Wait wait wait... did I understand this corrrectly?:
while still in surgery I am assigned two admissions. One for decels in triage, one with a seizure disorder, my third patient is 21 wks fetal demise. Delivers in the bathroom 5 minutes after taking my C/S to recovery
Did you have three patients admitted and waiting to be cared for while you were in surgery
??!!! As in, not even on the floor?!! Like in a room unattended?
Or was it to begin after you got back on the floor (even still tho)? And, if so, were you to keep the fresh recovery patient, too?
So, one fresh recovery, two unstable pts (what was seizure d/o person there for?), and one in second stage (even with a demise, still bleeding/instability/recovery possibilities with mom, not to mention emotional support needed; not to mention, did you have to do post-mortem stuff or someone else??? I don't think so! Maybe I'm the crazy one here but, there's no way.
Just the second stage alone is a 1:1. Really, so is the decel person, at least for a time, unless it was minor and really recoverable and now behaving. And who's doing fundal checks and recovery vitals all this time (for c/s and/or
demise lady?)? And who knows what's going on with seizure lady but she's being admitted so I assume something's going on with her ... is she a labor? Labors are 1:2.
Lots of questions, but no, I don't really see how that scenario can be safe or adequate care anyway you put it. I think I would have had to refuse to accept one of the assignments (or probably more, depending on the timing and pt specifics).
Was this general scenario a freak thing or an everyday occurance?