Re: Patient Care

From: ainsron (ainsron@sbcglobal.net)
Tue Mar 30 14:09:51 2004


I'm a solo practitioner. Recruitment of patients is not an issue, I've been established in this community for twenty years. If anything, I could use someone convincing patients to go elsewhere! I realize that discipline and evaluation of performance could be a concern. However, the staff at the hospital have known me long enough to realize I am not one who throws his "weight" around.

Ronald E. Ainsworth

-----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Seele, Mona Sent: Tuesday, March 30, 2004 12:32 PM To: Multiple recipients of list OB-GYN-L Subject: Re: Patient Care

Are you a independent physician who admits to the unit or are you an employee of the hospital?

I have had a couple of nurses working for me who had physician husbands (one couple at a HCA hospital and one at a Humana hospital), and while the situation can get kind of uncomfortable whenever there are performance issues on either side, they can be handled as long as everyone behaves in a mature, professional manner. Physicians have alot of "pull" on any unit, but they are not the direct supervisors of a nursing employee (i.e. hiring, firing, advancement powers) and that is usually the issue you worry about when hiring family members.

As far as conflict of interest goes, as long as your wife understands that she cannot recruit patients for you when she is working. I guess someone that wanted to be a real stickler could propose that if there was a bad outcome, then your wife would have insider knowledge that would help you over the hospital. It has been my experience that when there is a bad outcome, it is seldom a performance or competency issue and it is better if everyone sticks together anyway, so you could argue that you're both in a stronger position.

-----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net]On Behalf Of evsono@pipeline.com Sent: Tuesday, March 30, 2004 1:43 PM To: Multiple recipients of list OB-GYN-L Subject: Re: Patient Care

I knew a husband/wife Ob/Peds couple - hospital never proscribed any "conflict of interest."

art

At Tue, 30 Mar 2004, Dr. Ainsworth wrote: >
>My wife is recent BSN grad and passed her RN licensing exam a couple of
>weeks ago. She is interested in working part-time in the OB unit at the
>hospital I work at and they are interested in having her work there
>because of staffing shortages and the need for qualified individuals to
>call in, she has previous experience in L&D, postpartum as a LVN. The
>Department manager told her that they would need to restrict her from
>caring for any of my patients in the hospital because of liability
>concerns. When we first heard that, we said, sounds reasonable.
>However, as we have thought about it, it could be a real problem because
>I deliver about 1/3 of the babies in our unit, plus a lot of the gyn
>postop patients on the floor are my patients. There are times when I
>have over half of the patients on the floor. Have any of you who are
>RN/MD marriages run into similar restrictions in your hospitals? Is it
>reasonable? Is it necessary?

--
art fougner, md
ich bin ein New Yorker

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