Iv'e been working L&D for seven years. Most of the time has been in high risk. A few months ago I took a job part-time in a small hospital. My fear is court. Example, the other day a labor patient G1P0, 42 weeks, not other risk factors, was in labor and the fetus was in distress. Lates, deep variables. Pitocin was running. The midwife called the MD in and we all waited for the c-section to happen.
While we waited I went into the room to see if the patients nurse needed help with anything. My observation - no O2 was on the mother, no IVF bolus was being given, and the mother was on her back, and in much pain. The nurse said she didn't ned anything so I left. In my eyes this situation could have possibily been corrected. Looking back I wish I had stepped in and done something, but I would have not been supported if I had.
Same hospital 2-3 weeks ago. A post c-section was bleeding out in the PACU. The nurse(a different nurse from above)called out for methergine. I went to the room with the drug and drew it up. The patient was in shock and still bleeding. Pitocin IVF bolus was running, no O2 was on the patient. The nurse was running about the room looking for a MD order to give the drug. This nurse forbid me to give it without an order. The patient had no risk factors or contraindications to the methergine. I managed the patient while the other nurse call the MD for help. The patient recovered.
I want to quit this job.
Please tell me your thoughts.