Re: Delivery by 'uncredentialed' provider

From: Efrain Ramirez (eramirezt@coqui.net)
Wed Oct 15 06:45:44 2003


I don't know - ask the lawyers - but if she is uncredentialed - it seems to me she is exactly that - she is not allowed to perform deliveries - who is the one granting privileges? As to the roll of the fathers - I don't let them do anything except to cut the umbilical cord - it is my impression that if you let them do the delivery and something happens the institution is liable - and -- everybody - including you - an opinion from a JD would be wise - IMHO...

>At Tue, 14 Oct 2003, Dr. Ainsworth wrote:
>
>I backup up a group of CNMs who deliver only in the hospital. The
>daughter of another CNM who is no longer practicing, but works per diem
>in our hospital as an RN was followed in labor by my group of CNMs. The
>retired CNM was asked to work as the labor RN for her daughter, because
>the unit was understaffed when she came to the hospital in active labor.
>She was allowed by my CNM to do her daughter's delivery which was a very
>uncomplicated water birth. Another CNM, who works for one of the other
>Obs was upset when she heard about it and filed an incident report,
>which I now have to address, because I am chief of OB. Her complaint is
>that an uncredentialed individual should not be allowed to deliver in
>the hospital because of liability concerns. My feeling is that it a
>crock of S***, even though this individual is not credentialed in our
>hospital for deliveries, she is very qualified and was supervised by a
>credentialed individual. I have a hard time getting excited about the
>liability issues when a mother delivers her daughter, by request. I've
>allowed father's to deliver with me present and backing them up, and I
>think that is perfectly within normal limits. What do you think?

--
"The opposite of a correct statement is a false statement.
But the opposite of a profound truth may well be another profound truth."

Niels Bohr (1885 - 1962)





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