Hello all! I hope you all have a Happy Easter or Passover.To try to make a very long story much shorter, I need to give those of you who don't know me a little background. I have been an RN for almost 30 years (since 1980). My specialty since the beginning has always been OB, though I did my fair share of med-surg and multiple other specialties as a float nurse or agency nurse since the beginning because I wanted to get and keep experience in other areas. I worked in a Level III regional perinatal center for over 15 years. In that time frame, I was charge nurse on the high risk antepartum unit, and we did inpatient and outpatient NST's in our NST room.I hold my Inpatient Obstetrics Certification from NCC (it was AWHONN when I was first certified) in 1989, and have maintained it since. I currently work in home care, and have done so since 1991. My caseload is maternal-child health, which may include high-risk pregnant women. However, I now have a new manager (again), and problems have arisen not only for me, but my coworkers as well. :angryfireI have just been told that I can no longer do fetal heart rates by Doppler for our patients (even with a doctor's order) because she "can't verify" my "competency" in it. She also told me that the agency never provided an agency Doppler. I pointed out that I *DO* have an agency-assigned Doppler, but that it malfunctioned several years ago, so I bought my own from a medical supplier because the agency never ordered a new one for me. I also pointed out that it would be a liability if we accept high risk pregnant patients and then did not do fetal heart assessment, because we would not be fully assessing a pregnant patient if we didn't. I consider that part of vital signs. Does anyone have documentation about whether a certification in Inpatient Obstetrics should be sufficient documentation of competency with fetal heart assessment? It seems that it may, because the eligibility requirements include fetal heart monitoring and assessment.Also, would there be liability in NOT doing a fetal heart assessment in these high risk pregnant women? Are fetal heart tones considered a "vital sign"?Any written documentation would be appreciated. Anything would be of help. In the meantime, my next "requirement" is being told I need to go to the local clinic to have someone supervise me in checking a fetal heart by Doppler, which just seems comical to me because I have been a nurse in the specialty for almost 30 years, and I can do it in my sleep, but if that it what is required to satisfy someone's "rule, then so be it. Thank you all!