Wishes Regarding Students in Birth Plans

BabyRN2Be · Jul 1, 2004

I've been reading a lot of birth plans on the web - the one I use with my clients has been currently hijacked by my computer. I know that I include this question on my birth plan about students (nursing and residents) in the room during L&D. Usually it states, "I request that no students be involved in my care." I've found that in my private doula practice I haven't run into anyone having problems regarding this preference. In the hospital, since most of the pts are Medicaid, usually they don't get a choice.

I'm just wondering, if you are in a teaching hospital, have you had any problems with pts refusing to have students in with them and how is this handled? I know that if I had private insurance, I probably would not want to have students. Yes, I know they need to learn somehow but with this issue I need to draw a line. Now, if I was a Medicaid pt, I don't think I'd have a choice and wouldn't question the issue.

How is this handled?

CoffeeRTC, BSN, RN · Jul 1, 2004

I've been reading a lot of birth plans on the web - the one I use with my clients has been currently hijacked by my computer. I know that I include this question on my birth plan about students (nursing and residents) in the room during L&D. Usually it states, "I request that no students be involved in my care." I've found that in my private doula practice I haven't run into anyone having problems regarding this preference. In the hospital, since most of the pts are Medicaid, usually they don't get a choice.
I'm just wondering, if you are in a teaching hospital, have you had any problems with pts refusing to have students in with them and how is this handled? I know that if I had private insurance, I probably would not want to have students. Yes, I know they need to learn somehow but with this issue I need to draw a line. Now, if I was a Medicaid pt, I don't think I'd have a choice and wouldn't question the issue.
How is this handled?

I wouldn't have minded students during my birth (unless it turned into a circus)..Why would a pts payor status have any significant in determining if students are aloud to observe/ learn???? Is a medicaid pt different from a private pay or insurance pay patient?

CoffeeRTC, BSN, RN · Jul 1, 2004

I've been reading a lot of birth plans on the web - the one I use with my clients has been currently hijacked by my computer. I know that I include this question on my birth plan about students (nursing and residents) in the room during L&D. Usually it states, "I request that no students be involved in my care." I've found that in my private doula practice I haven't run into anyone having problems regarding this preference. In the hospital, since most of the pts are Medicaid, usually they don't get a choice.
I'm just wondering, if you are in a teaching hospital, have you had any problems with pts refusing to have students in with them and how is this handled? I know that if I had private insurance, I probably would not want to have students. Yes, I know they need to learn somehow but with this issue I need to draw a line. Now, if I was a Medicaid pt, I don't think I'd have a choice and wouldn't question the issue.
How is this handled?

I wouldn't have minded students during my birth (unless it turned into a circus)..Why would a pts payor status have any significant in determining if students are aloud to observe/ learn???? Is a medicaid pt different from a private pay or insurance pay patient?

ayndim · Jul 1, 2004

I've been reading a lot of birth plans on the web - the one I use with my clients has been currently hijacked by my computer. I know that I include this question on my birth plan about students (nursing and residents) in the room during L&D. Usually it states, "I request that no students be involved in my care." I've found that in my private doula practice I haven't run into anyone having problems regarding this preference. In the hospital, since most of the pts are Medicaid, usually they don't get a choice.
I'm just wondering, if you are in a teaching hospital, have you had any problems with pts refusing to have students in with them and how is this handled? I know that if I had private insurance, I probably would not want to have students. Yes, I know they need to learn somehow but with this issue I need to draw a line. Now, if I was a Medicaid pt, I don't think I'd have a choice and wouldn't question the issue.
How is this handled?

I don't think a hospital can discrimnate that way. You don't lose your rights because you have medicaid. A woman can still refuse anyone they want. Of course, if they have no dr they may get a resident. The hospital isn't footing the bill in exchange for allowing students.

I personally don't mind students as long as they are female. I had a student nurse with #2. She was great. She was also a doula before she was a student nurse. :wink2:

ayndim · Jul 1, 2004

I've been reading a lot of birth plans on the web - the one I use with my clients has been currently hijacked by my computer. I know that I include this question on my birth plan about students (nursing and residents) in the room during L&D. Usually it states, "I request that no students be involved in my care." I've found that in my private doula practice I haven't run into anyone having problems regarding this preference. In the hospital, since most of the pts are Medicaid, usually they don't get a choice.
I'm just wondering, if you are in a teaching hospital, have you had any problems with pts refusing to have students in with them and how is this handled? I know that if I had private insurance, I probably would not want to have students. Yes, I know they need to learn somehow but with this issue I need to draw a line. Now, if I was a Medicaid pt, I don't think I'd have a choice and wouldn't question the issue.
How is this handled?

I don't think a hospital can discrimnate that way. You don't lose your rights because you have medicaid. A woman can still refuse anyone they want. Of course, if they have no dr they may get a resident. The hospital isn't footing the bill in exchange for allowing students.

I personally don't mind students as long as they are female. I had a student nurse with #2. She was great. She was also a doula before she was a student nurse. :wink2:

Energizer Bunny · Jul 1, 2004

I wouldn't mind students no matter what sex. And I don't even think I would mind if there were a few of them as long as they weren't crowding out mine or my husband's view of what was going on.

I also don't think that a hospital can discriminate that way. EVERY patient has rights.

Energizer Bunny · Jul 1, 2004

I wouldn't mind students no matter what sex. And I don't even think I would mind if there were a few of them as long as they weren't crowding out mine or my husband's view of what was going on.

I also don't think that a hospital can discriminate that way. EVERY patient has rights.

NewEnglandRN, RN · Jul 1, 2004

With my first child, I would not have been comfortable with students observing the birth. However, after having three babies, I would welcome the opportunity for a student to share in such an incredible experience!

It's a very individual decision.

Michelle

NewEnglandRN, RN · Jul 1, 2004

With my first child, I would not have been comfortable with students observing the birth. However, after having three babies, I would welcome the opportunity for a student to share in such an incredible experience!

It's a very individual decision.

Michelle

SmilingBluEyes · Jul 1, 2004

EVERYONE, including medicaid and self-pay patients, is ENTITLED to refuse student participation in her birth experience. ALL NON-essential people can be refused by anyone at any time of a patient's choosing. I always ask permission for allowing students in any birth situation. In the event a family refuses, then no students are allowed in, no questions asked.

That said, for my planned csection of my dd, (she was breech), I had a student doing her OB case study report on me from my alma mater and a room full of students of all sorts, medical, nursing and laboratory. NO problem letting them in; we all need that chance as students to have that experience. My case was an "open book" as it were, to anyone willing to come in. One DID faint, unfortunately----- and all laughed when the doctor opened me up and my daughter's butt popped out first; I said, yep that is my girl, ALLLLL attitude. And so it is how she is!!! :rotfl:

SmilingBluEyes · Jul 1, 2004

EVERYONE, including medicaid and self-pay patients, is ENTITLED to refuse student participation in her birth experience. ALL NON-essential people can be refused by anyone at any time of a patient's choosing. I always ask permission for allowing students in any birth situation. In the event a family refuses, then no students are allowed in, no questions asked.

That said, for my planned csection of my dd, (she was breech), I had a student doing her OB case study report on me from my alma mater and a room full of students of all sorts, medical, nursing and laboratory. NO problem letting them in; we all need that chance as students to have that experience. My case was an "open book" as it were, to anyone willing to come in. One DID faint, unfortunately----- and all laughed when the doctor opened me up and my daughter's butt popped out first; I said, yep that is my girl, ALLLLL attitude. And so it is how she is!!! :rotfl: