I just statrted a new contract with a very small hospital. They have 2 OB docs and 30-40 deliveries a month. "they don't do deliveries at night" is what I was told by the other nurse working there with me on nights. Well, since I started there they have started delivering at night! LOL! Definitely had a pretty bad scare the other night (2nd night) g2p1 came in ruptured while getting out of wheelchair to bathroom, light mec. Anyway.. get her to bed start asessment, call report, doc says go ahead and check her. WELL... she is 6/100 and BREECH!!!! I call the doc back he says stat US, no problem, right? Wrong... Radiology has to be called out at night and it will take 45 minutes. Then paitent starts having "pushing pains" HOLY MOLY... she is complete and butt is at +1. Teach patient panting no pushing run and call the OB. He is ho-humming around (this particular doc doesn't like to come out at night and I found out he lives almost 1 hour away. I told him we hadn't had u/s yet but I knew what I was feeling. I told him that either way if he didn't beleive me about presentation he needed to come anyway because she was complete. I was thinking I don't have time to argue with you.just get you A#$ here! So I go back to room and she is REALLY panting. I pray like I have never prayed before for a patient. Get her in trendelenberg, I called to desk and asked the other nurse (nursery) to bring me terb. Well, troops started showing up for c/s ONE HOUR LATER!!!! Delivery time was 1 1/2hr from time of complete. The OB wanted anesthesia to sit her up for spinal. Not a one stick spinal of course, it took him 5 tries. Apgars...3/7/8. The whole time the c/s going the doc is griping about "having a day job too". I was in shock. He was giving me such a hard time about him having to come out in the middle of the night. See, two nights before this one of his patients precipted because he didn't make it(that was the first time I had met him). I told him "well I couldm't deliver thsi one for you" he kept on and on. Finally I said "well maybe you should have gone into dermatolgy" He didn't like that at all. Then later I found out he told the other OB doc he didn't like me.
THE NERVE of this guy. He never once said thanks or even showed any type of appreciation. The family was very appreciative because they knew the seriousness of this. The family kept asking me..it is gonna be alright, right. I didn't know what to say. I DIDN'T truely know if it was gonna be OK. My mind was replaying over and over how to deliver a breech if necessary. But only seeing it done I was SCARED. Later I joked... I din't know who had passed more meconium...me or the baby!!! LOL
