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Discussion

code on a baby

I had an awful end to my shift.

We did a c/s on a pt for failure to progress, tracing was fine with an ISE.

I was baby nurse and we had Peds resident back there.

The baby came out AWFUL with no warning.

Apgars 1,1,4,5,7....

We did bagging, chest compressions called the NICU fellow, resus, intubated, placed an umbilical line....

It was terrifying! I felt so overwhelmed and unprepared.

And now I'm beating myself up over what I could have done differently - reacted faster, called resus sooner....

Baby went down to the NICU intubated. At least it's pink now and has a good HR.

How did this happen?!

I'm super emotional about it because my sister in law is in labor RIGHT NOW and all I could think about was that this could be her baby.

I cried the whole way home....

Not a good way to end the year....

Featured Replies

When you beat yourself up for not doing something as well as you would have liked, you make it harder to learn from the experience. You're still new and the first time you do something you're not going to do it as well as the 10th time you do it. Be a little easier on yourself.

Review your NRP and compare it to what happened. What did you do right? What could you have done differently? A previous poster suggested a debriefing session with the Peds doc who was there. That's a good idea. Don't start by telling him how awful you feel about the terrible job you did. Start by saying it was the first time this has happened and you want to learn as much from the experience as you can so you can do better the next time it happens. If they have the time, most docs like to teach and will go over it with you.

Perhaps the older nurses were just trying to help you and you interpreted their critique as criticism because of your own feelings of inadequacy Or perhaps they were just being mean. It doesn't matter. Forgive yourself for not being perfect and learn as much as you can from this experience.

As for crying at the nurse's desk, we've all done it at one time or another. Docs too.

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