----- Original Message -----
Sent: Friday, July 16, 2004 9:52 PM
Subject: Re: [ozmidwifery] Anti D
problems..
Marilyn wrote:
> in fact we would have been breaking the law if we had attended
a
> birth without emergency oxytocics and if we didn't have the
knowledge about
> when to administer them emergently then we would never
have been licensed.
We would also be seen as and diciplined for
being negligent..but it doesn't change the fact that we have no authority to
give drugs, order simple blood work, Ultrasound, CTG etc. without the
doctors written order. The Pilot of "The expanded role of the
midwife" is currently being tried in 3 hospital sites in W.A. The
homebirth midwives on the Govt funded program and those in private practice,
never got a look in. We are really the ones who get desperate for ways
of supplying what we are expected to provide. Most G.P's & hospital
clinics refuse to give women prescriptions for their back-up drugs (Synto
etc)because "they won't be present when it is being administered."
It is certainly still a battle.
> So if you need
a doctors order can't this be covered by a standing order
> from the doc
you consult or refer to? No. "standing orders", even in
hospital are not legal, that is why they are looking to introduce the
"expanded role" in hospitals.
Is there any university here that offers a Pharmaceutical
Course and Legal issues for independant midwives?Just doing a course
won't make it legal. There is a course that goes along
with the expanded role of the midwife program, but as I said, we are not
included. MM
