i didn't know this actually happened - page 10

Had a patient who called 911 for her water breaking at full term. I mentioned it to another nurse who was like "and why are you surprised by that?" i didn't know people actually did that.... Read More

  1. by   33-weeker
    Quote from babynurselsa
    It is the same liability issue that causes us to do the million dollar work up on ff patients in the ER. If something were to happen later it would fall back in their lap.
    As one of my ER doc's says "Everybody has somebody who loves them, no matter waht kind of lowlife scumbag they are." "You may not know who it is until they file the lawsuit."
    I know our local EMS cannot no-haul someone unless the patient agrees and signs the no-haul.
    I guess that's my point, though. How is refusing to transport when it's an obvious non-emergency any different from say... a labor nurse assessing a pt., reporting her findings to the doc, and then sending her home? The doc never sees her, he relies on the nurse's assessment. Occasionally there is a missed something or other, or a mom who really goes fast and delivers before she can get back. But that is life. You chart what you saw, what you did & what you told the doc, i.e. cover your butt. Why can't the paramedic do the same thing?
  2. by   babynurselsa
    Because a paramedic does not do cervical exams nor do they have a toco, in the case of a labor pt.
    Even though the labor nurse may be the only one to see the pt she still confers with the doc and she has hard data to provide to the doc ie: monitor strip and vag exam.
    In the other cases, non OB related. just think about the press later for no-hauling someone and something happens.......
    Again we do that million dollar work up to prove when we send them back out that we have documentation that their complaint was addressed and evaluated.