The most lol-worthy quote:
Quote:
the board is concerned that Grant and Geszler's management of the situation had "fallen below the standard of care."
Gee, ya think?!
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Doctors cited for inducing labor, then performing a c-section in a case of false pregnancy.
The most lol-worthy quote:
Gee, ya think?!
The most lol-worthy quote:
Gee, ya think?!
She could sue them, but I bet she'd never see placenta that money.
All I can do is thank my lucky stars that those two most likely weren't yet practicing there when I was born in that very hospital.
Not that this wasn't an actionable offense, but I think the resident is liable, not the attending. Unfortunately for attendings, they end up taking the hit on most residency errors because they are ultimately responsible for their residents, but I think some understanding of how a teaching facility works is missing here.
Basically the fatal error was not double-checking the resident's diagnosis, which to be fair when a woman comes in full-blown pregnant is usually glancing at the belly and going "yep, that's a pregnancy, all right", followed by a physical exam and usually blood/urine. It should have been a clue to the resident that the fetal heart rate monitors were coming up blank but who knows, maybe a false pregnancy sends up the signals even when no one's home. The Attending probably wasn't even in the hospital at the time, as most teaching hospitals rely on residents for the bulk of their staffing and the residents frequently work 36 and 48 hour shifts with no sleep.
Usually it goes like this:
Resident calls Attending On-Call (who is by definition not in the hospital, would have been told the patient was having a hard time with natural labor and asked to come in to perform the surgery, at which time all blood/urine tests would be expected to have been done, confirmed and reviewed and usually the RNs don't double-check a pregnancy once it's been confirmed by an MD, which a resident is) to request advice/ask for next move, Attending asks about the patient status and diagnosis and advises based upon it. If surgery is required, attending comes in and performs it. Patient is prepped and ready for surgery and the attending frequently meets the patient briefly, if at all. Of course the Attending is supposed to review her chart, but if everything looks like it was in order, they'd go ahead and wouldn't discover their error until they opened her up. For all intents and purposes, that resident was her MD.
Residency is such an issue. The system is obviously broken and needs an overhaul, but it's kept in place precisely by Attendings, who feel that they went through the same thing, so their residents should as well. Many hospitals are implementing shift limits on their residents for this reason.
Edited, Apr 1st 2010 5:38am by Atomicflea
Basically the fatal error was not double-checking the resident's diagnosis, which to be fair when a woman comes in full-blown pregnant is usually glancing at the belly and going "yep, that's a pregnancy, all right", followed by a physical exam and usually blood/urine. It should have been a clue to the resident that the fetal heart rate monitors were coming up blank but who knows, maybe a false pregnancy sends up the signals even when no one's home. The Attending probably wasn't even in the hospital at the time, as most teaching hospitals rely on residents for the bulk of their staffing and the residents frequently work 36 and 48 hour shifts with no sleep.
Usually it goes like this:
Resident calls Attending On-Call (who is by definition not in the hospital, would have been told the patient was having a hard time with natural labor and asked to come in to perform the surgery, at which time all blood/urine tests would be expected to have been done, confirmed and reviewed and usually the RNs don't double-check a pregnancy once it's been confirmed by an MD, which a resident is) to request advice/ask for next move, Attending asks about the patient status and diagnosis and advises based upon it. If surgery is required, attending comes in and performs it. Patient is prepped and ready for surgery and the attending frequently meets the patient briefly, if at all. Of course the Attending is supposed to review her chart, but if everything looks like it was in order, they'd go ahead and wouldn't discover their error until they opened her up. For all intents and purposes, that resident was her MD.
Quote:
Geszler was the attending on-call supervisor at the time. A resident in her charge made the pregnancy diagnosis, Geszler said.
As a result, Grant attempted to perform a C-section on the patient after a failed attempt at inducing labor, the board letters said.
The letters said the resident did not have enough experience to make the diagnosis and that the board is concerned that Grant and Geszler's management of the situation had "fallen below the standard of care."
As a result, Grant attempted to perform a C-section on the patient after a failed attempt at inducing labor, the board letters said.
The letters said the resident did not have enough experience to make the diagnosis and that the board is concerned that Grant and Geszler's management of the situation had "fallen below the standard of care."
Residency is such an issue. The system is obviously broken and needs an overhaul, but it's kept in place precisely by Attendings, who feel that they went through the same thing, so their residents should as well. Many hospitals are implementing shift limits on their residents for this reason.
Edited, Apr 1st 2010 5:38am by Atomicflea
My sister just had two babies cut out of her in North Carolina, so I'm getting a kick etc. etc.
publiusvarus wrote:
we all know liberals are well adjusted american citizens who only want what's best for society. While conservatives are evil money grubbing scum who only want to sh*t on the little man and rob the world of its resources.
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