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Re: Nursing shortageFrom: Lynn D. Montgomery (apgar10@ionet.net)Mon Oct 21 10:00:45 1996
>Geff, > >The last edition of the perinatal guidelines (jointly proposed by ACOG >and AAP) supports a patient to nursing ratio of 2:1 in the active phase of >labor on oxytocin. It suggests a ratio of 1:1 in the second stage of >labor. Use these guidelines to change your hospital policies. > >Ken Moise >Baylor College of Medicine > >Ken, Since you brought up the perinatal guidelines, I have a question for everyone. After being on the hospital staff for one year, I asked the cheif of the section if he would consider allowing me to participate in the QA process. The perinatal guidelines suggests that the Director of Maternal-Fetal Medicine (which I am in title) basically be in charge of the process. I have only asked to participate. I was met with not only a "no", but rather a "hell no". My question is, what are the policies in the various hospitals of those on the list regarding participation in the QA process. In addition, if an individual has fellowship training in an area, should he not at least be asked to provide input to the process? I would appreciate opinions from everybody. Lynn Lynn Montgomery Maternal-Fetal Medicine Tulsa, Oklahoma Telephone: 918-499-1511 Fax: 918-492-5206 e-mail: apgar10@ionet.net
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