I know where you are, about 6 years ago when i came to work at the hospital i now work at, we only had 2 RN's on at night. I can't tell you how many times, we had near misses and God must have been looking out over us. One night when there was just the 2 of us, we admitted a lady 34 weeks ruptured, irreg ctxs, not laboring. Over the next several hours, this pt went to 9cm/and it was discovered she was breech, no doc in house. We immediately called the doc, and our call person who was about 55 min away. The doc came in demanding that both RN's come back to the OR for possible C/S if vag birth couldn't be performed. At the same time a triage pt came in bleeding, appeared stable, put her on the monitor, what few minutes she was there baby looked good. I ran back to the OR with the other RN, did the delivery, thank God went well, vaginal breech. left that delivery quickly, went back to triage to find my pt pushing, stopped her from pushing as her boyfriend said she was told last night that she would have to have a c/s due to herpes. My heart went to my feet. The other doc had already left. The other RN was transporting her fresh delivery back to her room, the call person was not there yet. It was God that got the doc there in time to do the c/s. However, the other nurse had left her deliverd pt and newborn (never recovered)to scrubb the c/s. All turned out ok, however, it could've been bad. When I discussed it with the L/D manager at that time, I was told....but see, it all works out in the wash... In the mean time, I was a nervous wreck. About a month after that, we had 1 lady pushing about to deliver, when a midwife & MD came from a local birthing center with a baby in fetal distress, The 1 RN was pushing with her pt, the other went to set up for the c/s. This left the midwife and MD to prepare the pt for surgery, the baby came out pretty bad at first, but later did ok. It was at that time, that MD went to the hospital administrator and complained and he demanded that we at least have 3 RN's (L/D) qualified, in house at all times. Sometimes it takes the MD's to talk to them to get things changed. We are still so thankful to this doc. For the few of us that are still there, we recall those days and refuse to ever go back there.