So like anywhere, we have the occasional pt. deliver at home and then come in by ambulance. Our docs have decided that they now have 8 hrs to come see these pts. To make it worse our assistant manager agrees. Syre because it will never affect her, working days shift. I'm sorry but since when is it my job to assess the perineum and check the placenta and all that? ITS NOT! And doesnt the pt. deserve to be seen by their own doctor right away?! It was also mentioned that the ER doc could stitch up a tear. How often do they stitch up perineal lacs, or vaginal wall lacs, etc. I wouldnt let an ER doc near me for that. So what are the policies at your guys hospitals?I plan on just saying I can't tell if they have any tears and you need to come, if this ever happens to me.