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Re: Admitting labs, wasTocolytics From: Elrod Darryl G MAJ 48 MDOS/SGOBO (Darryl.elrod@LAKENHEATH.AF.MIL) Mon Jun 13 10:43:15 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Elrod Darryl G MAJ 48 MDOS/SGOBO: "Re: ality OB" Previous message: rmodugno@aol.com: "Re: Out-Patient Cytotec" Maybe in reply to: Ingrid Gold: "Admitting labs, wasTocolytics" Next in thread: Elrod Darryl G MAJ 48 MDOS/SGOBO: "Re: Admitting labs, wasTocolytics" I've stopped that too. There was a good article from Good Samaritan in Cincinnati that reviewed hysterectomies and postop CBCs. I haven't missed a postop bleeder (that I knew about anyway) since I've stopped it either. The only postop bleeding issue I've had recently was after a c-section and it happened within the first 4- 6 hours. Getting a POD1 CBC wouldn't have helped much since she was recovering from a wound exploration and PRBC by that point. Glen ________________________________ From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of David -- ________________________________ Rivera Sent: Monday, June 13, 2005 4:21 PM To: Multiple recipients of list OB-GYN-L Subject: Re: Admitting labs, wasTocolytics I dont order routine CBCs on post op hysts unless there's been a major bleed. But you'd be surprised how many hospitals with preprinted orders have "CBC 1st post op day" as a rountine. Elrod Darryl G MAJ 48 MDOS/SGOBO <Darryl.elrod@LAKENHEATH.AF.MIL> wrote: I go with the flow and order a new CBC on admission. What I refuse to do is order a 'routine' postpartum CBC on vaginal deliveries. What a waste of time and money. They are ALL anemic and if they have any significant bleeding that requires treatment, you'll recognize it and then order a CBC. Glen -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Joanne Bulley, MD Sent: Sunday, June 12, 2005 2:04 AM To: Multiple recipients of list OB-GYN-L Subject: Re: Admitting labs, wasTocolytics They hospital may get paid more (a higher DRG) IF there is a drop in the HGB pre and post partum ... other than that I don't think you need to do them again. It would not likely alter care anyway - and I do believe in not ordering a lab test unless it is part of your decision making for the current! level of care. Joanne At Sat, 11 Jun 2005, RModugno@aol.com wrote: > >In a message dated 6/11/2005 4:59:48 PM Eastern Standard Time, igold@cox.net >writes: > >OK, so this is a good question. Earlier in the week, I'm admitting my first >patient since bieng credentialed. The nurse asks me which labs I want, CBC, >type and screen? I look at the chart and see that the patients labs were done >in the lab at this hospital, so it would seem repeating the type uneccessary. >Last Hgb 11.6 at 36 weeks, hospital lab. What would I do with a new result >anyway, other than shrug. So what do you all do, recommend? (I told her to >defer labs) > >Ingrid Gold, CNM >Phoenix > >In our hospital - anesthesia will NOT place an epidural if they do not have >a current platelet count. We therefore do a Heme 8 and also an rpr(trird >trimester reqd by state law if! not already done) > >Robert Modugno MD MBA FACOG >Marietta, Ga -- Joanne Bulley, MD Keene, NH, USA Next message: Elrod Darryl G MAJ 48 MDOS/SGOBO: "Re: ality OB" Previous message: rmodugno@aol.com: "Re: Out-Patient Cytotec" Maybe in reply to: Ingrid Gold: "Admitting labs, wasTocolytics" Next in thread: Elrod Darryl G MAJ 48 MDOS/SGOBO: "Re: Admitting labs, wasTocolytics"

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