Amnisure/ROM Plus
For those of you who perform either Amnisure or ROM Plus. Do you list the "rule of three" within your procedure, explaining that no laboratory test should not be used as a stand alone? Are your doctors following that recommendation or are they using the Amnisure/ROM Plus as their only evaluator? Also are you still performing Nitrazine testing for ROM evaluation?
We are looking to switch to Amnisure but I need to make sure that the doctors are aware that they need to use it as a tool along with other evaluators (ultrasound, contraction monitors, fetal heart rate, etc...). I'd like to eliminate Ferning and Nitrazine Testing but I need to figure out a way to make sure they do not rely solely on the Amnisure result.
If you would be willing to share how your institution is handling this, I would greatly appreciate it.
Thank You,
Kelly
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We use AmniSure. They also use the physical exam, contraction and fetal heart rate monitors to assist in the evaluation. We eliminated ferning and nitrazine testing. There are no issues with compliance, as all of this is routine; the patient is thoroughly evaluated using whatever is needed. Our physician groups are well aware that one negative indicator is meaningless.
Thank You Karen!!