Re: Hospital admissions for obstetric patients
From: Jamie (ajfields@pine-net.com)
Fri Oct 27 10:50:42 2006
The same tends to go for nursing. Putting an OB patient on any other
unit gives the nurses the vapors. Even ER nurses, IME, can't get rid of
pregnant patients fast enough. Consulting physicians should be careful
that their orders are understood, though, by nurses not familiar with
their specialty, and might have to specifically order assessments that
are taken for granted in their area.
At Fri, 27 Oct 2006, R. Daniel Braun wrote:
>
>AMEN!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
>Dan
>
>On 10/27/06, Zachariah Newton <zbnewton@bellsouth.net> wrote:
>>
>> Ashley-
>>
>> Leaving puristics aside, the ob is the triage officer for all medical care
>> during pregnancy. This is the source of trust for the patient, and,
>> frankly,
>> any consultant who sees an ob patient with heavy trepidation. Such
>> patients,
>> as in your posit, are usually really sick and really sick. A phalanx of
>> consultants typically flow through the assessment. The consultants, if
>> watched closely, frequently have the palsy of trepidation, derived from
>> the
>> pregnancy status. A general is needed to contain the process from getting
>> out of hand. On your service, you are in control, the key element. The
>> consultants provide assessment & recommendations, but remain in harness on
>> your service.
>>
>> As the patient's advocate in a delerious system of health care, admit her
>> to
>> your service, reins in hand, and send out the requests for consultation.
>> You
>> can then make your own judgment on accepting recommendations for
>> intervention that we have all seen can be wildly off the wall and
>> inappropriate on basis of pregnancy status.
>>
>> zbn
>> ---
>>
>>>> ----- Original Message -----
>> From: "D. Ashley Hill" <dahmd@cfl.rr.com>
>> To: "Multiple recipients of list OB-GYN-L" <ob-gyn-l@dns.obgyn.net>
>> Sent: Thursday, October 26, 2006 11:24 PM
>> Subject: Hospital admissions for obstetric patients
>>
>> > Listmembers:
>> >
>> > I have always been of the opinion that patients with a non-obstetric
>> > medical problem should be admitted to the physician best suited to care
>> > for that problem, with consultation by an obstetrician or perinatologist
>> > if indicated. (For example, patients with cardiac problems are admitted
>> > to a cardiologist and patients with end-stage renal disease are admitted
>> > to a nephrologist)
>> >
>> > Others believe that all OB patients should be admitted to the OB, with
>> > consultation by other specialists as indicated. Does anyone have
>> > experience and opinions on either of these schemes? Thanks in advance.
>> >
>> > Ashley
>> >
>> > --
>> > D. Ashley Hill, MD
>> > Associate Director
>> > Department of Obstetrics and Gynecology
>> > Florida Hospital Family Practice Residency
>> > Medical Director, Loch Haven Ob/Gyn Group
>> > Division Director, Dept. of Ob/Gyn, Florida Hospital Orlando
>> > Orlando, Florida
>> >
>>
>--
>R. Daniel Braun
>
> "The way to health is an aromatic bath and scented massage everyday".
> Hippocrates
>
--
JFields, RN, BSN
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