When I was doing the care plans for the establishment I turn up to occasionally I carefully worded it to say that they should be done as needed or indicated but when the printed copy appeared it had been revised to say BD. Like hitting the proverbial brick wall.
Anyway what I think the problem really is that when left to individuals to do or not do what happens is that some people seem to be able to discern that obs are not needed for individual women but cant see that they need to write something that acknowledges that they were 'with' the women, So what appears in medical records for them to code is a blank page and blank pages dont attract money or assist the coders in deciphering what happened while the woman was in the establishement. There are many things you can write in the notes that show you were with the woman doing what midwives do without writing meaningless obs.
Anyway thanks for this credible source for me to use when called on to defend why I dont do obs on woman who dont do them. it sounds much better than my usual line of because it *********
Andrea Q -- This mailing list is sponsored by ACE Graphics. Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe.
