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Re: VBAC immediately available policy From: Efrain Ramirez (eramirezt@coqui.net) Mon Feb 6 15:42:33 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: GA12L@aol.com: "Re: Scope of practice" Previous message: Garry E. Siegel, M.D.: "Re: VBAC immediately available policy" In reply to: D. Ashley Hill: "Re: VBAC immediately available policy" Next in thread: D. Ashley Hill: "Re: VBAC immediately available policy" Reply: D. Ashley Hill: "Re: VBAC immediately available policy" Lawyers will be laughing at us -- us trying to define "immediately available" --Jesus!!!! - if ACOG wanted it another way - it should say - within 15 minutes - 30 minutes, 2 nanoseconds -- I no longer do VABC's --it is not wort it..period.. At our hospital, although it has in-house anesthesia - if there is a VBAC - the Ob, and everything that surrounds him--OR crew, etc , must be in house...any other way would be ---somebody said "suicide"? Ef > >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 > -- “ The greatest obstacle to knowledge is not ignorance, it is the illusion of knowledge.” Daniel J. Boorstin - Historian Next message: GA12L@aol.com: "Re: Scope of practice" Previous message: Garry E. Siegel, M.D.: "Re: VBAC immediately available policy" In reply to: D. Ashley Hill: "Re: VBAC immediately available policy" Next in thread: D. Ashley Hill: "Re: VBAC immediately available policy" Reply: D. Ashley Hill: "Re: VBAC immediately available policy"

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