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Re: Hospital admissions for obstetric patientsFrom: DMECNM@aol.comSat Oct 28 07:39:01 2006
In a message dated 10/27/2006 8:30:03 PM Pacific Standard Time, annam@uic.edu writes: Exactly. This lady had recently done enough coke to stroke her out, had BP 230/130, was at risk for abruption and preterm labor. ICU nurses cannot read fetal monitor strips. Anna Meenan, MD If we have a patient on continuous monitoring in the ICU there is an OB nurse at her BS for the EFM interpretation. The ICU nurse is responsible for the other monitors in the room. Likewise, if the patient remained in L/D with invasive hemodynamic monitoring, there would be an ICU nurse at the BS along with the L/D nurse. An "RN skills lab" once a year to go through the ins and outs of the ICU monitoring is not enough to keep someone "safe" for the very occasional ICU patient. I would offer that most the OB MDs in our L/D unit could not interpret an abnormal EKG. Denise, CNM So Cal
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