Guest guest Posted November 12, 2001 Report Share Posted November 12, 2001 Am I being a pain in the butt? The answer is yes, I know that. But, I am truly concerned about this. Do any of you have anything similar, and what wording does your facility use? I don't know that there is wording for what we do. We get someone in for r/o labor, NST, ?rom etc we put them on the monitor, check them on admission and again in an hour call the doc then d/c. Of course if they are really doing something we call sooner then the hour. Ours usually come in because they've called the doc at home and said they are having contraction and he tells them to come in and get checked...no matter if the office is open or not. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 12, 2001 Report Share Posted November 12, 2001 We are not a teaching hospital, neither are we. We have 4 LDR rooms pts stay 1-2 hrs after delivery, 2 obversations rooms and OR & Recovery and post partum is 13 rooms 6 of them private. We have to have 4 nurses and a CST on all the time that's our staffing. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 12, 2001 Report Share Posted November 12, 2001 Do you have a P & P to cover you? If you do, could you please check the wording and let me know? What I'm specifically looking for is the word "medical" coupled with "screening," or something like that. I'll check what the policy says when I go in tonight. We have the one MD who doesn't even check them in the office just sends them to us for the NST (this is the MD I wouldn't send my dog to and I don't like the dog) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 12, 2001 Report Share Posted November 12, 2001 I think the word MEDICAL could be an issue if there is ever a problem. We have to have a resident sign the NST before they leave. [OBnurses] triaging pts Hi all, We are currently having a "discussion" at work. One of our OB's wants us to do a "medical screening" on pts that come in to be triaged and are cleared for D/C to home without being seen by the OB. This will avoid pts being held, and taking up bed space, until the am, when they come in to round. To be honest, the only differences from what we are currently doing are that a specific "protocol" will be followed, that requires two phone calls, two separate exams by the same nurse. The nurse must be experienced, etc...the wording and details are being worked out. My concern is in calling it a "medical screening." I have no prob with the P & P, but I DO have a prob with the word "medical" added in before screening. I am being adamant that the wording be changed to eliminate "medical." I think we are leaving the door wide open to a huge lawsuit if we keep that word in there. Am I being a pain in the butt? The answer is yes, I know that. But, I am truly concerned about this. Do any of you have anything similar, and what wording does your facility use? Thanx, Gay Marie CallahanWelcome to the OBnurses list!You have the freedom to change your membership settings at any time you choose. Go to the Yahoogroups Home Page at www.yahoogroups.com and sign in with your e mail address and the password you used to subscribe to this list. You will then see a list of all Onelist lists you are subscribed to. You can then easily choose the settings you would like--unsubscribe, digest, or Web-only. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 12, 2001 Report Share Posted November 12, 2001 we also have a similar policy, all pt's must be seen by a resident but then they also have to be presented and cleared by an attending prior to discharge. > I think the word MEDICAL could be an issue if there is ever a problem. We have > to have a resident sign the NST before they leave. > [OBnurses] triaging pts > > > Hi all, > > We are currently having a " discussion " at work. One of our OB's wants us to > do a " medical screening " on pts that come in to be triaged and are cleared for > D/C to home without being seen by the OB. This will avoid pts being held, and > taking up bed space, until the am, when they come in to round. To be honest, > the only differences from what we are currently doing are that a specific > " protocol " will be followed, that requires two phone calls, two separate exams > by the same nurse. The nurse must be experienced, etc...the wording and details > are being worked out. > > My concern is in calling it a " medical screening. " I have no prob with the > P & P, but I DO have a prob with the word " medical " added in before screening. I > am being adamant that the wording be changed to eliminate " medical. " I think we > are leaving the door wide open to a huge lawsuit if we keep that word in there. > > Am I being a pain in the butt? The answer is yes, I know that. But, I am > truly concerned about this. Do any of you have anything similar, and what > wording does your facility use? > > Thanx, > > Gay Marie Callahan > > Welcome to the OBnurses list! > You have the freedom to change your membership settings at any time you > choose. Go to the Yahoogroups Home Page at www.yahoogroups.com and sign in with > your e mail address and the password you used to subscribe to this list. You > will then see a list of all Onelist lists you are subscribed to. You can then > easily choose the settings you would like--unsubscribe, digest, or Web-only. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 12, 2001 Report Share Posted November 12, 2001 That is my concern. Using that one word really opens us up for a can of worms type of problem, legally. We've not had any problems to date concerning D/C'g pts home undelivered from triage. But, there's always that first time... The way I see it, is that the P & P is okay but that one word makes the whole thing risk-laden. There is nothing different about what we are doing, except there is a more clearly written P & P. I have objected strenuously to that one word. We are not a teaching hospital, so having a resident available is not an issue. Gay Marie Callahan Re: [OBnurses] triaging pts I think the word MEDICAL could be an issue if there is ever a problem. We have to have a resident sign the NST before they leave. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 12, 2001 Report Share Posted November 12, 2001 We are not a teaching hospital, so having a resident available is not an issue. The issue is having RN's do medical screenings. That seems to be a huge liability to me. If they call it an assessment, or just plain screening, it would be fine. We do that every day. That one word mucks everything up. Apparently, the one OB who is pushing for this P & P, doesn't seem to get the gist of the problem with the wording. Gay Marie Callahan Re: [OBnurses] triaging pts > we also have a similar policy, all pt's must be seen by > a resident but then they also have to be presented and > cleared by an attending prior to discharge. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 12, 2001 Report Share Posted November 12, 2001 What you described is pretty much what we've been doing, and what we will continue to do. Except, when the OB's office is open, they prefer that the pts go to their office, instead of the hospital. Do you have a P & P to cover you? If you do, could you please check the wording and let me know? What I'm specifically looking for is the word "medical" coupled with "screening," or something like that. Thanx. Gay Marie Callahan Re: [OBnurses] triaging pts Am I being a pain in the butt? The answer is yes, I know that. But, I am truly concerned about this. Do any of you have anything similar, and what wording does your facility use?I don't know that there is wording for what we do. We get someone in for r/o labor, NST, ?rom etc we put them on the monitor, check them on admission and again in an hour call the doc then d/c. Of course if they are really doing something we call sooner then the hour. Ours usually come in because they've called the doc at home and said they are having contraction and he tells them to come in and get checked...no matter if the office is open or not. Welcome to the OBnurses list!You have the freedom to change your membership settings at any time you choose. Go to the Yahoogroups Home Page at www.yahoogroups.com and sign in with your e mail address and the password you used to subscribe to this list. You will then see a list of all Onelist lists you are subscribed to. You can then easily choose the settings you would like--unsubscribe, digest, or Web-only. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 12, 2001 Report Share Posted November 12, 2001 Your OB unit sounds much like ours. But, we don't have an OR, or use our own CST's...we use the hospitals main OR and staff...this is not ideal, but we live with it. I think it's the weakest point of our otherwise wonderful OB unit. Gay Marie Callahan Re: [OBnurses] triaging pts We are not a teaching hospital, neither are we. We have 4 LDR rooms pts stay 1-2 hrs after delivery, 2 obversations rooms and OR & Recovery and post partum is 13 rooms 6 of them private. We have to have 4 nurses and a CST on all the time that's our staffing. Welcome to the OBnurses list!You have the freedom to change your membership settings at any time you choose. Go to the Yahoogroups Home Page at www.yahoogroups.com and sign in with your e mail address and the password you used to subscribe to this list. You will then see a list of all Onelist lists you are subscribed to. You can then easily choose the settings you would like--unsubscribe, digest, or Web-only. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 12, 2001 Report Share Posted November 12, 2001 Thanx, I really appreciate it. Gay Marie Callahan Re: [OBnurses] triaging pts Do you have a P & P to cover you? If you do, could you please check the wording and let me know? What I'm specifically looking for is the word "medical" coupled with "screening," or something like that. I'll check what the policy says when I go in tonight. We have the one MD who doesn't even check them in the office just sends them to us for the NST (this is the MD I wouldn't send my dog to and I don't like the dog) Welcome to the OBnurses list!You have the freedom to change your membership settings at any time you choose. Go to the Yahoogroups Home Page at www.yahoogroups.com and sign in with your e mail address and the password you used to subscribe to this list. You will then see a list of all Onelist lists you are subscribed to. You can then easily choose the settings you would like--unsubscribe, digest, or Web-only. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 13, 2001 Report Share Posted November 13, 2001 Ditto here in Apple Valley, CA. Quote Link to comment Share on other sites More sharing options...
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