Re: vbac on demand
From: Dr Eberhard W Lisse (el@lisse.na)
Wed May 21 15:26:23 2008
Patient advocacy as the nurses' credo? I almost burst a hernia
rolling on the floor laughing.
el
On May 21, 2008, at 19:24, Jamie wrote:
> Why is she the enemy? I see that both of you are trapped by the
> system.
> Document, document, and document some more. You can't do surgery
> without consent.
>
> Oh, and since I haven't been here in a while, I'm a L&D nurse.
> Patient
> advocacy is my soapbox.
>
> At Sun, 11 May 2008, verner nellsch wrote:
>>
>> thanks. witnesses and document. i still feel exposed, and subject
>> to the
>> whims of someone who just wants what they want, and to hell with
>> other
>> considerations. vnellsch
>>
>>>> ----- Original Message -----
>> From: "Dr Eberhard W Lisse" <el@lisse.na>
>> To: "Multiple recipients of list OB-GYN-L" <ob-gyn-l@mail.obgyn.net>
>> Sent: Sunday, May 11, 2008 8:38 AM
>> Subject: Re: vbac on demand
>>
>>> Tape your discussion with the patient, get as many witnesses as you
>>> can, call your lawyer, insurance, Chief of Staff, Chief of Nursing
>>> and
>>> whoever else you can think of.
>>>
>>> And run as far away as you can.
>>>
>>> If you can't run away, get Peds, your assistant, OR and your
>>> anesthetist
>>> to come in, deliver her and if it ruptures, take her to the OR
>>> and try
>>> to save her life.
>>>
>>> We don't have EMTALA here, so in this particular situation I'd
>>> advise
>>> her and if she didn't want to listen, I would unaccept her, and
>>> refer
>>> her to the State Hospital.
>>>
>>> greetings, el
>>>
>>> On May 11, 2008, at 13:28, verner nellsch wrote:
>>>
>>>> question--you are an ob/gyn on call for a small community
>>>> hospital (3
>>>> delivery beds) with the or crew and anesthetist at home on call.
>>>> a 26
>>>> y/o g3p2 comes to the hospital, with a history of 2 previous
>>>> cesareans,
>>>> the first for cephalopelvic disproportion. she is unknown to you
>>>> or the
>>>> other ob/gyn practicing at the hospital. she is 1 cm, ruptured,
>>>> at term.
>>>> she demands a vbac, and refuses to have a repeat cesarean.
>>>
>
> --
> JFields, RN, BSN
>
