D&C's in the ER?

  1. Do any of you have to assist with D&C's in the ER? We have to at our hospital, and feel strongly that these should go to the OR. Your feedback would be appreciated.
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  2. 16 Comments

  3. by   canoehead
    We've done them in OB on an outpatient basis, and then decided that the patient is more comfortable, and gets a better quality of care in the OR. It's also difficult to take on a 1-1 procedure in a department that can go into crisis at any moment and need all hands on deck.
  4. by   teeituptom
    Ours all go to OR
  5. by   veetach
    no Way!! we dont have the necessary equipment and we cannot have the room tied up for the time it will take to do the procedure and recover the patient...all of ours go to the OR.
  6. by   trsnurse
    Quote from veetach
    no Way!! we dont have the necessary equipment and we cannot have the room tied up for the time it will take to do the procedure and recover the patient...all of ours go to the OR.
    Ours go to OR, but how often do you do them? I hope we never do:uhoh21:.
  7. by   NativeTexan
    Sometimes we will do two or three in a week, and then it might be a month before we have to do another one. This week, we had a patient come in that had already had a d&c, but was still bleeding enough to splatter blood over the ER doctor's white coat. Her OB came in and did another d&c in the ER. Another problem is the OB's never want to do conscious sedation. They want to give the pt some demerol and do it. It then turns into a confrontation between the nurses and OB doc, for proper sedation. Of course, this is after the "why don't you take this to the OR" confrontation. Apparently, it has been a much contested problem in the ER for a long time. I have never worked in a facility where this was done in the ER.
  8. by   veetach
    new things are popping up all of the time in ER's across the country. But I have never worked in an ED where they performed D&C's......
  9. by   Carotid
    to the or with ours as well.

    Carotid
  10. by   nekhismom
    a D&C in the ER sounds scary. They do ours on OB, but since they have their own OR, it may well be done in the OBOR!
  11. by   RNin92
    Quote from NativeTexan
    Sometimes we will do two or three in a week, and then it might be a month before we have to do another one. This week, we had a patient come in that had already had a d&c, but was still bleeding enough to splatter blood over the ER doctor's white coat. Her OB came in and did another d&c in the ER. Another problem is the OB's never want to do conscious sedation. They want to give the pt some demerol and do it. It then turns into a confrontation between the nurses and OB doc, for proper sedation. Of course, this is after the "why don't you take this to the OR" confrontation. Apparently, it has been a much contested problem in the ER for a long time. I have never worked in a facility where this was done in the ER.
    Ours are done in OR...always.

    And let me just say...OMG...demerol?!! Not even conscious sedation?
    That calls for a giant OUCH!!!
    Wonder what your OB docs malpractice rates are?
  12. by   kyti
    Quote from NativeTexan
    Sometimes we will do two or three in a week, and then it might be a month before we have to do another one. This week, we had a patient come in that had already had a d&c, but was still bleeding enough to splatter blood over the ER doctor's white coat. Her OB came in and did another d&c in the ER. Another problem is the OB's never want to do conscious sedation. They want to give the pt some demerol and do it. It then turns into a confrontation between the nurses and OB doc, for proper sedation. Of course, this is after the "why don't you take this to the OR" confrontation. Apparently, it has been a much contested problem in the ER for a long time. I have never worked in a facility where this was done in the ER.
    All of ours are done in the main OR or the CBC OR. I can only believe that the docs that want to do this in the ER with only demerol must be men. What kinda of a woman would feel this is ok to do to another woman. Ouch!!!
  13. by   NativeTexan
    Well, I did a little research on the online edition of our newspaper. I remembered that one week ago today, a BUNCH of doctors got together and went up to the state capitol to address the issue of the malpractice rates dramatically increasing in our state. They increased for all doctors. They were really upset, though, because most of the politicians had taken the afternoon off to go see "Passion of the Christ". Anyway.....the newspaper gives these figures:

    For a family practitioner who does NOT deliver babies: $4,300 for $3 million in coverage.
    For an OB/GYN, the cost is : $22,450 for the same amount of coverage.

    And yes, the majority of those OB's who want to give demerol are men...although we have one woman who seems to be about as sympathetic.
    Maybe these doc's have never been patients...... Maybe I should remind them "what comes around goes around".
  14. by   traumaRUs
    To the OR also. To do this w/o conscious sedation is ghastly.

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