Was just working with an MD delivering a G2 P1 39 5/7 wks pt. Baby was born pale, limp, no cry and HR of 100. The MD put the babe on mom's chest, within about 45 seconds I noticed that fan that had been on mom in the room was still on and told the MGM to turn it off. Was trying to dry and stimulate babe on mom, my respiratory therapist was handing me dry blankets to use on babe. After about 3 minutes I said I needed to get baby to warner. The whole time the family and mom is saying, "Why isn't he crying, why doesn't he cry?" At the warmer babe still not crying at 5 min. still pale, HR 110, getting O2, temp 95.2. MD says, "Do you have the pit running", because mom started to bleed pretty heavily, so I had to leave babe with RT and go hook up the pit (it was on the IV pole just not hooked up). MD comes over and at that point I go to Mom (we only have one nurse in room with delivery).
I wrote APGARs as 6 (1), 7 (5), 9 (10). I knew the doc would be mad, she never wants any of her pts to have any problems. Babe was 5 lbs, 5 oz and looked like crud. His mom was quite the smoker........
Anyway, doc wrote in her note that I read the next day that baby had good cry and good tone at birth but nursing did not remove wet blankets, left the fan on in the room and did not have the warmer on properly! She also crossed out some of my numbers (minutes for pushing) and wrote in her numbers. And she wrote that the CRNA bolused the epidural 15 minutes prior to delivery and I had documented that he came 36 minutes prior to delivery (not sure what he has written).
I am so mad I want to quit. I took it to my DON and we will see what happens. Her charting makes everyone look bad, and I am worried about the baby. He is a high risk for SIDS with mom being a heavy smoker, SGA and male and time of year.
I don't think I can work with her any more, I can't trust her.
