Re: Hospital admissions for obstetric patients
From: Efrain Ramirez (eramirezt@coqui.net)
Fri Oct 27 15:27:06 2006
I am curious as why were they uncomfortable..
Ef
>At Fri, 27 Oct 2006, Meenan, Anna L. wrote:
>
>Agree with that totally. We recently had a cocaine addict who stroked out
>at 33 weeks. The ICU nurses were completely uncomfortable with her and
>when she woke up enough to be sent out of ICU, nobody on the maternity
>floor wanted her there. Finally got the MFM boys to take her across the
>river. They have an inpatient unit where folks are comfortable with both
>complicated pregnancies and medical problems.
>
>Anna Meenan, MD
>
>On Fri, October 27, 2006 10:52 am, Jamie wrote:
>> 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
>>
--
“ The greatest obstacle to knowledge is not ignorance,
it is the illusion of knowledge.” Daniel J. Boorstin - Historian
