Re: Delivery by 'uncredentialed' provider

From: Dr. Ainsworth (ainsron@sbcglobal.net)
Wed Oct 15 12:53:41 2003


I had the same thoughts today about provisional privileges. If I would have "known" that the CNM mother wanted to deliver her child, I would have told my CNM that she should apply for provisional privileges for this particular case. It would not have been a problem, because the Chief of Staff would have signed off on it, he is also an OB I share call with.

>Two sides to this one - logically, this case suggests that the issue of
>hospital privileges is now a moot point. provisional or courtesy
>privileges can be granted but they must be sought. this case simply
>ignored the rules, so it's no wonder that feathers are ruffled. should
>be an interesting one to follow.

Good for you.

>my personal experience of uncredentialed delivery involved the birth of
>our last child. my wife arrived at the hospital in advanced labor and i
>knew her Ob was not going to make the delivery. as i saw the resident
>scrubbing, i thought "what the heck?" and i rushed over and delivered my
>child. the shocked resident muttered" what's this? the father's doing
>the delivery?" i simply reassured him that i had taken "the advanced
>childbirth class" - LOL
>
>art
>
>At Wed, 15 Oct 2003, DoctorJoe@aol.com wrote:
>>
>>In a message dated 10/14/03 11:56:53 PM, ainsron@sbcglobal.net writes:
>>
>><< Her complaint is
>>that an uncredentialed individual should not be allowed to deliver in
>>the hospital because of liability concerns. >>
>>
>>Who determines what concerns about liability there are? Individuals or
>>committees tasked for that purpose? Sounds like busy-bodying to me.
>>
>>Joe P.
>
>--
>art fougner, md
>ich bin ein New Yorker
>





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