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Re: (no subject) From: Scotia Phillips, RT, RDMS (scotia@bellsouth.net) Thu Aug 27 05:08:48 1998 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Scotia Phillips, RT, RDMS: "Re: Oligohydramnios" Previous message: Scotia Phillips, RT, RDMS: "Re: Protocols for ER Pelvics" In reply to: Terry J. DuBose, M.S., RDMS: "(no subject)" At Wed, 26 Aug 1998, Terry J. DuBose, M.S., RDMS wrote: Hey Terry! All my patients come with multiples (family members, that is!) so fortunately, I have rarely had a mother alone during a tragic exam. This does increase the odds of someone in the room knowing enough to realize there is a problem. Also, most of my patients are already on alert that there is a problem and they ask questions leading up to the issue, like " You can't find the heartbeat either, can you?" I am very lucky to have wonderful referring physicians who want the patient informed if she asks, but would never "require" me to deliver bad news. I do not volunteer info, but always answer truthfully and as simply as possible. Even if the patient does not ask for picture, I take a few extra and file them away in case they want some in the future. The sonographer is in a unique postion to help the patient with the early stages of grief, most common is denial of the fetal death. Many will want to "see" how you can determine that there is no heartbeat. This can be extremely difficult and emotional for the sonographer, but I have had many parents tell me at a later time that the sonogram made a painful event just a little easier. If the doctor is in the house, and usually is, they will also come in and lead the way to inform the patient. It does seem very unhealthy to leave the room after telling a mother who is alone that her baby is dead. > >Your message makes me wonder. If you employer "requires" you to tell >the patient of fetal demise before you leave the room, what do you do if >the patient does not have anyone with them. That does not seem like a >healthy situation. >Peace, Terry J. DuBose, M.S., RDMS > >--- > >At Wed, 26 Aug 1998, Spnglr@aol.com wrote: >> >>In a message dated 98-08-26 19:22:09 EDT, you write: >> >><< Todd Moyers wrote: >> >> > I would be interested in the grief couselling. We have a monitor provided >> > for the patient to view as I scan. My physician requires that I inform the >> > patient before leaving the room of a fetal demise. >> >> Todd, >> >> You are not reacquired to do this. It is a Physician's duty to inform a >> patient of any and all disease. >> >> >>It sounds as though you are, indeed, required to inform the patient if that is >>what your employer asks you to do. A physician is ultimately responsible, >>however he/she may delegate various responsibilities to those that he/she sees >>as being capable of providing that service. Obviously, your employer respects >>your position and is acknowledging that you, as a sonographer, are not simply >>a "picture taker". I see nothing legally or ethically wrong with this. >> >>Personally, I have never understood the reluctance of sonographers to allow >>their patient to see the monitor during the examination. (Most people do not >>understand what they are looking at anyway! ) The sonographer's communication >>with the patient during a procedure is the perfect opportunity to educate the >>public about what sonography really is and allow them to witness the knowledge >>and skill required for our profession. >> >>We will not be able to move forward as a profession as long as we continue to >>restrict ourselves. >> >>My 2 cents... >>Nancy Spangler, RDMS > >-- >Peace, Terry J. DuBose, M.S., RDMS >Chair, Ultrasound@OBGYN.net >Director, Diagnostic Medical Sonography, UAMS >Http://www.io.com/~dubose/ > -- Scot Next message: Scotia Phillips, RT, RDMS: "Re: Oligohydramnios" Previous message: Scotia Phillips, RT, RDMS: "Re: Protocols for ER Pelvics" In reply to: Terry J. DuBose, M.S., RDMS: "(no subject)"

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