MAB Meeting Held on 17 March 1999

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Although this had been "settled" at the last meeting, no action had been taken and patients are still coming to OT without this essential investigation. Dr. Jacob Thomas has suggested that this be brought up at the next Quarterly Medical Staff Meeting. Again, in spite of the promise that this will be looked into, no action has been taken. Doreen has been assigned to look into this and she will be liasing with Salim to work something out. The DNA (not of the nucleic acid variety) has complained that she is unsure of what to do in the situation where an urgent Caesarean section is being booked by an obstetrician who has not seen the patient. There is, therefore, no valid consent form.

According to the SJMC Theatre Handbook,

  1. SJMC Operating Theatre Facilities - Emergency Cases : In all instances, booking can only commence after the new admission has been examined by the attending doctors, and
  2. E   GENERAL RULES - Consent - E1 : ... no patient may enter the OT without the signed consent.
However, if she followed these rules, the obstetrician would very likely fly into a rage and start scolding her.

It was generally agreed that this was a situation which had not been foreseen when the handbook had been prepared. It was obvious that the rules had to be amended to account for these exceptional cases. Dr. Husain will be looking further into this.
 
 



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Updated:-  19 March 1999