CNM Certified Nurse Midwife

Category - Professional Issues

An obstetrician complains to a nurse midwife that the staff nurses in the labor and delivery unit are not informing him about the condition of his patients. The physician also says, “Your nurses do not even know how to document in my patients’ records.” Which of the following responses is most appropriate?
  1. “Our staff nurses are well-trained and prepared to manage the patients. Your complaint about their substandard documentation skills is the first one of this type that has been received.”
  2. “I’ll investigate your concerns and I will send you a written report. Thank you for bringing this matter to my attention.”
  3. “The unit has been admitting a lot of patients for the past two months. Give us sufficient time to improve the system in the unit.”
  4. “We are short-staffed. We are doing our best for the patients.”
Explanation
Answer: B - The nurse midwife deals with this situation by informing the physician that an investigation will be conducted and that a written report will be provided. The nurse midwife should neither deny the problem (option A) nor make excuses (options C and D).
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