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Re: OB's and EBM--What do you do? From: D. Ashley Hill (dahmd@cfl.rr.com) Mon Sep 4 15:48:45 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Babycatchers@aol.com: "drug screening" Previous message: Jamie: "Re: Intrapartum GBBS Prophylaxis" In reply to: Meenan, Anna: "Re: OB's and EBM--What do you do?" Next in thread: DoctorJoe@aol.com: "Re: OB's and EBM--What do you do?" Our hospital system developed a high-reliabilty committee many years ago to address just this type of problem. The committee is composed of division and department chairs, hospital leadership, anesthesiology representation, neonatology representation, nurse managers, risk managers, legal counsel, and a host of visiting members from other departments depending on agenda items. We address issue like the one described by hearing from all sides. The common goal is patient safety. I highly recommend this for all hospitals that offer obstetrics. When multiple department buy into a committee decision it (usually) results in rapid implementation with minimal hassle. Ashley At Mon, 4 Sep 2006, Meenan, Anna wrote: > >>AAFP's official position is that they endorse and accept as policy >>the 2002 CDC guidelines. > >Anna Meenan, MD, FAAFP > >>By the way, does anybody have a copy of the American College of Pediatrics (or >>whatever group it is) policy on GBBS? How about AAFP? If you could send me the >>document (dean@thehuffpeople.net) or a URL where I can obtain the document, I >>would appreciate it. >> >>Dean Huffman >> >>- - - - - >> >>At the hospital I use, if you DON'T prophylax unknown GBS status patients, the >>peds will have them in the nursery with an IV and usually antibiotics pretty >>quickly after the birth, risk factors, symptoms, etc OR NOT. If the blood >>cultures come back negative (as almost all do) in 72 hours, they can go home. >>So in order to avoid the excessive use of force in the newborn >>nursery, most of >>us just go ahead and treat. Our pediatricians are a little bit "fascist," as >>they say. >> >>Fran Wilson CNM >>Kennewick WA >> >>"If evolution is outlawed, only outlaws will evolve" >> >>-------------------------------------------------------------------------------- >> >>-------------------------------------------------------------------------------- >>-------------------------------------------------------------------------------- >>-------------------------------------------------------------------------------- >>From: DMECNM@aol.com >>-------------------------------------------------------------------------------- >>Subject: Re: OB's and EBM--What do you do? >>-------------------------------------------------------------------------------- >>Date: Sat, 2 Sep 2006 21:17:04 -0500 >>-------------------------------------------------------------------------------- >> >>In a message dated 9/2/2006 8:09:37 AM Pacific Standard Time, annam@uic.edu >>writes: >> >>So, my question is: Do y'all treat low-risk GBS-unknown moms in labor, >>and if so, why? >> >>Anna, where I work, the preprinted orders say to treat GBS unknown with >>Ampicillin. Why? I don't know. When I started at this hospital I asked the >>MDs on call and the answer I got was "We just feel better treating everyone." >>If I cross out the order the nurse will call the MD on call and get >>him to give >>her a verbal order to treat. CDC guidelines have no place here. >> >>Denise, CNM >>So Cal -- D. Ashley Hill, MD Associate Director Department of Obstetrics and Gynecology Florida Hospital Family Practice Residency Medical Director, Loch Haven Ob/Gyn Group Division Director, Dept. of Ob/Gyn, Florida Hospital Orlando Orlando, Florida Next message: Babycatchers@aol.com: "drug screening" Previous message: Jamie: "Re: Intrapartum GBBS Prophylaxis" In reply to: Meenan, Anna: "Re: OB's and EBM--What do you do?" Next in thread: DoctorJoe@aol.com: "Re: OB's and EBM--What do you do?"

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