Ever have an OB refuse to come for an emergent strip?

[obprof]

Hi,

I'm wondering if any of you have ever encountered this situation. I was taking care of a laboring pt who was a family practice pt who had deep variables during UCs. The OB was called for a consult by the FP doc and then the OB reviewed the strip and said she wasn't going to do a C/S at that time. Then 2 hrs later the FHR went down to the 80's for 8-9 min. The charge nurse called the OB for a crash section and the OB said,"I'm not coming, she's not my pt!":mad:

[babyktchr, BSN, RN]

ABSOLUTELY document what the physician said, and put it in quotes (leave out any obnoxious comments, of course). I would be documenting the refusal and then filling out the appropriate risk management paperwork and sending that right along. YOU are in the food chain, and YOU must do everything you can within your power and scopt to protect patient safety. Don't think for one minute you won't be pulled in and questioned WHY you didn't do this or that by a plaintiff attorney. Risk gets involved in peer reviews and they MUST answer to any inpropriety.

As one of the posters said, you tell them you are going to document that kind of thing and boy do you see a change of attitude ( in most).

Never forget your chain of command (JCAHO/CMS/Lawyers certainly don't)