I work full time in a university setting and part time in a private hospital. Friday I was in the private one. I had a 16-year-old, nervous, with a nervous mom. The girl had some pressures, her platelets fell a little bit, she had 2+ urine protien. The doc wouldn't let me start her on mag ("That'll just slow things down")!
Anyway, baby's pretty high, we get the epidural so we can break her water!!! this is one of those chicks who run up the bed when you try to check her. She progresses to 4cm/100%/-1 when the doc comes and checks her. By this time the baby's heartrate is 170's and mom's temp is 99.4. I tell the doc, who says give her tylenol!!! So this girl has been complaining about pain in her upper back. I think it's just tension, and she agrees. When the doc is in the room to check her, she c/o this pain. Doc says, "Is it worse during contractions?" *****?? Of course the girl says yes. Doc tells me to turn the pit off, she'll be back in an hour and a half to check her. When she comes back cervix is unchanged and she calls a section. Oh, and the time is now 1730!! Then she gets mad because anesthesia is not immediately available.
I didn't feel like much of a nurse, especially when the baby's temp after delivery was 101.4.
What should I have done? Anything? Or should I just write it up to private practice? This is really bugging me.