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Re: Evaluation of OB Patients From: Gordon Goldman (obgyndoc@swbell.net) Wed Nov 21 20:35:23 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Garry E. Siegel, M.D.: "Re: Evaluation of OB Patients" Previous message: Garry E. Siegel, M.D.: "Re: ACOG Antepartum Record - Pain Scale?" In reply to: Garry E. Siegel, M.D.: "Re: Evaluation of OB Patients" Next in thread: Garry E. Siegel, M.D.: "Re: Evaluation of OB Patients" Reply: Garry E. Siegel, M.D.: "Re: Evaluation of OB Patients" Reply: Joe: "Re: Evaluation of OB Patients" COBRA or EMTALA? Gordon On Nov 21, 2007, at 8:33 PM, Garry E. Siegel, M.D. wrote: > For lots of reasons, some political, some practical, anyone over 20 > weeks (declared or actual) goes to L and D. That said, the ER MDs and > triage nurses do have discretion and common sense available to > them, so > that someone at 22 weeks who needs obvious ER care (extremity > care/sprain, laceration) is handled there and THEN sent to L and D for > monitoring, etc. The perceived problem is in the law (COBRA, I think) > that says in the small print that anyone needs a labor assessment. > When > I last looked at this as part of the hospital committee, it was not > clear at what gestational age. Obviously, someone 8 weeks doesn't > need > a fetal monitor, and while 24 weeks made obstetric sense, some of > the ER > docs wanted 16--so we settled on 20! We also ask the ER MD to call the > Ob doc, unless they want to hear directly from the L and D nurse who > acts on our (or their) behalf. > > Garry > > At Wed, 21 Nov 2007, JSBowpat@aol.com wrote: >> >> Not at our hospital .... they go directly to OB.\ >> >> Susan Paterson CNM >> WI > > -- > Garry E. Siegel, M.D. > Private Practice > Roswell, GA Next message: Garry E. Siegel, M.D.: "Re: Evaluation of OB Patients" Previous message: Garry E. Siegel, M.D.: "Re: ACOG Antepartum Record - Pain Scale?" In reply to: Garry E. Siegel, M.D.: "Re: Evaluation of OB Patients" Next in thread: Garry E. Siegel, M.D.: "Re: Evaluation of OB Patients" Reply: Garry E. Siegel, M.D.: "Re: Evaluation of OB Patients" Reply: Joe: "Re: Evaluation of OB Patients"

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