Re: The Diagnosis
From: Dean Huffman (dean@thehuffpeople.net)
Sun Mar 3 20:16:18 2002
..
I think that one could argue the situation both ways. The physician should
write the order legibly so that it can be read. If his/her writing is not
legible, then it should be printed. I have even seen physicians whose
writing and printing was so bad that they would type notes, orders, etc.
(The hospital had a typewriter for this purpose on every ward. Whether or
not the typewriters were there specifically for that physician is unknown
to me -- that was back in the days before word processors.)
On the other hand, if the nurse cannot read the writing, he/she is
obligated to call the physician to have the orders clarified.
You can bet that the lawyer will argue both ways. This way he can pit nurse
against physician and, if lucky, find liability on both sides.
--
Dean Huffman
- - - -
At 08:08 PM 3/3/2002 -0600, you wrote:
>The nurse didn't necessarily "mis-read" - the PHYSICIAN wrote it
>illegibly and the nurse did her best to decipher. I always taught the
>residents and medical students that if they want the patient to get what
>they order - then it is his / her responsibility to write it so the
>order can be read! There is no excuse (in my book) for an order that can
>not be read.
>
>Joanne
>
>as ART says - that is my opinion...
>
> >
> > -----Original Message-----
> >From: Braun, R. Daniel [mailto:rbraun@iupui.edu]
> >Sent: 27 February 2002 11:47
> >To: Multiple recipients of list OB-GYN-L
> >Subject: Re: The Diagnosis
> >
> >I remember several years ago, we removed the C-L of a 6 week pregnancy and
> >ordered Delalutin to replace the progesterone. The nurse misread the order
> >and gave Dilantin. The pregnancy progressed to term with a normal delivery.
> >
> >Dan
> >
> >R. Daniel Braun, MD
> >
> >There are strange things done in the midnight sun
> > By the men who moil for gold;
> >The Arctic trails have their secret tales
> > That would make your blood run cold;
> >The Northern Lights have seen queer sights,
> > But the queerest they ever did see
> >Was that night on the marge of Lake Lebarge
> > I cremated Sam McGee.
> > Robert W Service
> >
> > -----Original Message-----
> >From: Steve & Eryl Raymond [mailto:eryl@intekom.co.za]
> >Sent: Tuesday, February 26, 2002 11:15 PM
> >To: Multiple recipients of list OB-GYN-L
> >Subject: Re: The Diagnosis
> >
> >Is there any evidence that the human pregnancy requires extra progesterone
> >once the
> >placental production of HCG has started? It is my understanding that an
> >oophorectomy
> >does not affect a pregnancy after implantation.
> >stray
> >
> >"Marco A. Pelosi, III, MD" wrote:
> >
> >> At Mon, 25 Feb 2002, Steve & Eryl Raymond wrote:
> >> >
> >> >Why the progesterone supositories?
> >> >stray
> >> >
> >> >The corpus luteum was completely removed ergo progesterone deficient
> >> pregnancy.
> >>
> >> --
> >> M.A. Pelosi, III, MD
> >
> >--
> >
> >Dr.S.H. Raymond
> >Head of Department of O & G
> >Empangeni Hospital
> >South Africa 3880
> >Phone: (+27) 35-7721111
> >Fax: (+27) 35-7922596
> >
>
>--
>Joanne Bulley, MD
>Keene, NH, USA
>
>~*~ let there be peace on earth and let it begin with me ~*~
