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Re: Problem with administrationFrom: Atkinson, Samuel M, Jr (ATKINSONS@ecu.edu)Thu Feb 12 17:08:42 2009
Many decades ago Bill Keetle,chair at Iowa, did a research paper. He found that hospitals doing only 600 deliveries a year either lost monry or were unsafe. Less than 600 yhe hospital was both unsafe and a money loser. That is why Iowa developed a large referral center and maternal transport system. Thus you and the hospital are in the deep stuff..Unsafe at any speed and a money loser. Something must give.. Even unlimited money will not provide enough deliveries for all personnell to be adeq trained and maintain proficiency even if they buy a machine if Bill's facts are still correct. sAm (AtkinsonMD) ________________________________________ From: ob-gyn-l@obgyn.net [ob-gyn-l@obgyn.net] On Behalf Of Christopher Jones [christopj@msn.com] ________________________________________ Sent: Monday, February 09, 2009 9:58 AM To: Multiple recipients of list OB-GYN-L Subject: Problem with administration 2 part question. 1. Do you believe it is required to have an ultrasound immediately available in a Labor and Delivery unit? I work in a small rural hospital. We do around 100 deliveries a year. Hospital has an Ultrasound unit in the radiology dept. However, it takes a good 5 minutes to boot up and its a large machine and is not really a good machine to transer to the OB unit during an emergency. I believe that we need a "portable" type machine in the L&D unit. In my residency we called this machine "Rover" and and can recall using it countless times. If your opinion is yes then: 2. How do I put pressure on my administration to purchase this item? I have been asking now for a good year. They pay lip service to looking for an affordable item but after a year of this and no ultrasound, its becoming ridiculous. Of importance, I am employed by this hospital and its the only hospital that I practice. Suggestions from grizzeled vets? Dr. Christopher Jones
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