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Re: ACOG Antepartum Record - Pain Scale? From: Charlie Chambers (cchamber@embarqmail.com) Wed Nov 21 11:53:25 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Dean Huffman .: "Re: ACOG Antepartum Record - Pain Scale?" Previous message: l.glazerman@rcn.com: "Re: ACOG Antepartum Record - Pain Scale?" In reply to: l.glazerman@rcn.com: "Re: ACOG Antepartum Record - Pain Scale?" Next in thread: Dean Huffman .: "Re: ACOG Antepartum Record - Pain Scale?" I tell you something that is even more idiotic. For some reason, our local hospital has a different prenatal flowsheet. In one corner is an assessment of "stress" with a scoring scale. I have no idea what I'm technically supposed to do if there score is a 12 or a 17. But, I do know that if I do not fill out this box, medical records will throw it back at me. Patients frequently ask me what there "score" means, and I reply that I have no earthly idea. If anything smacks of someone's personal pet project this would be it. On Nov 21, 2007, at 10:43 AM, <l.glazerman@rcn.com> <l.glazerman@rcn.com> wrote: > 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 ************************************************************************ * Charlie Chambers -- Hood River, OR cchamber@alumni.rice.edu "No matter where you go... there you are." Dr. Buckaroo Banzai ************************************************************************ Next message: Dean Huffman .: "Re: ACOG Antepartum Record - Pain Scale?" Previous message: l.glazerman@rcn.com: "Re: ACOG Antepartum Record - Pain Scale?" In reply to: l.glazerman@rcn.com: "Re: ACOG Antepartum Record - Pain Scale?" Next in thread: Dean Huffman .: "Re: ACOG Antepartum Record - Pain Scale?"

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