Re: Defining Immediately Available
From: art fougner, md (evsono@pipeline.com)
Wed Apr 18 13:36:58 2001
btw - should there be any confusion - look for plaintiff's atty to
project this on a screen so large even ray charles could read -
im·me·di·ate·ly
without interval of time
Merriam - Webster's Collegiate Dictionary.
clear enough?
art
At Wed, 18 Apr 2001, art fougner, md wrote:
>
>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.
>
--
art fougner, md
A series of 1000 cases begins with but a single anecdote.
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