupporting the mother

B.B. Giving mothers a good BF Giving mothers a good BF startstart

C. C. Referring out when needed Referring out when needed

D. All of the aboveD. All of the above



All health care providers may use the All health care providers may use the following to guide their ethical following to guide their ethical behavior: behavior:

A. The WHO A. The WHO Int’IInt’I Code of Marketing Code of Marketing ggof Breastof Breast--milk Substitutesmilk Substitutes

B. Their scope of practiceB. Their scope of practiceC. The manners their mother taught C. The manners their mother taught

themthemD. All of the aboveD. All of the above



•• The IBLCE Code of The IBLCE Code of Professional Conduct and Professional Conduct and IBLCE Scope of Practice for IBLCE Scope of Practice for ppIBCLCs are:IBCLCs are:

A. MustsA. Musts

B. B. ShouldsShoulds

C. ConfusingC. Confusing


Works ConsultedWorks Consulted

•• See separate handoutSee separate handout



Thank you!Thank you!

• Questions? Comments? Corrections?

Liz Brooks, JD, IBCLC, FILCA

[email protected]

T itt @Li B k IBCLCTwitter: @LizBrooksIBCLCFB: www.facebook.com/LizBrooksIBCLCwww.lactspeak.com/speakers/lizbrooks


Faculty Disclosure Deal or No Deal (2012)? consult ... · (c) ECB JD IBCLC FILCA September 2012 For...

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Transcript of Faculty Disclosure Deal or No Deal (2012)? consult ... · (c) ECB JD IBCLC FILCA September 2012 For...