Re: Fetal Monitor from Home/Office

From: ainsron@msn.com
Thu Jan 25 16:02:27 2001


We considered the same type of system a couple of years ago and decided against it, went with a central monitor only, which is certainly adequate in our unit - community hospital, 500+ deliveries per year. Your point #2 is my feeling exactly, it is a toy with little benefit. If the nurse calls and says there is a problem, my office is two minutes from the unit and I will be there in a heart beat. I'm not going to waste my time logging on to the internet to look at the tracing before I come. Families want to see our faces personally when a problem - real or imagined - is suspected by the nursing staff. The only benefit I see would be for interpreting normal non stress tests: you could look at them on the monitor, with the chart available in your office to dictate the interpretation, and if you are lucky enough to have a patient whose insurance pays for the interpretation, it might be worth your time.

>At our hospital staff meeting a proposal was make that a system be
>purchased which would allow physicians to see the real-time fetal
>monitor strips of their patients in labor via the physicians computers.
>I assume the transmission of the data would be via the Internet.
>
>My questions:
> 1) Has anyone had experience with such a system?
>
> 2) Is it really helpful, or just a toy?
>(For example, If a nurse or resident calls me and tells me that they
>consider a strip to be “non-reassuring”, I can not imagine that I would
>follow the patient from my office or home and not immediately go to the
>hospital.)
>
>3) How do you keep such data secure? (Only I can only see the strips for
>my patients and I can not view other patients.)
>
>4) Are there confidentiality problems and/or medical legal problems
>associated with such a system?
>
>--
>John Hellriegel, MD, PhD
>

--
Ronald E. Ainsworth, MD




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