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Re: AmnioinfusionFrom: Dr Eberhard W Lisse (el@lisse.NA)Wed Nov 2 11:07:09 2005
In message <200511021653.jA2GrSw02709@dns.obgyn.net>, Jamie writes:
> IRT the amnioinfusion disagreement, a clear and current policy would have No, that is wrong. Hospital Policy is Hospital Policy. Set by (Nurses) Administrators. Nursing Procedure is Nursing Procedure. Set by Nurses (Adminstrators) Midwifery is Midwifery. Done by Midwives. Obstetrics is Obstetrics. Done by Medical Practitioners. Lynn is registered (licensed?) as a Medical Practitioner. Not a Midwife, not a Nurse, not an Administrator. Medical Practitioners have a Scope of Practice. Bascially examines and prescribes treatment. The Midwife (or L&D Nurse or whatever) is registered as Midwife, not as Medical Practitioner. Midwifes have a Scope of Practice, which is different from Medical Practitioners. Nurses are registreed as Nurses and have a Scope of Practice different from Medical Practitioners. Basically administers treatment. In our country (and I am quite sure in many others) it is a criminal offence to "practice medicine" ithout being registered/licensed. And that is what the L&D DIrector has done. Then comes the question of disgraceful conduct by the L&D Director which is in this case at least insubordination and supersession, exceeding the Scope of Practice, but probably also casting unjust reflection on the reputation of a registered person and practicing Medicine when not registered. Which is why I suggested Lynn should ask her whether she will allow "her" staff (where do the Nursing Supervisors in many countries take this concept from, by the way?) to administer Nifedipine and/or Indomethacine. Greetings, el BTW, I am an O&G, MD and (former) RN.
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