Hold that Push!

Specialties Ob/Gyn

Published

I had a G2p1 spontaneous labor with an epidural. It was dayshift, she went complete, I had her give a push, and nothing. I called Dr.E (for evil lol) & told her exactly that, and the baby looked great. She stated she would see 2 more patients at clinic then head over to OB. Within a matter of minutes, the fetal heart rate dropped- 70's. Not just an early, they were staying down. I had her push and the head came down nicely, and had another nurse throw some O2 on her and call Dr.E. She told the office staff it was urgent, and got put on hold, so she hollered at the unit secretary to call her stat. She missed the delivery by 2 minutes, and was visibly angry. She never discussed any of it with me or the other nurse, she went directly to the nurse manager and "threw a fit" I'm told. Now, there is an inservice sheet everyone must sign saying basically we will not push Dr.E's patients, even if FHTs are low; instead do other interventions. I haven't read or signed anything yet, as I was working nights this weekend and didn't see our nurse manager.

:banghead:Why not TALK to me, go over the strip with me, anything?

Specializes in OB; NBN; SCN.

Definately send that on to someone in risk management, or corporate compliance. You may endanger your job, but your other choice is to endanger your license and more importantly, the lives of your patients. Dr. E obviously isn't doing what she's doing because she cares about her patients. For your Manager not to go to bat for you and your patients is appalling!

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