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Re: Standing Room Only- triage strategiesFrom: ainsron (ainsron@sbcglobal.net)Thu Oct 6 14:35:36 2005
It mandates "offering" them a 4d stay, not require that they stay 4d. Most of mine go home on the third day, a few want to stay for 4d, usually the ones with other kids at home. My wife had four C/Ss and there is no way I would have taken her home before the fourth day. The convenience of a hospital bed that goes up and down for short legs outweighs the inconvenience of nurses interrupting sleep and a mattress that is uncomfortable. Ronald E. Ainsworth, MD, FACOG -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Myer S. Bornstein Sent: Thursday, October 06, 2005 9:36 AM To: Multiple recipients of list OB-GYN-L Subject: Re: Standing Room Only- triage strategies State law mandates 4 day stay after C/Section and patients take advantage of this. Myer Myer S. Bornstein, MD, MMM, FACOG, FACPE -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Elrod Darryl G MAJ 48 MDOS/SGOBO Sent: Thursday, October 06, 2005 3:10 AM To: Multiple recipients of list OB-GYN-L Subject: Re: Standing Room Only- triage strategies I'm only curious why you say that elective c/s stay longer? I can't tell you the last time an elective c/s of mine didn't go home 48 hours after the baby was born. Without labor prerequisite, the composite time in the hospital has been less. Just my thoughts Glen -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of JD Stewart,MD Sent: Wednesday, October 05, 2005 8:09 PM To: Multiple recipients of list OB-GYN-L Subject: Standing Room Only- triage strategies Facing an acute bed shortage in L&D/ postpartum/ nursery and postop GYN surgery all at the same time due to hospital remodeling. Figure this has come up everywhere at one time or another, and I was curious as to the ways this may have worked out...Elective induction rate now >50%; <2% VBAC's in state, so repeat C/S rate is way up (with longer stays)..and most of the groups here now no longer throw all the OB delivery income into a common pool, but link it to the delivering partner- so the motivation to electively admit and deliver on "Dr X's hospital day" is tremendous. Push has come to shove, and we are now facing the "medical ante-up" game for line jumping on the induction list. ("..38 weeks plus Short stature/small feet...and her sister had an emergency C/S and is worried.." ) Wondering if anyone faced with this has a handy common sense priority strategy they might share...
-- JD. Stewart, MD MFM up too late all night, every night
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