The person I spoke with was very nice and asked if I wanted all of the records or just portions. I told him I definately wanted all the records from the time I was admitted through the delivery and that it was important to me that the sugery report be included. He pulled up my records and said "Hmmm...that's odd. There is no OR report. There is just a one-page handwritten summary that she did upon your discharge. Looks like your doctore didn't dictate an OR report." At first he thought from the records that I didn't even have a c-section because of the lack of OR records.
WTH??? I asked if she could do legally that and he said "I guess she can. Looks like she didn't dictate anything about the c-section. There is just this one page summary that is handwritten and it doesn't include any OR specifics."
The operation portion of my birth was the one part that I have had the hardest time coming to closure with and now I have NO DETAILS. No specifics on what type of suture she used, no idea how long I was on the table....NOTHING. Is that legal? Do I have any recourse? I mean, other than calling her and giving her a piece of my mind, can I report her?
I am just so sad and frustrated right now, not to mention angry. Any advice?
I hope that you have some legal recourse!
Texmati-- Knitter, Hindu, vegetarian, WOHM. Wife to superdad and mom to DS 24 months, and DD 8 months! .
Another thing to do would be to call the office of the MD that did the surgery. I believe they always get a copy of both your hospital record and their dictation. They might be able to help if the hospital can not.
Mom & RN
Pardon the typos - CWOK (cat walking on keyboard)
as far as do they HAVE to do it? YES. under the medical practice act, all 50 states and teratories must have compliete and accurate documentation, each state has their own and may say it different, but yes they do. also the AMA says they do.
Lisa, lucky mama of Kelly (3/93) , Emma (5/03) , Evan (7/05) , & Jenna (6/09)
Loving my amazing dh, James & forever missing Aaron Ambrose (11/07)
There has to be a record somewhere.