Do your OBs underestimate EBLs? - page 2

I think some of ours do, although I can't prove it. The other night when I had a PPH r/t retained frags, they came in & did a manual removal (mentioned in another thread -- no pain meds... Read More

  1. by   JoniL&DRN
    I've had two 10/10's and they WERE 10's. Beautiful and pink to the toes! :redpinkhe

    We have a doc that gives EBL's like this "uh the EBL was let me think .. about 214" or "666" if he's being really ornery. Monday, Wednesday, Friday get odd numbers the other days get evens. I wonder what people think when they do chart review... did he pull out the graduated cylinder?
  2. by   mitchsmom
    I almost gave my baby on Wednesday 10/10 and he was a c/s too... came out screaming bloody murder and pink pink (LOVE it!!) but just tiniest bit lighter on hands/feet so I let 9/9 stand...
    We only have pedi's at unplanned c/s (and they don't make it to those alot of the time) so we do 95% (probably more than that actually) of our APGARs.

    I'm not sure on the EBL... I'm tending to think ours are pretty honest although we don't have many >500EBL.
  3. by   Spidey's mom
    The nurses do the apgars where I work.

    I haven't noticed underestimating blood loss.

    Clots the size of a volleyball though !!!! ???? :smackingf Wow.

    steph
  4. by   crissrn27
    I think our docs all put 300ml on a SVD and 500ml on a c/s. Unless it was waaayyy out of normal these are their "numbers". I have given several 9/10 and a couple of 10/10 APGARS. The OB docs will really get mad if you give them under an 8. They will try to tell you they are an 8 if they aren't breathing, are blue, and HR is 40. I finally asked about this and one of the OBs said this is their "report card" or how well they did during the labor and delivery. I have learned not to announce APGARS to the L and D nurse until the doc is out of the room.

    I read an article a few months ago that said the delivering doc shouldn't do APGARs at all, ever, because of the trend of scoring them to high. I wonder if the same should be said of the EBL?
  5. by   Myxel67
    Quote from CEG
    I was in a workshop on management of PPH and they said that nurses tend to overestimate and docs to underestimate. I wish I could remember the source for it but I can't find it, sorry.
    On the lighter side--i;ve heard it's twice what the doc estimates and half of what the nurse estimates!
  6. by   crissrn27
    Quote from Myxel67
    On the lighter side--i;ve heard it's twice what the doc estimates and half of what the nurse estimates!
    Sorta like an alcoholics intake
  7. by   JoniL&DRN
    Along those lines do you have docs who look at the board, see a pt. is say 7 cm go in and examine her and say she is 5? We did a little test. Whatever the pt. was we subtracted one or two (if she was 7 we'd say 5) of course he'd come out and say "she's 7 you know!" He just wanted to contradict... didn't matter if he was right he just wanted you to be wrong. Egomaniac
  8. by   Spidey's mom
    Quote from rn2be_joni
    Along those lines do you have docs who look at the board, see a pt. is say 7 cm go in and examine her and say she is 5? We did a little test. Whatever the pt. was we subtracted one or two (if she was 7 we'd say 5) of course he'd come out and say "she's 7 you know!" He just wanted to contradict... didn't matter if he was right he just wanted you to be wrong. Egomaniac
    What I find is the docs want to tell the women that they are more dilated so as not to disappoint them. So, they check and say "oh, 3 cm" and I check and think "oh, fingertip".

    It is not ego for these guys - they just don't want to give "bad" news.

    steph
  9. by   Mrs.S
    Quote from rn2be_joni
    Along those lines do you have docs who look at the board, see a pt. is say 7 cm go in and examine her and say she is 5? We did a little test. Whatever the pt. was we subtracted one or two (if she was 7 we'd say 5) of course he'd come out and say "she's 7 you know!" He just wanted to contradict... didn't matter if he was right he just wanted you to be wrong. Egomaniac
    ooo, we have a guy like that. he always goes higher or lower than what the nurse says, depending on his mood or his "agenda" :angryfire

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