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Re: Amnioinfusion From: Efrain Ramirez (eramirezt@coqui.net) Mon Oct 31 16:46:56 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Efrain Ramirez: "Re: Why women choose VBAC (very long)" Previous message: Efrain Ramirez: "Re: Bad news" Next in thread: Dr Eberhard W Lisse: "Re: Amnioinfusion" Reply: Dr Eberhard W Lisse: "Re: Amnioinfusion" Who is in charge - who is responsible - I would ot tolearte such a behavior - she is gone!!! to another place where nurses give physicians orders and are responsible for them - Jesus - do not pass that one !!!!! Ef >At Mon, 31 Oct 2005, Lynn D. Montgomery, M.D. wrote: > >Listers, >I eagerly await your collective comments on the following that occurred to >me today. > >Had a patient in labor at 5 cm, who began to have fairly significant >variable decels. An IUPC was placed and an amnioinfusion ordered. My >practice has always been to hang room temperature normal saline and allow it >to infuse via PASSIVE infusion (not on a pump) and have continuous infusion. >I have done this in my current facility for 7 years and overall for 17 >years. In this case, the amnioinfusion was started and the variables >resolved. > >However, the new nursing director of Labor instructed the nurses to >discontinue the amnioinfusion because the continuous infusion was dangerous >and not covered by the hospital policy. The variables recurred shortly >thereafter. I called her and asked her why she had given such instructions. >She stated that she had been involved with amnioinfusions for years and >never seen it provided as a continuous infusion and she considered it >unsafe. I advised that with passive infusion, there was no way it increased >risk and there was no data to support this. She replied by saying that she >could understand why this wouldn't increase the risk, but she was still >uncomfortable and would not allow "her nurses" to engage in this activity. >Fortunately, during the exchange, the patient went to complete and delivered >shortly thereafter. > >I have never felt quite so helpless in my career. >Lynn > >-- >Lynn D. Montgomery, M.D. >Maternal-Fetal Medicine, OB/GYN >Rocky Mountain Women's Health >2835 Fort Missoula Rd., Suite 304 >Missoula, Montana, 59804 >406-549-0978 >fax 406-549-0987 >e-mail: apgar10@montanadsl.net > -- Have the courage to be ignorant of a great number of things, in order to avoid the calamity of being ignorant of everything. Sydney Smith (1771 - 1845) ~walt whitman~ Next message: Efrain Ramirez: "Re: Why women choose VBAC (very long)" Previous message: Efrain Ramirez: "Re: Bad news" Next in thread: Dr Eberhard W Lisse: "Re: Amnioinfusion" Reply: Dr Eberhard W Lisse: "Re: Amnioinfusion"

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