Friday, November 13, 2009

Failed Attempt, Fail to Transport, Failed Defense, and Too Much Pain

Continuing with new sessions that have been announced for the Controversies in Childbirth Conference in sunny Tampa, Florida February 19 to 21st 2010.

Botched Out Of Hospital Birth or Appropriate Transport.?.. Building Working Relationships
As more women choose out of hospital births, mathematically hospitals and on-call obstetricians will see more transports. A transport is the need to take a woman in labor from her out of hospital setting:. (homebirth or birth center) into a hospital environment for whatever reason.

In the past, labor transports have gotten quite ugly with midwives and OB/hospital personnel trading charges of incompetence, negligence, attempted murder, etc.

Now, Melissa (Missy) Cheyney CPM PhD will chair a panel consisting of both midwives that initiate transport, and hospital personnel that receive the transport.

This session will examine how the distrust between the midwife and hospitals developed and strengthened over time. How midwives and hospital personnel have sat down and come together to reduce the animosity when a transport occurs. Devise ways of better care for the patient, and even develop cordial relationships and understandings of the roles that each professional plays as venue and responsibility for birth, changes in a transport.

Is Natural Birth Antithetical to the Practice of Nursing?
Most women who become nurses (and also those men) do so out of desire to help sick people get better. There is a kindness and compassion associated with the image of nursing. Nurses are healers and patient advocates.

Many patients who have been admitted to a hospital mention how often nurses coming in the room ask, "how is the pain.?" In fact a major component of the practice of nursing is pain management. Most nurses feel fulfilled when they can give some medication to relieve the pain, thus making the patient "feel better." Generally, the greater the pain, the more the nurse wants to help.

So how do nurses feel when women choose unmedicated natural birth? Do they have difficulty listening to the pain increase? Does the yelling as contractions get stronger emotionally bother the nurse? Is not giving the patient anything for the pain, contrary to the nurses beliefs?

Case Study: Lessons Learned from a Failed Attempt to Open a Natural Birth Center
Robyn Thompson, MPH, MSW, LMSW, formed an organization in San Antonio Texas to try to open a natural birth center. A coalition representing midwives, physicians, consumers, legal interests, business interests, and public health advocates was brought together to try to make this dream a reality.

This birth center never got off the ground. At the conference, Robin will explore the reasons it did not happen, lessons learned, and what changes need to be made to make the concept viable.

Protecting Yourself From Investigations By Your Regulatory Board
Attorney Max Price is back, and will give amazing insight into litigating professional board, licensure and discipline actions. How you interact with the board from the time of receiving your “Initial Notice” can have a significant effect on the outcome and cost of your case.

Do you respond to their initial request for information, do you ignore it, or do you hire an attorney? What happens when you receive a subpoena for your documents? Do you comply, and if you do, have you hurt the case? If you don't turn over the documents, can you lose your license?

Does signing a plea agreement make you more likely to be investigated in the future as opposed to someone who fights tooth and nail every time they're wrongfully accused by the licensing board?

I have first-hand experience with Max, and can tell you that if when you receive a “Letter of Investigation,” IMMEDIATELY call Max Price, no matter what state you're in.

Have a great weekend and don't forget to register today Controversies in Childbirth Conference.


Next week, more discussion about the seminars on the hybrid birth facility, and a look at,: birth centers versus homebirth.

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