Re: VBAC immediately available policy

From: art fougner, md (evsono@pipeline.com)
Mon Feb 6 13:38:44 2006


Unfortunately, the Merriam Webster company beat them to it. The point is moot - it is what it is.

Art

At Mon, 6 Feb 2006, D. Ashley Hill wrote: >
>At Mon, 6 Feb 2006, RModugno@aol.com wrote:
>>
>>In a message dated 2/6/2006 8:42:11 A.M. Eastern Standard Time,
>>dahmd@cfl.rr.com writes:
>>
>>I'm particularly curious if anyone mandates in house or on unit
>>coverage. Thanks again,
>>
>>Ashley
>>
>>Our hospital follows the ACOG guidelines. They feel that expanding on that
>>would be medical-legal suicide.
>>
>>Robert Modugno MD MBA FACOG
>>Marietta, GA
>
>Robert- hanks. ACOG, in a statement to the anesthesiology society, said
>that it is up to each individual hospital to decide what "immediately
>available" means. It sounds like nobody is willing (or able) to do
>that. Obviously mandating a certain time frame or distance boxes
>everyone in and could create a lot of legal problems, but it also sounds
>like a lot of hospitals offering VBACs do so without available in-house
>anesthesia or OB coverage. Doing that seems worse than not have a
>protocol in place. After all, who is going to believe that "immediately
>available" means both ob and anesthesia taking call from home? Thanks
>again,
>
>Ashley
>
>--
>D. Ashley Hill, MD
>Associate Director
>Department of Obstetrics and Gynecology
>Florida Hospital Family Practice Residency
> and Loch Haven Ob/Gyn Group
>Orlando, Florida
>

--
art fougner, md

"I knew I was going to take the wrong train, so I left early." Lawrence Peter Berra





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