Re: Consent for vaginal delivery
From: Garry E. Siegel, M.D. (garrys@mindspring.com)
Tue Jun 6 20:09:06 2006
Gail:
Where are you during this thread?
Garry
At Tue, 6 Jun 2006, Jamie wrote:
>
>I've seen nurses who are incompetent, lazy, willing to alter records. .
>. yada, yada, yada. . . No human is immune from bad behavior, and no
>profession eliminates all bad behavior among its practioners. This
>discussion is not about doctor vs nurse. The discussion was about
>informed consent, and since informed consent should be obtained by the
>person performing the procedure, that's the person who has the potential
>for wrongdoing.
>
>That said, I was taught that it's pretty stupid from a legal perspective
>to comment negatively about other team members in the patient record.
>Staff issues, (medical staff and hospital employees) should be handled
>through more appropriate channels. The entire situation sounds
>crappy-nurses not giving appropriate care, doctor retaliating rather
>than addressing the problem with nursing admin, then the nurse alters
>the record-I hope I'm never a patient there.
>
>At Tue, 6 Jun 2006, DoctorJoe@aol.com wrote:
>>
>>In a message dated 6/6/06 4:17:00 PM, RModugno@aol.com writes:
>>
>>> I have heard physicians
>>> literally lie about risks (mostly IRT the uncommon but serious risks of
>>> epidural anesthesia).
>>>
>>> Obstetricians? Anesthesiologists? CNM's? Lie? At our institution, the
>>> anesthesiologist gets informed consents for epidurals - have never heard them
>>> "lie".
>>>
>>Have you ever seen/heard of an anesthesiologist take a progress note page off
>>a chart because he was criticized in the note (e.g. "Anesthesia refused to
>>induce patient for emergency C/S for possible ruptured uterus until he 'reviewed
>>the chart with his feet up on the desk' and . . . yada, yada, yada")?
>>
>>I was an intern when I first heard of nurses (in the burn unit, incriminated
>>by a doctor's progress note detailing their mismanagement of the burn
>>dressings) making a progress sheet "disappear".
>>
>>Joe P.
>>
>>Joe P.
>
>--
>JFields, RN, BSN
>
--
Garry E. Siegel, M.D.
Private Practice
Roswell, GA
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