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Discussion

Don't you hate it when?

You have a pt come in thinking she is in labor, wanting natural childbirth. After spending the night in observation all night on continuous EFM :rolleyes: , instead of taking your advice and using some of your suggestions for alternatives to pain meds and taking the opportunity to labor at home........

when the doc comes in to send her home in the morning, she whines to stay??? Then you come back that night to discover, despite that she is in the alternative birthing room with the Jacuzzi that she requested, she had AROM, is on Pit, has already been redosed on her epidural and is completely internalized! Ugh! :confused: And then her ex L&D nurse Mom is making her own assessments. "How's your bladder? Oh, I think it's okay. She felt warm so I took her temp." When the doc comes in "I was thinking maybe we need to go up on the Pit." Ugh!!! Despite contractions q 1.5-2 minutes, a mom with an elevated temp, and a tachy baby with decreased variability.

Do you ever want to say, I changed my mind, can I have a different pt? You know, you have to wonder why Mom got out of L&D nursing when she thinks a fhr baseline of 180-184 looks good. :eek:

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LOL! Had a bad day, did you?

That same patient will ask for help with breastfeeding, and you will spend the next 8 hours hunched over her bed, rousing a sleepy baby, using every trick in the book to get the baby to latch on and sustain a suck. Then, tomorrow she will thank you for your help as she informs you that "breast-feeding is just not for me", and requests a bottle of Similac.

AARRGGHH!

Or the patient who gets out of bed 30 minutes after delivery and gets upset when you ask her to get back in bed when you ask to check her bleeding...... ummm..... only because there is a huge puddle of blood at your feet..... "well I never had to stay in bed after I had my other babies"...... ughhhhhh

Or when you have a pt that swares that "THE BABY'S COMMING!!!" and you check and she is only 3 cm. Then she is ok for about 20 minutes and as soon as you start to catch up on charting or see your other pt the call light is on and yep, "THE BABY's COMMING!!!!", so you have to believe her she's a multip w/ a bulging bag, so again check and made a little change. Again you try and catch up on the other stuff you have to do, pt's are comming in left and right and again she screams "THE BABY's COMMING" Just to find out that five hours and five admits later that the baby is REALLY coming along w/ mec and the pt wants out of bed, taking 3 staffers to hold her down and the attending screaming at you for not calling her earlier when w/ the last UC she was 8cm??????

UGH!!!!

Yep sometimes I would rather take the whole board than deal w/ this, very time consuming, never can trust em' either!

The pt was actually a very sweet lady, just nervous!!!

  • Author
Originally posted by Jolie

LOL! Had a bad day, did you?

That same patient will ask for help with breastfeeding, and you will spend the next 8 hours hunched over her bed, rousing a sleepy baby, using every trick in the book to get the baby to latch on and sustain a suck. Then, tomorrow she will thank you for your help as she informs you that "breast-feeding is just not for me", and requests a bottle of Similac.

AARRGGHH!

Pretty close. Her Mom was an old L&D nurse and actually helped her latch baby on while I went to get her a drink. He did latch pretty easily. But Mom only nursed for about 5 min and said she thought the baby was just too tired to eat right now. Then the NSY was mad because I LET her nurse with a temp of 103.5. Sorry, but baby was to breast when I walked back in. Would they have liked for me to pull it off?

At least last night's birth went a little better. Baby was crowning with pushes, and along comes doc to give directed pushing, cut an unneccesary epis, and then repair with no local. Ugh! :eek: And this was a female doc.

Baby was crowning with pushes, and along comes doc to give directed pushing, cut an unneccesary epis, and then repair with no local. Ugh! And this was a female doc.

And who says female docs would be more empathetic?????:rolleyes:

You are having a fairly busy shift. Full board when you come in. You think your catching up when up walks a 15 yo and entourage c/o ctx. She has been to every hospital in town trying to get admitted. You do assessment 1, 70,-2 no progress after an hour. Her doctor has priveleges but rarely uses your facility and you have a hard time getting in touch. Orders are overnight observe, cbc, IV hydrate, 10mg morphine IM now. You go into start IV..... PT is ruptured and your informed by her mom that she has head lice.

Call dr. back.....

Are you sure she's ruptured..... YES..... she has +pooling, +fern,......

Are you sure she's ruptured. YES she has +pooling, +fern......

So your sure...... YES......

How do you know...... ummmmm besides the pooling and fern? A big puddle in the bed and all the fluid running down her legs and onto the floor.

Oh, so she's ruptured...... YES

OK I guess we'll admit her.....but I don't know what we'll do about the head lice.

LONG night...... ended up staying 2 hours over because she didn't deliver till 0730. Variables from he!!. 3 min long brady after a vag exam at 8cm (I think it was a vagal). Luckily when doc got there she was complete.

Baby had nuchal cord, trunk cord, arm cord very grunty and ended up going to the nursery w/i 30 minutes.....

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