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Re: CNMsFrom: Marilyn Ringstaff (marilyn.ringstaff@OBGYN.NET)Tue Jul 8 11:52:33 2003
At Mon, 07 Jul 2003, Joe Cutchin wrote: > >Marilyn, I'm curious.What do you consider as risks in obstetrics.esp. >unforeseen events?Unforeseen fetal death,unexpected abruption with fetal >demise,<< How do I reduce these risks? >> the risks we were referring to in that particular post is the risk of being held vicariously liable for another practitioner. IMHO, if an ob/gyn wants to hold a CNM under his thumb and ‘require’ signing everything she does, then by God, don’t act surprised when an attorney interprets that to mean you’ve voluntarily accepted that liability. You reduce your own liability by letting others rightfully accept the responsibility that belongs only to them. For instance, here in Georgia we have the dubious distinction of being the last state in the nation to grant prescription writing privileges to ANP’s. I can call prescriptions to a pharmacist and dispense hundreds of prescriptions a year, but if a patient needs a written prescription for some reason I have to send my secretary across town to have my back-up sign a prescription for a patient he knows nothing about and will never meet. If I make a medical error, of course an attorney is going to pull the ob/gyn into a suit if he signed the prescription! It’s a no-brainer. << Or is it that there obviously is always someone at fault for unexpected events? >> that’s what the process of peer review is supposed to answer, but unfortunately the process doesn’t always work as it should. When a legal review occurs in an ob/gyn case, it is your peers that answer the question of fault. << Nevertheless you are still sued and help accountable.>> not so. Myth of the century, almost up there with “liability caps will reduce your insurance rates”. It simply doesn’t happen that attorneys take on cases they think are borderline, with the fees experts are charging these days, they’d go bankrupt to pursue cases without clear liability.
-- Marilyn Ringstaff, CNM
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