What are unreasonable and unnecessary services in healthcare or dentistry?

Answer 1

It might be best to give some examples:

1. An OB-GYN is known to schedule all of his pregnant near-term / near due date patients for C-sections, even though there are no medical reasons for the surgeries. The Medical Board determines that the Dr schedules these surgeries before he plans to go golfing. The surgeries were only for his convenience.
2. A dental practice chain for children is found to be pulling every child's baby teeth-- all the baby teeth. Baby teeth will fall out on their own; they do not need to be extracted. Further, the children were held down and given no Novocaine.
3. A woman consulted a plastic surgeon because her tummy tuck healed scar caused her pain. The surgeon convinced her she needed a hysterectomy and referred her to his buddy to do the surgery. Obviously, it did not correct the original problem.
4. A nurse works evenings in a nursing home. One patient is loud and combative after a recent fall resulting in an injury to the woman's shoulder. Rather than assessing the pt for pain and giving the pain med the doctor ordered, the nurse gives bedtime sedation at 7pm rather than at 11pm. She gives a second dose at midnight. The woman is too groggy to sit up, to walk, or to eat her breakfast without help, but is also moaning in pain. Daytime nurses call the Dr who orders no meds be given until the patient is more alert (a good order), then to re-assess for pain and reduce the pain med dose to 10 mg every 6 hours; then resume previous med orders. Giving sedation early in the evening was not only unreasonable and unnecessary, it was an inappropriate nursing intervention that created harm.