Re: Hospital admissions for obstetric patients
From: Meenan, Anna (annam@uic.edu)
Fri Oct 27 22:24:59 2006
So the nurses in your neuro ICU are perfectly
comfortable with pregnant patients?
Anna Meenan, MD
>I am curious as why were they uncomfortable..
>
>Ef
>
>>At Fri, 27 Oct 2006, Meenan, Anna L. wrote:
>>
>>Agree with that totally. We recently had a cocaine addict who stroked out
>>at 33 weeks. The ICU nurses were completely uncomfortable with her and
>>when she woke up enough to be sent out of ICU, nobody on the maternity
>>floor wanted her there. Finally got the MFM boys to take her across the
>>river. They have an inpatient unit where folks are comfortable with both
>>complicated pregnancies and medical problems.
>>
>>Anna Meenan, MD
>>
>>On Fri, October 27, 2006 10:52 am, Jamie wrote:
>>> The same tends to go for nursing. Putting an OB patient on any other
>>> unit gives the nurses the vapors. Even ER nurses, IME, can't get rid of
>>> pregnant patients fast enough. Consulting physicians should be careful
>>> that their orders are understood, though, by nurses not familiar with
>>> their specialty, and might have to specifically order assessments that
>>> are taken for granted in their area.
>>>
>>> At Fri, 27 Oct 2006, R. Daniel Braun wrote:
>>>>
>>>>AMEN!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
>>>>Dan
>>>>
>>>>On 10/27/06, Zachariah Newton <zbnewton@bellsouth.net> wrote:
>>>>>
>>>>> Ashley-
>>>>>
>>>>> Leaving puristics aside, the ob is the triage officer for all medical
>>>>> care
>>>>> during pregnancy. This is the source of trust for the patient, and,
>>>>> frankly,
>>>>> any consultant who sees an ob patient with heavy trepidation. Such
>>>>> patients,
>>>>> as in your posit, are usually really sick and really sick. A phalanx of
>>>>> consultants typically flow through the assessment. The consultants, if
>>>>> watched closely, frequently have the palsy of trepidation, derived from
>>>>> the
>>>>> pregnancy status. A general is needed to contain the process from
>>>>> getting
>>>>> out of hand. On your service, you are in control, the key element. The
>>>>> consultants provide assessment & recommendations, but remain in harness
>>>>> on
>>>>> your service.
>>>>>
>>>>> As the patient's advocate in a delerious system of health care, admit
>>>>> her
>>>>> to
>>>>> your service, reins in hand, and send out the requests for
>>>>> consultation.
>>>>> You
>>>>> can then make your own judgment on accepting recommendations for
>>>>> intervention that we have all seen can be wildly off the wall and
>>>>> inappropriate on basis of pregnancy status.
>>>>>
>>>>> zbn
>>>>> ---
>>>>>
>>>>>>>> ----- Original Message -----
>>>>> From: "D. Ashley Hill" <dahmd@cfl.rr.com>
>>>>> To: "Multiple recipients of list OB-GYN-L" <ob-gyn-l@dns.obgyn.net>
>>>>> Sent: Thursday, October 26, 2006 11:24 PM
>>>>> Subject: Hospital admissions for obstetric patients
>>>>>
>>>>> > Listmembers:
>>>>> >
>>>>> > I have always been of the opinion that patients with a non-obstetric
>>>>> > medical problem should be admitted to the physician best suited to
>>>>> care
>>>>> > for that problem, with consultation by an obstetrician or
>>>>> perinatologist
>>>>> > if indicated. (For example, patients with cardiac problems are
>>>>> admitted
>>>>> > to a cardiologist and patients with end-stage renal disease are
>>>>> admitted
>>>>> > to a nephrologist)
>>>>> >
>>>>> > Others believe that all OB patients should be admitted to the OB,
>>>>> with
>>>>> > consultation by other specialists as indicated. Does anyone have
>>>>> > experience and opinions on either of these schemes? Thanks in
>>>>> advance.
>>>>> >
>>>>> > Ashley
>>>>> >
>>>>> > --
>>>>> > 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
>>>>> >
>>>>>
>>>>--
>>>>R. Daniel Braun
>>>>
>>>> "The way to health is an aromatic bath and scented massage
>>>> everyday".
>>>> Hippocrates
>>>>
> >> --
>>> JFields, RN, BSN
>>>
>
>--
>ì The greatest obstacle to knowledge is not ignorance,
>it is the illusion of knowledge.î Daniel J. Boorstin - Historian
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