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Re: ACOG Antepartum Record - Pain Scale?From: Don Miller (drmiller@enatal.com)Wed Nov 21 10:57:09 2007
At Wed, 21 Nov 2007, ainsron wrote: > >It probably reflects JCAHO's position that pain is the "fifth vital sign." > >It also reflects the recommendation/requirement of the nursing and medical >boards of California that pain be assessed on any patient whose vital signs >are recorded: Wow. That would make sense, and I can understand that such a recommendation/requirement would be appropriate for inpatient care or outpatients receiving pain meds for chronic conditions, but requiring such documentation for the prenatal care of generally healthy and unmedicated patients is both absurd and misguided. So this was indeed a pet project, someone's agenda, a politically-correct intrusion, and an unintended consequence of a broad brush policy into the conduct of prenatal care that I wish ACOG would have resisted.
-- Donald W. Miller, Jr., MD, FACOG eNATAL, LLC http://www.eNATAL.com
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