Skip to content
View in the app

A better way to browse. Learn more.
allnurses

A full-screen app on your home screen with push notifications, badges and more.

To install this app on iOS and iPadOS
  1. Tap the Share icon in Safari
  2. Scroll the menu and tap Add to Home Screen.
  3. Tap Add in the top-right corner.
To install this app on Android
  1. Tap the 3-dot menu (⋮) in the top-right corner of the browser.
  2. Tap Add to Home screen or Install app.
  3. Confirm by tapping Install.
Discussion

Another OB Problem

I sware I've got to stop working at this hospital, or I will see the inside of a court room.

A G2P1, with 1st baby delivered by c-section, presented to L&D and had been ruptured for 14 hours, with clear fluid. She was placed on the monitor. Contractions were q10min and palpated mild. FHR was 140-150 baseline with good varitability, but did not meet the criteria for reactive. With contractions the FHR dipped down to 120's and (lates). The matermal temp was 99.1.

This patient was sent home by the CNM on duty with the hopes of spontanious labor so she could have a natural lady partsl delivery.

I showed the monitor strip to the CNM and my charge nurse. They didn't have a problem with it. The OB on call for the CNM group happened to walk in the door about 30 min later. I pulled him aside and let him view the strip. The CNM was directed to call the patient back to hospital for further evaluation,and it's a good thing. The fetus was in distress and the patient was sectioned and given a healthy, alive infant.

Now I'm on the poop list of the CNM. Too bad, she is on poop list as well.

Today I look for another job.

Susan

Featured Replies

Being a student All I can say is I'd want YOU in with me if I were having another one! You did good by your patient and that is what matters!!!

I once worked as a nurse manager in a NICU, and stepped down to a staff position because I had 2 staff nurses whose judgement and performance I could not trust, and upper level administrators who refused to allow me to retrain, reassign, or fire these nurses. In short, I went to work every morning wondering what they might have done to cost me my license the night before. In a legal environment where s**t truly does roll uphill, a nurse manager can be held legally responsible for the actions of his or her staff. I can't, for the life of me, understand why any manager with 2 brain cells to rub together would let these incidents go unaddressed. But, since that appears to be the case, have you tried going to Risk Management?

Most hospital risk managers require the immediate reporting of certain "sentinel" events, such as unattended births, low apgars, un-diagnosed meconium staining, delays in establishing respirations of the newborn, etc. In short, anything that could potentially turn into a lawsuit in the future. It is helpful in determining whether any one staff member is consistently involved in such events, and helps ID areas of education needed by staff members.

The OBs and CNMs should also be participating in departmental reviews of questionable cases. Our hospital was able to remove one OB with a consistent track record of complications thru such reviews.

If I were you, I would high tail it out of there, but if you choose to stay, please consider pursuing some of these options. Good luck.

First problem I see is sending home a patient that is ruptured.We never send anyone home ruptured.You did a good job standing up for the patient

Guest
This topic is now closed to further replies.
Go to topic listing

Currently Reading 0

  • No registered users viewing this page.

Account

Navigation

Search

Search

Configure browser push notifications
Chrome (Android)
  1. Tap the lock icon next to the address bar.
  2. Tap Permissions → Notifications.
  3. Adjust your preference.
Chrome (Desktop)
  1. Click the padlock icon in the address bar.
  2. Select Site settings.
  3. Find Notifications and adjust your preference.