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Re: Response time and PitocinFrom: ainsron (ainsron@sbcglobal.net)Wed Aug 15 12:28:16 2007
In California, the medical staff is independent of the hospital and sets its own rules, regulations and bylaws. The hospital board has veto power, but can't shove things down our throat. Medical staff committees are normally only chaired by physicians, the nursing staff in our facility can be non-voting members of the committees and are asked to leave when we go into executive session. How on earth did one become the chairman of the committee?? I've heard it discussed numerous times over 30 years that a physician should have to be in-house for pitocin to be administered, but I've never seen any passage of that proposal. I don't know of any EBM or legal precedent to require it either. Sometimes "good ideas" have to be relegated to the pile of many other good ideas discussed and discarded while cooler heads prevail. Ronald E. Ainsworth, MD, FACOG -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of jsbowpat@aol.com Sent: Wednesday, August 15, 2007 9:56 AM To: Multiple recipients of list OB-GYN-L Subject: Response time and Pitocin In our critical access, Level 1 institutions, our perinatal committee (whose chair is the nurse manager of L&D) is attempting to mandate that providers be "readily available: within a 10 minute response during the administration of pitocin." Are other listers in similar institutions faced with similar directives? What is your collective experience? Thanks! Judith Bowers DO Susan Paterson CNM WI _____ AOL now offers free email to everyone. Find out more about what's free from AOL at <http://www.aol.com?ncid=AOLAOF00020000000437> AOL.com.
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