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Re: Defining Immediately Available From: art fougner, md (evsono@pipeline.com) Wed Apr 18 09:16:07 2001 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: RModugno@aol.com: "Re: Gestational Diabetes Labor management" Previous message: D. Ashley Hill, MD: "Re: Gestational Diabetes --**now noncompliant patients" In reply to: Geffrey Klein, MD: "Re: Defining Immediately Available" Next in thread: art fougner, md: "Re: Defining Immediately Available" Reply: art fougner, md: "Re: Defining Immediately Available" Reply: Geffrey Klein, MD: "Re: Defining Immediately Available" in our hospital - for a completely serendipitous reason, there is an OB attending in house 24 hrs a day - his/her presence now fulfills the "immediately available" recommendation. no getting around it - immediate will be interpreted quite literally. oh, and if you need to physically push the stretcher, well we've all done that. just my opinion - i could be wrong. art At Tue, 17 Apr 2001, Geffrey Klein, MD wrote: > >At 7:59 AM -0500 on 4/17/01, art fougner, md wrote: > >>Elvis cannot leave the building. > >The problem with this approach is that it is an impractical waste of >manpower to have a doc just sitting there. We cannot at the last >minute reschedule an entire day's schedule to babysit a patient >undergoing TOL. It will make us stop doing VBACs. This obviously is >not in the best interest of our patients. Besides, how can you do a >section any faster? You cannot do it in her room, can you? > >What we need is nurse education with disaster drills. We help them >recognize the strip that indicates uterine rupture and teach them to >take the patient to the OR after notifying the doc that that is what >they are doing. I would get there just as they are moving her to the >OR table. I can make my assessment there and decide if we need to >proceed to CS or not. > >I believe this is an effective compromise that meets the standard >"immediately available" and allows us to continue to offer this >service. > >-- >_______________________ >Geffrey H. Klein, MD >_______________________ >_______________________ >geffrey.klein@obgyn.net >200 Medical Center Blvd Suite 103 >Webster, TX 77598 >(281) 332 6723 > >http://www.geffreyklein.com > -- art fougner, md A series of 1000 cases begins with but a single anecdote. Next message: RModugno@aol.com: "Re: Gestational Diabetes Labor management" Previous message: D. Ashley Hill, MD: "Re: Gestational Diabetes --**now noncompliant patients" In reply to: Geffrey Klein, MD: "Re: Defining Immediately Available" Next in thread: art fougner, md: "Re: Defining Immediately Available" Reply: art fougner, md: "Re: Defining Immediately Available" Reply: Geffrey Klein, MD: "Re: Defining Immediately Available"

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