Another OB Problem - page 3

I sware I've got to stop working at this hospital, or I will see the inside of a court room. A G2P1, with 1st baby delivered by c-section, presented to L&D and had been ruptured for 14 hours, with... Read More

  1. by   Jolie
    I once worked as a nurse manager in a NICU, and stepped down to a staff position because I had 2 staff nurses whose judgement and performance I could not trust, and upper level administrators who refused to allow me to retrain, reassign, or fire these nurses. In short, I went to work every morning wondering what they might have done to cost me my license the night before. In a legal environment where s**t truly does roll uphill, a nurse manager can be held legally responsible for the actions of his or her staff. I can't, for the life of me, understand why any manager with 2 brain cells to rub together would let these incidents go unaddressed. But, since that appears to be the case, have you tried going to Risk Management?

    Most hospital risk managers require the immediate reporting of certain "sentinel" events, such as unattended births, low apgars, un-diagnosed meconium staining, delays in establishing respirations of the newborn, etc. In short, anything that could potentially turn into a lawsuit in the future. It is helpful in determining whether any one staff member is consistently involved in such events, and helps ID areas of education needed by staff members.

    The OBs and CNMs should also be participating in departmental reviews of questionable cases. Our hospital was able to remove one OB with a consistent track record of complications thru such reviews.

    If I were you, I would high tail it out of there, but if you choose to stay, please consider pursuing some of these options. Good luck.
  2. by   cindyln
    First problem I see is sending home a patient that is ruptured.We never send anyone home ruptured.You did a good job standing up for the patient