Hey fellow nurses! This is my first post here. I'm excited to be part of this community.
I'm wanting feedback about a case I had tonight. My patient was a primip, came in with SROM, and her VE was 5cms. Another nurse had admitted her, and I received her as a patient at 0315, just as she was getting her IV. I collected the chart and set out to take care of her. I saw no prenatals, so I got them out of the drawer, at which time I saw she was GBS +. I called the dr. to get orders for ampicillin. It was about 0335. About 5 minutes later, she called me and told me she wanted her epidural. I called anesthesia and then went to go get my ampicillin. Not 3 mins later, she called me again to say she had an urge to push. I hadn't had time to mix my ampicillin yet. I checked and she was complete, and +2 station. We cancelled the epidural and told the doctor to come in. I pushed with her for 1/2 hour and the doctor arrived. Since I knew delivery was immenent (she was pushing wonderfully) I didn't give the ampicillin. When the doctor arrived, at 0420, I told him this, and he was upset and told me to give it anyway. So, whatever... I did. She delivered at 0435.
I find this so wasteful. The research shows (so I thought) that you need AT LEAST 2 hours before delivery for the ampicillin to benefit the baby, and more likely, 4 hours.
Is this what you guys know to be true, too? What are you thoughts? What would you have done?
