Re: ACOG Antepartum Record - Pain Scale?

From: l.glazerman@rcn.com
Wed Nov 21 11:41:42 2007


Since when does ACOG resist anything that's in our best interest to resist (remember the primary care debacle!!!)?

>---- Original message ----
>Date: Wed, 21 Nov 2007 12:00:28 -0600
>From: drmiller@enatal.com (Don Miller)
>Subject: Re: ACOG Antepartum Record - Pain Scale?
>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>
>
>At Wed, 21 Nov 2007, ainsron wrote:
>>
>>It probably reflects JCAHO's position that pain is the "fifth vital sign."
>>
>>It also reflects the recommendation/requirement of the nursing and medical
>>boards of California that pain be assessed on any patient whose vital signs
>>are recorded:
>
>Wow. That would make sense, and I can understand that such a
>recommendation/requirement would be appropriate for inpatient care or
>outpatients receiving pain meds for chronic conditions, but requiring
>such documentation for the prenatal care of generally healthy and
>unmedicated patients is both absurd and misguided.
>
>So this was indeed a pet project, someone's agenda, a
>politically-correct intrusion, and an unintended consequence of a broad
>brush policy into the conduct of prenatal care that I wish ACOG would
>have resisted.
>
>--
>Donald W. Miller, Jr., MD, FACOG
>eNATAL, LLC
>http://www.eNATAL.com





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