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Almost all of our "raised" results are faxed to previously agreed numbers by pre-programmed fax to an agreed individual (though this is generally only "Senior Midwife" to avoid the loss of results during holidays. We only undertake to do this after getting a signature agreeing to our "faxed results" policy from the senior midwife. Fax machines are generally in a non-patient antenatal clinic area, but some go to consultant secretaries. We also have a named individual at each source to deal with problems. Telephoned results are given to an agreed list of individuals or consultant when we cannot find someone. The responsibility for contacting the patient lies with the named individual we fax the results back to. We do not give results to patients even when an antenatal clinic has (allegedly) told the patient to 'phone us (!!!) or engage in individual discussion of results with anyone but a midwife or obstetrician. Conselling policy varies across the region (we cover most of Yorkshire) and may be performed by a counsellor, midwife or obstetrician with varying degrees of training. We are aware of the problem of getting reliable clinical demographic/clinical information for the calcualtion. We get around this problem by printing the information used in the calculation on the bottom of the report form and stating explicitly that if any of the information is incorrect then the risk will be too and will need recalculating. >From: "Sue Walker" <[log in to unmask]> >Reply-To: "Sue Walker" <[log in to unmask]> >To: "acb mailgroup" <[log in to unmask]> >Subject: Serum Screening/Downs - contacting/counselling high risks >Date: Thu, 20 Jul 2000 17:24:38 +0100 > >Could any colleagues involved with serum screening for Downs please tell me >your policy/actual procedure for contacting high risk/positive women to get >them to attend for further counselling etc. Also who does that further >counselling? Is it uniform or do you have variations depending on origin >of sample (eg another hospital/district) or particular consultant >obstetricians? The reason I ask is that we have different procedures for >different obstetricians and I would like to collate consensus/best practice >to take to discussions with obstetrics and midwifery colleagues. Any >information would be gratefully received. Thanks, Sue Walker, Salisbury UK ________________________________________________________________________ Get Your Private, Free E-mail from MSN Hotmail at http://www.hotmail.com %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%