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Thread: Can we discuss the Eye Ointment again?

Started 2 months ago by LaffNowCryLater
I was all gung ho about refusing the eye ointment, because I thought that it only protected against ophthalmia neonatorum/neonatal conjunctivitis from chlamydia or gonorrhea- neither of which I have. As I did some more research I see now that it also to protects the baby from getting ophthalmia neonatorum/neonatal conjunctivitis from Haemophilus influenzae and Streptococcus ...
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Total authors: 15 authors
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LaffNowCryLater replied 2 months ago
So the other two organisms simply give the baby pink eye? That is kind of what I was wondering (pink eye or something more serious). I'm not too concerned about that considering I allowed the eye ointment with my other 3 kids and it gave them chemical conjunctivitis.

nashvillemidwife replied 2 months ago
It's all pink eye. That's what "conjunctivitis" is. That's not to say it can't be very serious, it all depends on the pathogen. I do not know how serious an infection would be from the bacteria you named, but they are not common causes of infection.

LaffNowCryLater replied 2 months ago
Thank you. Do you happen to know what I would need to do to refuse the eye ointment at a hospital in TN? I called a few hospitals (to compare what they said) and the nurses there don't know much from what I could tell and one even told me a court order was needed (??). I was planning on typing up an affidavit and getting it notarized or something. Unless I am reading TN Code 68-5-202 wrong, it ...

nashvillemidwife replied 2 months ago
It is up to the hospital or provider to decide how they want to handle it. Legally, there is no option to refuse. If the provider doesn't do it, they are committing a Class C misdemeanor. I don't know what an affidavit would do for you. What do you think you are going to be able to say on that piece of paper that will supercede the law? Legally speaking, your refusal is irrelevant and they are ...

LaffNowCryLater replied 2 months ago
The law says: Quote: It is the duty of any physician, nurse or midwife who assists and is in charge at the birth of any infant, or has the care of the infant after birth, to treat the eyes of the infant with a prophylaxis to prevent ophthalmia neonatorum or infections leading to blindness.The treatment shall be given as soon as practicable after the birth of the ...

LaffNowCryLater replied 2 months ago
Quote: Originally Posted by nashvillemidwife It is up to the hospital or provider to decide how they want to handle it. Legally, there is no option to refuse. If the provider doesn't do it, they are committing a Class C misdemeanor. I don't know what an affidavit would do for you. What do you think you are going to be able to say on ...

nashvillemidwife replied 2 months ago
Quote: Originally Posted by LaffNowCryLater BTW, the nurse said I would need a court order to refuse it. Not that they would acquire one to get me to comply. Right, that's what I meant too. I'm not sure you're seeing the situation quite head on. The law says the provider has to do it, and if they don't it's...

LaffNowCryLater replied 2 months ago
Quote: Originally Posted by nashvillemidwife Right, that's what I meant too. I'm not sure you're seeing the situation quite head on. The law says the provider has to do it, and if they don't it's a class C misdemeanor (up to 30 days in jail and/or $50 fine). There is no exception for the parents refusing it. The law does not extend ...

nashvillemidwife replied 2 months ago
Did your research turn up the incidence of infection from those organisms? It may be true that they protect against them, but that is not the reason the eye ointment is routinely given to all babies. I am wondering if a newborn baby is any more at risk of getting an eye infection from those bacteria than the general population. Everyone who has eyes is at risk of pink eye. The concern with ...

katelove replied 2 months ago
I'm not sure of the answers to your specfic questions but I just thought that I would mention that here in Australia routine administration of eye ointment for neonates is simply not done and hasn't been for at least 16 years.

 

Top contributing authors

Name
Posts
LaffNowCryLater
15
user's latest post:
Can we discuss the Eye Ointment...
Published (2009-11-13 12:21:00)
I talked to a very reliable person and was told I can refuse it if I want Hopefully the lack of knowledge of the law on the hospital staff's part won't give me any stress.
mamatolevi
7
user's latest post:
Can we discuss the Eye Ointment...
Published (2009-11-13 12:39:00)
Quote: Originally Posted by LaffNowCryLater I talked to a very reliable person and was told I can refuse it if I want Hopefully the lack of knowledge of the law on the hospital staff's part won't give me any stress. If they give you any grief, just ask for someone from the legal dept to come visit you.
nashvillemidwife
6
user's latest post:
Can we discuss the Eye Ointment...
Published (2009-11-12 08:19:00)
Quote: Originally Posted by LaffNowCryLater I'm a big policy nerd, I love picking through and reading policy manuals I'm gonna ask for a copy of the policy when I pre-register. Our law only says "prophylaxis". It used to name 2 antbx but that part of the code was wiped off in 2008. I would love to know why. In Tennessee the names of the drugs were removed because 1) silver nitrate is no longer used and 2) it's...
lovebug
3
user's latest post:
Can we discuss the Eye Ointment...
Published (2009-11-11 11:53:00)
Quote: Originally Posted by nashvillemidwife It's for chlamydia, gonorrhea, and syphilis. The other STDs are viral so not affected by antibiotics. They give it to every baby because despite a negative test, you can never know for sure that a woman does not have it. The test could have been a false negative, or she may have picked up the bacteria since the test was performed. Unless her partner is by her side every minute, every woman who...
Kidzaplenty
3
user's latest post:
Can we discuss the Eye Ointment...
Published (2009-11-11 12:18:00)
It is hospital policy and will happen, not just the nurses spouting off. Now, I was not worried about CPS showing up as I do know how to handle them, but at the moment of decision, DH thought it would be best to just give in rather than deal with it. We had already caused enough waves to last them a lifetime. DH figured it was one battle we should give to them. We did not fight the Vit K shot either as DS was a traumatic birth with much head...
Channelle
2
user's latest post:
Can we discuss the Eye Ointment...
Published (2009-11-11 10:52:00)
Quote: Originally Posted by Kidzaplenty The hospitals here are required to call CPS if you refuse the eye ointment. So, that is something to consider. Can I ask how you know this? I'm trying to find out what I can and cannot refuse in my state and when they are required to call CPS, but not having any luck...
katelove
1
user's latest post:
Can we discuss the Eye Ointment...
Published (2009-11-02 20:32:00)
I'm not sure of the answers to your specfic questions but I just thought that I would mention that here in Australia routine administration of eye ointment for neonates is simply not done and hasn't been for at least 16 years.
someguy79
1
user's latest post:
Can we discuss the Eye Ointment...
Published (2009-11-10 22:49:00)
Some states have religious or philosophical. Mine has religious. I am also allergic to emycin lethally so. I have handled it like this. I draft a document BOLD RED title advanced medical directives. Toss a paragraph in about any employee or contractor etc is prohibitted from providing care if they cannot follow the directives that I reserve the right to charge anyone with medical battery etc, but based on exp. expect that wont be an issue...
lunita1
1
user's latest post:
Can we discuss the Eye Ointment...
Published (2009-11-11 13:04:00)
This is an interesting thread. I refused eye ointment at my last two hospital births and no one batted an eye.
anj_rn
1
user's latest post:
Can we discuss the Eye Ointment...
Published (2009-11-12 18:07:00)
As a former NICU nurse I thought I might pipe in (although I would like to start by saying I declined the ointment for my dd). Most hospitals have a policy that the nurses have to use a specific prophylaxis (in our case erythromycin oint). There are LOTS of cases of infected women who end up with these diseases and do not have a clue (usually b/c their hubbies keep re-infecting them). Some hospitals do have a policy to call CPS for refusals,...

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