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Re: vbac on demand From: Jamie (ajfields@pine-net.com) Wed May 21 13:23:52 2008 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Jamie: "Re: vbac on demand" Previous message: Efrain Ramirez: "Re: menorrhagia in peri menopausal woman" In reply to: verner nellsch: "Re: vbac on demand" Next in thread: emilio porro: "Re: vbac on demand .the key point" Reply: emilio porro: "Re: vbac on demand .the key point" Reply: Dr Eberhard W Lisse: "Re: vbac on demand" Why is she the enemy? I see that both of you are trapped by the system. Document, document, and document some more. You can't do surgery without consent. Oh, and since I haven't been here in a while, I'm a L&D nurse. Patient advocacy is my soapbox. At Sun, 11 May 2008, verner nellsch wrote: > >thanks. witnesses and document. i still feel exposed, and subject to the >whims of someone who just wants what they want, and to hell with other >considerations. vnellsch > >>>----- Original Message ----- >From: "Dr Eberhard W Lisse" <el@lisse.na> >To: "Multiple recipients of list OB-GYN-L" <ob-gyn-l@mail.obgyn.net> >Sent: Sunday, May 11, 2008 8:38 AM >Subject: Re: vbac on demand > >> Tape your discussion with the patient, get as many witnesses as you >> can, call your lawyer, insurance, Chief of Staff, Chief of Nursing and >> whoever else you can think of. >> >> And run as far away as you can. >> >> If you can't run away, get Peds, your assistant, OR and your anesthetist >> to come in, deliver her and if it ruptures, take her to the OR and try >> to save her life. >> >> We don't have EMTALA here, so in this particular situation I'd advise >> her and if she didn't want to listen, I would unaccept her, and refer >> her to the State Hospital. >> >> greetings, el >> >> On May 11, 2008, at 13:28, verner nellsch wrote: >> >>> question--you are an ob/gyn on call for a small community hospital (3 >>> delivery beds) with the or crew and anesthetist at home on call. a 26 >>> y/o g3p2 comes to the hospital, with a history of 2 previous cesareans, >>> the first for cephalopelvic disproportion. she is unknown to you or the >>> other ob/gyn practicing at the hospital. she is 1 cm, ruptured, at term. >>> she demands a vbac, and refuses to have a repeat cesarean. >> -- JFields, RN, BSN Next message: Jamie: "Re: vbac on demand" Previous message: Efrain Ramirez: "Re: menorrhagia in peri menopausal woman" In reply to: verner nellsch: "Re: vbac on demand" Next in thread: emilio porro: "Re: vbac on demand .the key point" Reply: emilio porro: "Re: vbac on demand .the key point" Reply: Dr Eberhard W Lisse: "Re: vbac on demand"

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