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Re: AmnioinfusionFrom: Jamie (ajfields@pine-net.com)Wed Nov 2 09:53:31 2005
Quick intro first. I 'm a L&D nurse sidelined by latex allergy and general birth junkie. I get my fix by lurking here and debating birth on other boards. So you know my bias, 4 of my 5 children were born at home. I intend to remain mostly a lurker here. IRT the amnioinfusion disagreement, a clear and current policy would have protected the nurse. If the order was counter to the policy, she would be risking her own license and livelihood in following it. If the order was covered by the policy, she was clearly wrong and needs education. If there is no clear policy, once should be written to protect both the nurse and the physician. Nurses are in a difficult position as well. We can be held responsible for following orders that are unsafe or practicing inconsistently with hospital policy. At the same time, in many hospitals, policies are not kept current, placing us in the position of choosing between a policy that may not protect us b/c it is unsafe, and an order that goes counter to policy which leaves us equally unprotected. Reading this list over the past year has given me a much more sympathetic view of OBs in this litigious climate. I'm sure it is difficult when your own career is constantly at risk to remember that others may be in the same position. In the specific situation described, I would have left the infusion running, carefully observed IUPC pressures as well as the patient for symptoms of increased IUP, and if I was unsure of the safety of continuing contacted the physician to discuss the order. Especially given that the treatment improved the decels.
At Tue, 1 Nov 2005, RModugno@aol.com wrote:
>
-- Jamie
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