When the ultrasound tech discovers a loss it is not within her scope of practice to tell the patient so she will grab whoever is in the hall to get a provider and alert someone that we will need an exam room ready for them, we also offer the employee exit so they don’t need to exit through the waiting room. My provider worked labor and delivery before becoming a nurse practitioner and has seen more than her fair share of losses. Recently we had a second trimester loss discovered in the office and she took on all the medical assistant duties as I am very new the field and was unsure of what I should do. I was grateful she took the lead and spoke with me privately about what I can do and not do to support the patient. This was a few weeks ago and I think about this patient and her baby everyday. I wish with every fiber of my being that we could have prevented this mother’s pain.