monkeybug 11,912 Views
Joined: Feb 26, '10;
Posts: 726 (61% Liked)
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The only minor problem I have with continuous EFM is that it doesn't give you chance to go to the bathroom exactly when you need to. Sometimes when you are laboring, things happen too fast for a nurse to get there with a bedpan in time (and how comfortable can a laboring woman really get on a bedpan). This is bad enough when the nurses are understanding about it, but some of them are not and make a patient feel bad about what couldn't be helped. I think that is unacceptable.
It was a NST that helped save my youngest son's life, and I would rather have nurses ****** off that I crapped the bed than have a dead baby.
First of all, best wishes for you. I'll say a prayer for you. I worked in L&D all during my infertility escapades. I would go in for ultrasounds and blood draws before my 3-11 shifts. Looking back, I really think it would have been better for me to have been somewhere else. I don't know where, as I could never stand the thought of med surg. Maybe Walmart. It was tough, really, really tough. I dealt with a lot of anger and bitterness. Every time a teen mom would mouth off at me, or say something inappropriate about their baby, every time someone would come in high on crack and deliver, every time someone failed to appreciate the miracle they'd just been bestowed, I'd inwardly rage. Why them, and not me? Why did they get a baby when they were doing everything wrong, and I couldn't get pregnant, despite doing it all the "right" way? I was a walking tornado of anger. The other nurses that got pregnant on the unit tended to tiptoe around me, but I appreciated that they recognized my anguish. And my coworkers rejoiced with me when I got pregnant. My fertility specialist finally refused to proceed until I went to counseling, and I utilized our hospital's EAP. It really helped to talk about it. I should have done it long before I did, but my attitude towards counseling was "you're never going to make me happy that I'm barren!" (I tended towards the dramatic while hopped up on all those hormones.)
Most L&D nurses will, at some point in their career, question the choices of the universe, or God, or fate, when it comes to who gets to be a mom. We just see too many unpleasant things. When the nurse is also trying to conceive, it can escalate these feelings. I don't want to discourage you from a career choice, because quite possibly you are a much more logical, kind person than I, and therefore won't feel the way I did. It was 4 years of hell for me, though, going to work every day and going home to a room that was supposed to be a nursery but was instead empty. I'm sure I wasn't the best nurse through it all. I still got great patient comments on surveys, and I still even taught childbirth class through it all, but I was a very angry, unhappy person on the inside.
I have seen a bedside committal. It actually happened pretty quickly. In small towns, the doctors and judges may be friends, and it might not take more than a phone call. At least that's the way it happened in what I witnessed. And in the end, the patient was grateful. She was hypoxic and therefore not thinking at all clearly. The idea still makes me squirm though, as I very much believe in autonomy.
I am not afraid, I'm cautious. There's a difference. If I'd had my son at home as I had planned, he would have died without a doubt, and I had a picture-perfect pregnancy and labor with no risk factors. The delivery is where things got very scary, very fast. I was thankful for the NICU team who resuscitated my son and saved his life. Yes he was sick and I had to leave the hospital without him but he's alive and well today because I listened to my gut and chose to play it safe and switched my care from a midwife to an OB/GYN and delivered at a hospital with an excellent NICU.
Shoulder dystocia? Maybe if women weren't stuck flat in bed with an epidural and pitocin, they'd be able to get up and move to prevent that. Not only that, but hands and knees is very very crucial to getting out of that situation, which oh by the way, can't really happen all that great when she's paralyzed from the waist down.
Shoulder Dystocia - Spinning Babies
BTW, you've probably seen too many bad things because you're probably in a hospital that is part of the 1 in 3 c/s epidemic. No wonder you're scared. birth isn't a medical emergency. If I ever have another I can't wait to have it in the comfort of my own home, surrounded by knowledgeable supportive people with the right qualifications to remedy that very slim chance of something going awry.
I've only been an LVN for 4 years & being an LVN not able to work in L&D. I'm pregnant with my first child & it just boggles my mind what mothers/parents request from reading this post. I don't have a birth plan, per say. But I do know what I do & don't want. I am flexible & know my baby's health comes first rather than any plan. Especially when things can go from great to horrible in the blink of an eye. I just wish I could have one of you L&D nurses as my own when I deliver.
This attitude is a prime example of why hospital births can be so awful. In a hospital, giving birth is focused on what is convenient for the OB/Nurse/ hospital. Continuous fetal monitoring has not been proven by the evidence to lead to better outcomes for mom or baby- and as this nurse has pointed out, it allows him/her to "do their job," which has nothing to do with evidence based practice. It basically takes mom out of the equation, and along with her goes her personal health choices. A birth plan is designed to protect the integrity of her choices.
To be honest, the whole point of this thread makes me sick. To laugh at women and their birth experiences. It's not a laughing matter, and these women are very valid in their feelings. I think if nurses want to laugh at their patients maybe they need not to be a nurse in the first place. We need people who care, not people who obviously don't belong in this specialty if they are going to further drive up the c/s rate because they laugh at mom's requests. Maybe its not the mothers who aren't educated, but the nurses.
My dear grandmother was truly from the backwoods. Think Deliverance. She had some interesting terms. Deaf was pronounced "deef" with a long E. Vomit was always vomick.
One I hear a lot (from nurses and patients, it's definitely a regional thing) is "eat up with" as in "He is just eat up with poison ivy." It means he has a very, very bad case of it. "They opened her up and then just closed her right back because she was just eat up with the cancer."
A daddy had a question about his baby's umbilical cord, but he kept calling it his "unbiblical" cord. I wondered what heretical ideas that poor cord stump had espoused.
Epidural is another word that is absolutely mangled. The absolute best, though is "happydural". I've also heard "opadural" "empadural" and "spinal tap".
At my facility, I love how we are always told it's a "universal working place." Universal meaning nursing does our job, along with housekeeping, laundry, and dietary. We are required to help serve in the kitchen, and clear tables when they are done. It's annoying sometimes but I understand we have over 60 residents to serve for only 3 usual kitchen employees so I don't complain too much. But when kitchen staff is hanging out in a corner talking as nursing is doing all their work grinds my gears. Or like the other day, after I just toilets a resident who had a huge BM mess (yes I wore gloves, washed my hands, ect. That's not the point) I had to go help serve. One lady wanted iced tea with lemon, another a grilled cheese. I went ahead and got the iced tea myself, asked where they kept their Lemon and the lady stated "it's in the fridge, you have two arms and the knives are in the back. Cut it yourself, we don't have time. Excuse me? I bit my tongue and cut up the lemon so I wouldn't start drama. I then told the cook about the lady requesting grilled cheese. Her reply? Are you too stupid to make it yourself? Your arms aren't broke. I about lost my mind after that comment. I walked right out of the kitchen and have refused to serve since, and my boss agrees.
Went to a conference where a doctor from the deep South pronounced gynecology (guy-na-cology) as "gin-a-cology." And that was her specialty, so I figure she was just pronouncing it like others from her locale.
Please feel free to correct me if I am wrong about that.
If you like that one, you should like these:
"my good girl"
People are ridiculous, aren't they?
In nursing school I did clinicals in a small hospital that had some interesting charting I've never seen anywhere else. I wonder if anyone else has heard of it? At the end of the shift, say 3-11, you'd chart, "2200 Stable hrs.-----A Nurse, RN" to indicate, I suppose, that the patient was still breathing at 10pm. I even witnessed someone from medical records bring a chart to a nurse and tell her to finish out her shift. She'd made an end of shift note, but because it didn't say "Stable hrs (hours)" it wasn't complete. I've worked in many hospitals across the country, and never again have I run into this notation.
When our employee surveys indicated incredibly low morale and extreme dissatisfaction with management, we were forced to attend meetings where we (the staff nurses) had to come up with ideas about how we could improve things. I think they missed the whole point. I've left the hospital, but from what I hear from my friends still there, things are going down hill fast.
You are free to dislike abortion and to choose not to complete one.
Not every American shares your Christian belief system which prohibits exercising of that right.
Many of us are concerned about the ongoing erosion of women's reproductive health rights in this country. We are concerned that legislators (generally older white men) are clamoring to make abortion unavailable in their geographic region for many poor women. Along with the disappearance of abortion clinics is the disappearance of clinics which provide reproductive health care to those very same women. Please review what is happening in Texas as example.
At the same time, the SCOTUS is deciding whether or not your employer may decide for you which birth control will be paid for by your health insurance. that is, apparently because it violates the religious beliefs of the company. (what church does your company attend?) Which personal thing will they get to decide for you next based upon their "religion" or faith system (does capitalism count as a religious or faith system)?
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