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Re: RN privilegesFrom: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. (johnprov@sympatico.ca)Sat Mar 1 09:48:47 2008
At Fri, 29 Feb 2008, Efrain Ramirez wrote: > >RN privileges - is it reasonable that they include amniotomy, internal >electrode, prostaglandin, fetal fibronectin sample -- follow labor with >oxytocin? > >Ef > >-- > Not sure I understand the question, with this be for registered midwives? Here is what I would think. Amniotomy probably O.K. internal electrode probably O.K. prostaglandin, needs a consult from ob fetal fibronectin, heck yeah, waste of money IMHO should need a consult for oxytocin induction/augmentation; sure can follow labor but Ob may deciede to follow also. It never ceases to ammaze me how midwives and family docs consider oxytocin use a begnign procedure, its use is defintely not without significant risk, the person who may have to do an emergency c-section/ operative delievery should be aware and available.
--
Take care, John
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