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JT or JL Tomko <buddy@redrose.net>: Re: ob protocols From: Terry J. DuBose (tjdubose@juno.com) Mon Dec 29 11:55:18 1997 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Terry J. DuBose: "Jimbaun <Jimbaun@aol.com>: Re: ob protocols" Previous message: Terry J. DuBose: "gjconnolly@juno.com (Janice & George Connolly): [soundadvice]" Maybe in reply to: Jeff Korotkin: "Re: ob protocols" Next in thread: Terry J. DuBose: "Jimbaun <Jimbaun@aol.com>: Re: ob protocols" --------- Begin forwarded message ---------- From: JT or JL Tomko <buddy@redrose.net> To: DeCorah <mtmkdeco@capital.net> Cc: Sonographers-Connection@Lists.UCHSC.edu A similar scenerio occurred at a local teaching hospital. The hosptial purchased top notch equipment, a lab specifically for this perinatologist as well as staffing sonographers. The ball is in this physician's court so to speak and with the ACR guidelines he realized his lab may be shut down. All scans are done per guidelines. I realize it is a terrific expense but it kept the business of high risk ultrasound within the hospital quarters and also placed the physician in responsibility to patient care in a legal and ethical sense. If this specialist is a guest in YOUR lab.....sorry....he must follow YOUR guidelines set forth by YOUR lab. 15 minutes is not enough time to fully evaluate a high risk pregnancy! If he/she throws too much of a tantrum with this..the alternative is for he/she to purchase their own equipment and keep your institution out of the loop. Either play by YOUR hospital's rules or play somewhere else. I am so glad I am not in that situation I think I would throw an embolism! Janet At 04:13 PM 12/28/1997 -0500, you wrote: >Our hospital has recently hired a "fetal medicine" specialist who will >be consulting with area obstetricians on high risk pregnancies, etc. >Our radiologists will continue to read Ob cases that our not >specifically designated to this specialist. >The fetal medicine specialist has asked that we schedule his patients >every 15 minutes and that we take limited images. He will also scan >every fetus himself or observe while we do so. > >This is a BIG change for us.. we are used to taking several images and >then taking them to the radiologist for review. The radiologist will >come back to see the patient only if he feels a strong need to do so. I >am thrilled that we now have a physician that is willing to take time >with each patient (and he is truly a caring person which makes this >service even better). > >Our concern is that we will not have any documentation of the exam other >than the six images he wants us to take. I've talked to him about the >ACR's accreditation process and the documentation that they looked for >on our studies when we went through our review before he was hired. He >is willing to add a few more images to what we document but still wants >us to schedule patients close together. >We realize that in this situation he is ultimately taking responsibilty >but we still feel very uncomfortable with this situation. > >I'd appreciate any feedback, is anyone out there performing OB exams >under similar circumstances? SHould we change? He doesn't look at our >films at all,since he's looked at the fetus himself, just wants to see >the measurements we got. Or should we insist on complete documentation? > >TIA, >Terry DeCorah > --------- End forwarded message ---------- Next message: Terry J. DuBose: "Jimbaun <Jimbaun@aol.com>: Re: ob protocols" Previous message: Terry J. DuBose: "gjconnolly@juno.com (Janice & George Connolly): [soundadvice]" Maybe in reply to: Jeff Korotkin: "Re: ob protocols" Next in thread: Terry J. DuBose: "Jimbaun <Jimbaun@aol.com>: Re: ob protocols"

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