I should have known it would be a wild night - page 2

i should know by now to judge the night by the amount of broken or missing equipment and lack of supplies. i arrive. full floor with 4 patients in delivery. forget help from those girls, they are up... Read More

  1. by   kittyw
    I only got one day in L&D, 2 in PP, and 1 in the nursery... granted they were 12 hour days.... I got to see 1 c/s, and 2 svd with one of them hemmoraging afterwards (3rd degree tear and a mec baby at that). That was quite an experience!! The part that I couldn't stand was having 30+ babies all in one small room crying at the same time!!! Give me guts and gore or boobs anytime over that....
  2. by   mother/babyRN
    Lets see, in my "lowly" diploma program, we had 12 weeks in each area so 4 weeks of 4 8 hour days ( with a few eves thrown in). I promised myself it was not my bag, especially since I was a very innocent little Catholic girl in a very busy inner city hospital...
    Well, here I am....
    Back to the present for a moment. I report to work last night and discover there will be one and one only, nurse for each area....Gulp. Walk through the er on the way up and it is chock full..Not ever really a good sign. helicopter pad is just outside delivery. There are 2 helicopters on it. Definitely not a good sign. 7 patients on pp with 2 fresh sections. 6 babies in the nursery. No one, thank God ( as I was the designated delivery nurse) in delivery. I am the boss for the shift so I elect to check and restock delivery, then go out and help the nursery and Post partum. Some lovely evening nurse tells me she will be on call as she made a deal for the holiday off and it's dead anyway....Off she goes...She is gone about 10 minutes into pp report when admitting calls to tell me to come down right away as we have an active patient that is thankfully due. I look her up quickly, mentally hoping that the feeling I had the night before, when I was also alone in delivery, and set 2 tables instead of 1, was a good one and a table was set because, after all, if there wasn't, THEN what? It was. Patient was hiv+/gestdm/negative blood type AND 36 weeks. I am about to pee my pants. Decide to cut the short way through the bustling ER. Run into another nurse who tells me she has noticed a 23 weeker who came in two hours earlier and was triaged to them instead of to us and I should check her out. I agree but I have the first one pushing in the waiting room. So, I recruit her to bring the other one up. As soon as I get to delivery I beg the pp nurse to call in the evening person, who will be totally shocked to hear that I have called her in. Put the 37 weeker on the monitor and do a ve 9/c/+1. Put the 23 weeker on another monitor and can't find a fh. Pick up the phone and command the doc get over. Do we have any AZT ( yep, in my left pocket I say). Where are the other nurses? We HAVE no other nurses. PP nurse also having trouble locating the 23 weeker fh, so throws in an iv and o2 on to bring it up. NO ONE to care for pp people so nursery person overlooking for lights and the like. Call person comes in. No AZT. We have a baby in 17 minutes of arrival. FINALLY get that all set and baby to the nursery for asap treatment, send the call nurse to bed, go down to pick up paper work and get upstairs only to find that another 2 patients are on the way in with ruptured membranes. I drop the paperwork and almost become incontinent, rush to do another table and PRAY things work out, everyone including me survives the night AND someone shows up to take my place. But, of course, NOTHING ever happens in delivery, unlike the ER and ICU...This pace keeps up and pretty soon I"M the one that is going to end up in either place. lol. I did take the time to call the lovely ER nurse and tell her she had made a good call with the 23 weeker...We need each other, afterall......Have a great day!

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