Following a hospital protocol unfortunately is no protection if the protocol is wrong and you are aware. Nicole.
-----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of sharon Sent: Tuesday, January 24, 2006 8:20 PM To: [email protected] Subject: Re: [ozmidwifery] wasIV Synto for 3rd stage now rectal temps yes all babies are subjected to a once only pr temp as per the hospital protocol and as i have said before it would be negligant not to follow protocol while working at a institution. regards ----- Original Message ----- From: "Kylie Holden" <[EMAIL PROTECTED]> To: <[email protected]> Sent: Tuesday, January 24, 2006 6:40 PM Subject: Re: [ozmidwifery] wasIV Synto for 3rd stage now rectal temps > I'm afraid so... > I don't actually work there, these are experiences as a student. Not sure > if the hospital I'm talking about is the same as Sharon's, but the story > is the same. > > Kylie > > >>From: "Alesa Koziol" <[EMAIL PROTECTED]> >>Reply-To: [email protected] >>To: <[email protected]> >>Subject: Re: [ozmidwifery] wasIV Synto for 3rd stage now rectal temps >>Date: Tue, 24 Jan 2006 18:37:03 +1100 >> >>Please be assured that I am not killing the messanger >>here...............but really, are you really telling me that at your site >>all newborn infants are subjected to an invasive process because once upon >>a time a single baby had a problem? >>Alesa >> >>----- Original Message ----- >>From: "sharon" <[EMAIL PROTECTED]> >>To: <[email protected]> >>Sent: Tuesday, January 24, 2006 9:03 AM >>Subject: Re: [ozmidwifery] IV Synto for 3rd stage >> >> >> > at the hospital i work in the paediatrician/neonatologist inisit on all >> > newborns have a rectal temp done for the first temp. i have been told >>when >> > questioning this from the clinical learning co-ordinator that there >> > once >>was >> > a baby who had a imperferated anus and this was not picked up until too >>late >> > and the baby became very sick so it is protocol. also i was told that >>there >> > is a difference in temperature as when i looked this subject up for my >>own >> > interest if you take a temp axilla there is also many other factors >>which >> > come into play such as the air temp and if the thermometer is >> > accurately >> > placed. the references i cant remember but the evidence suggested that >>for a >> > accurate reading we should be taking temperatures rectally for infants >>and >> > orally for adults not axilla and certainly not be the fold at the back >>of >> > the newborns neck. >> > regards >> > ----- Original Message ----- >> > From: "brendamanning" <[EMAIL PROTECTED]> >> > To: <[email protected]> >> > Sent: Tuesday, January 24, 2006 12:11 AM >> > Subject: Re: [ozmidwifery] IV Synto for 3rd stage >> > >> > >> > > How amazing, rectal temps are so archaic ! >> > > I thought they went out with PR exams to assess dilation. >> > > Poor you ! >> > > Keep questioning, that's how change >> > > happens............................eventually. >> > > >> > > With kind regards >> > > Brenda Manning >> > > www.themidwife.com.au >> > > >> > > ----- Original Message ----- >> > > From: "Kylie Holden" <[EMAIL PROTECTED]> >> > > To: <[email protected]> >> > > Sent: Monday, January 23, 2006 11:42 PM >> > > Subject: Re: [ozmidwifery] IV Synto for 3rd stage >> > > >> > > >> > >> All debates regarding active v. physiological third stage aside, I >>was >> > >> referring to women who have had a jelco put in for whatever reason >>(IV >> > >> antibiotics in labour, epidurals, etc). >> > >> >> > >> I completely agree with you Brenda, that the number of women who >>didn't >> > >> get their "required" dose of synto and who go on and have a (semi) >> > >> physiological third stage are evidence in favour of safe, "normal" >>3rd >> > >> stage. Unfortuately this particular hospital doesn't take too >> > >> kindly >>to >> > >> students coming in and questioning their protocols! We learnt that >>the >> > >> hard way when we (as students) tried not to take babies first temps >> > >> rectally...a protocol was soon put in place that this MUST occur! >> > >> >> > >> Kylie >> > >> >> > >> >> > >>>From: "brendamanning" <[EMAIL PROTECTED]> >> > >>>Reply-To: [email protected] >> > >>>To: <[email protected]> >> > >>>Subject: Re: [ozmidwifery] IV Synto for 3rd stage >> > >>>Date: Mon, 23 Jan 2006 15:18:48 +1100 >> > >>> >> > >>>Kylie, >> > >>>We are presuming these are all high risk women you are dealing with >>as >> > >>>otherwise there would be no need for her to have a jelco in place ? >> > >>>I am including women who have epidurals in this category as this >> > >>>automatically makes them high risk once they've deviated from the >>'body >> > >>>driven' course of labour. >> > >>>Otherwise............... >> > >>>Why would a low risk woman : >> > >>>a. have a jelco in situ during labour ? >> > >>>b. need an oxytocic ? >> > >>> >> > >>>So assuming she is high risk you need to be very sure she gets the >> > >>>oxytocic, she really needs it as her body has had its input >>overridden by >> > >>>the initial intervention so it makes sense to flush the tubing & >>ensure >> > >>>the accurate therapeutic dose is received. >> > >>> >> > >>>Maybe you might put some thought out there in your workplace about >>how >> > >>>all those women whose MW didn't flush & they therefore didn't >>actually >> > >>>get their synt (or got a reduced/minimal amount) managed to have a >> > >>>"normal" 3rd stage & no PPHs ? >> > >>>Now there's an interesting question to ask your colleagues !! >> > >>> >> > >>>With kind regards >> > >>>Brenda Manning >> > >>>www.themidwife.com.au >> > >>> >> > >>>----- Original Message ----- From: "Ceri & Katrina" >> > >>><[EMAIL PROTECTED]> >> > >>>To: <[email protected]> >> > >>>Sent: Sunday, January 22, 2006 6:04 PM >> > >>>Subject: Re: [ozmidwifery] IV Synto for 3rd stage >> > >>> >> > >>> >> > >>>>Hi Kylie >> > >>>>we actually give 5IU synto diluted in 10mls Normal saline, then >>flush >> > >>>>that through with a flush. >> > >>>>In the short time I have been in Middy even when we gave it not >> > >>>>diluted, it was still flushed. >> > >>>> >> > >>>>katrina ;-) >> > >>>> >> > >>>> >> > >>>>On 22/01/2006, at 2:20 PM, Ken WArd wrote: >> > >>>> >> > >>>>>Proberly where it should sit for a normal birth. But when it is >> > >>>>>advisable to >> > >>>>>give synto, then I guess you should flush the line. >> > >>>>> >> > >>>>>-----Original Message----- >> > >>>>>From: [EMAIL PROTECTED] >> > >>>>>[mailto:[EMAIL PROTECTED] Behalf Of Kylie >>Holden >> > >>>>>Sent: Sunday, 22 January 2006 12:14 PM >> > >>>>>To: [email protected] >> > >>>>>Subject: [ozmidwifery] IV Synto for 3rd stage >> > >>>>> >> > >>>>> >> > >>>>>Hi all >> > >>>>> >> > >>>>>I'm a Mid student (who has finally finished all her birth >> > >>>>>requirements...yay!) and this issue has only just come up for me >>over >> > >>>>>the >> > >>>>>last week or two. For the first time in two years, a midwife I >> > >>>>>was >> > >>>>>working >> > >>>>>with pointed out the importance of flushing through the synto if >>you >> > >>>>>have >> > >>>>>given it IV, if there was no drip running to flush it through. >> > >>>>> >> > >>>>>This obviously makes sense, because if you don't flush it, the >>synto >> > >>>>>will >> > >>>>>just sit in the J loop or IV line. However, I had never actually >>seen >> > >>>>>a >> > >>>>>midwife do this before. Over the next few days I asked a few >>midwives >> > >>>>>what >> > >>>>>they do, and the responses I got ranged from "Why on earth would >>you >> > >>>>>need to >> > >>>>>do that?" to "Yes, of course you need to flush it!" >> > >>>>> >> > >>>>>Any thoughts on this topic? >> > >>>>> >> > >>>>>Kylie >> > >>>>> >> > >>>>>_________________________________________________________________ >> > >>>>>New year, new job - there's more than 100,00 jobs at SEEK >> > >>>>>http://a.ninemsn.com.au/b.aspx? >> > >>>>>URL=http%3A%2F%2Fninemsn%2Eseek%2Ecom%2Eau&_t >> > >>>>>=752315885&_r=Jan05_tagline&_m=EXT >> > >>>>> >> > >>>>>-- >> > >>>>>This mailing list is sponsored by ACE Graphics. >> > >>>>>Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe. >> > >>>>> >> > >>>>> >> > >>>>>-- >> > >>>>>This mailing list is sponsored by ACE Graphics. >> > >>>>>Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe. >> > >>>>> >> > >>>> >> > >>>>-- >> > >>>>This mailing list is sponsored by ACE Graphics. >> > >>>>Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe. >> > >>>> >> > >>> >> > >>>-- >> > >>>This mailing list is sponsored by ACE Graphics. >> > >>>Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe. >> > >> >> > >> _________________________________________________________________ >> > >> New year, new job - there's more than 100,00 jobs at SEEK >> > >> >>http://a.ninemsn.com.au/b.aspx?URL=http%3A%2F%2Fninemsn%2Eseek%2Ecom%2Eau&; _t=752315885&_r=Jan05_tagline&_m=EXT >> > >> >> > >> -- >> > >> This mailing list is sponsored by ACE Graphics. >> > >> Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe. >> > > >> > > -- >> > > This mailing list is sponsored by ACE Graphics. >> > > Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe. >> > > >> > >> > >> > -- >> > This mailing list is sponsored by ACE Graphics. >> > Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe. >> > > > _________________________________________________________________ > Buy now @ Tradingpost.com.au > http://a.ninemsn.com.au/b.aspx?URL=http%3A%2F%2Fad%2Eau%2Edoubleclick%2Enet% 2Fclk%3B24875379%3B12369854%3Ba%3Fhttp%3A%2F%2Fwww%2Etradingpost%2Ecom%2Eau% 3Freferrer%3DnmsnHMetagv1&_t=752643439&_r=hotmailtagline&_m=EXT > > -- > This mailing list is sponsored by ACE Graphics. > Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe. > -- This mailing list is sponsored by ACE Graphics. 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