Re: OB ER room

From: Richard Chudacoff, MD (richardc@bcm.tmc.edu)
Tue Oct 29 08:13:36 1996


Okay, then lets just call it a Gyn room. Just because the ER docs think all female patients, regardless of symptoms, are Gyn patients, lets not get into the same mind frame that all female patients should be seen on L&D. This is a small community hospital. Wish we had a female wing like Hopkins does, but we don't.

Rick

>
>>I think the optimal spot for the OB/Gyn exam room (if there is to be but
>>one) is in L&D - ya' got yer scanner, ya' got yer docs, ya' (I'm sorry, I
>>don't know what's gotten into me this evening) got yer nurses willing to
>>assist in exam room D&C's.
>
>I completely agree. In our hospital, however, you cannot bring a "dirty" case
>such as an incomplete abortion or postpartum patient (wound breakdown,
>endometritis, etc) into labor and delivery. I will sometimes sneak a patient
>up to L&D (most recently a lady with a lost condom) because, as you put it,
>ya got everything you need up there. I finally got tired of the hassle, and
>am working with the executives to designate and supply a dedicated gyn exam
>room in the hospital both for these kinds of problems and for in-house gyn
>consults (doing a pelvic on a bedpan in 1996 seems unreasonable to me). This
>may be an alternative for those working in hospitals with strict L&D protocols.
>

--
Richard Chudacoff, MD
Assistant Professor, OB/GYN
Baylor College of Medicine

BaylorMedCare 1601 Main St., STE 505 Richmond, TX tel 713-344-0277 fax 713-344-0288

Si hoc legere scis niminum eruditionis habes.

-If you can read this, you're overeducated.





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