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Re: Preps From: Lynn D. Montgomery, M.D. (apgar10@montanadsl.net) Tue Apr 5 11:36:05 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Charlie Chambers: "Re: Preps" Previous message: Anna Meenan, MD: "Re: Preps" In reply to: Dr. Ainsworth: "Preps" Next in thread: Charlie Chambers: "Re: Preps" Reply: Charlie Chambers: "Re: Preps" I don't do preps or break the bed. I typically sit at the end of the bed, with gloves, but no gown etc. I have gotten so I don't even break the bed for a vacuum facilitation. Anna brings up a good point about the nursing "duties". I have noted that since keyboards were placed at the bedside for charting, the nursing duties in the room during the birth consist of seeing the nurses back, standing at the keyboard typing - to the point that you have to get their attention to break them away for postpartum bleeding, sutures, etc. They instruct family members to assist with the patient's legs during pushing - as a matter of fact, the hospital has now forbidden them from holding the patient's legs because of a couple of workman's comp claims that have arisen out of leg holding. I certainly respect the ridiculous mountain of charting they have to do, but what happened to nursing - I would just a soon that the keyboards be removed from the room... Lynn -- Lynn D. Montgomery, M.D. Maternal-Fetal Medicine, OB/GYN Rocky Mountain Women's Health 2835 Fort Missoula Rd., Suite 304 Missoula, Montana, 59804 406-549-0978 fax 406-549-0987 e-mail: apgar10@montanadsl.net -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Dr. Ainsworth Sent: Monday, April 04, 2005 11:41 PM To: Multiple recipients of list OB-GYN-L Subject: Preps How many of you are still doing perineal preps with betadine or other soaps? It is one of the few rituals left from residency that I still try to get nursing staff to do routinely. Long gone are the enemas,shaves and routine IVs, but if I'm going to do a vaginal delivery W or W/O an episiotomy, W or W/O vacuum or forceps, I still feel better if the perineum is stained with betadine with a sterile drape under the buttocks. I realize that vaginal deliveries are far from the sterile procedures done in the OR, but it is hard to give it up. It is also hard to get the nursing staff to "remember" to do it without asking every time. Part of that difficulty is because the CNMs don't require a prep and I think some of the physicians don't either. One certainly wouldn't do a circumcision w/o a betadine prep or even start an IV, how did they fall out of vogue for vaginal deliveries?? Next message: Charlie Chambers: "Re: Preps" Previous message: Anna Meenan, MD: "Re: Preps" In reply to: Dr. Ainsworth: "Preps" Next in thread: Charlie Chambers: "Re: Preps" Reply: Charlie Chambers: "Re: Preps"

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