OB doc not clamping cords

[Darchild77]

I am just wondering if a doc can get in trouble with a med board for not clamping a baby's cord after it's been cut. Isn't this endangering the mother and the baby? One of our docs has done this Knowingly, and told us to "grab the Cord tight":uhoh21:

[fiestynurse]

My first thought is, Why? Have you asked him?

[Darchild77]

My first thought is, Why? Have you asked him?

Asking this woman would result in an explosive yelling session, she acts as though a nvd is brain surgery.

[fergus51]

I would ask someone. Why? Does she like to spray blood around? Does she just expect someone else to clamp?

[Darchild77]

I would ask someone. Why? Does she like to spray blood around? Does she just expect someone else to clamp?

She is just so anxious at deliveries that she loses her proffessional mind. She doesn't do it for any purpose, just because she is being too fast and unsure of herself ( shes been in practice for 20+ years). She is very high maintenance , when assisting her with anything.

[fergus51]

Can you just hand her the clamp or say "I'll clamp before you cut" or something? Sounds like a nutter to me.

[BETSRN]

If you just leave the baby on the belly and start your assessment there, this doc will have plenty of time to clamp the cord in a timely manner. Could you speak with some of the other Ob's and see what their input might be? Your risk manager might be able to get involved if she is allowing blood to spray all over the place. I like the idea of just calmly asking her if she would like you to clam so that she can cut. At my place, we let the dad or significant other cut the cord. Suggesting that dad cut would allow her time to get a clamp on nicely. She has been in practice plenty of time. Sounds like a pain in your neck!

[gypsyatheart]

This seems bizarre, I would talk to my NM, and as someone else mentioned, get risk mgmt involved. We have a very simple technique, where the RN replaces the Kelly with the cord clamp/inf security device; but of course, this entails the provider to have put it on in the 1st place. :rotfl:

[Darchild77]

This seems bizarre, I would talk to my NM, and as someone else mentioned, get risk mgmt involved. We have a very simple technique, where the RN replaces the Kelly with the cord clamp/inf security device; but of course, this entails the provider to have put it on in the 1st place. :rotfl:

Our unit does not have a Nurse Manager!!! But I will try risk management. I do plan on leaving this place soon!!!!

[Audreyfay]

Perhaps you could start with the Nursing Supervisor. The next step up is the Director of Nurses. Going directly up the steps might be better than the lateral movement to Risk Management? The does not sound good to me. It puts YOU at high liability! What if you were to "slip?"

[BETSRN]

You know, I just had a thought. This is really an OB issue. I also think that it might be prudent to talk to the chairman or the OB department. That is also a peer review issue, I should think.