I really need your help here guys- pt. came in c/o srom. Nitrazine was +, no doubt. Orders to pit her were received, vag cx obtained. At the end of the day the doc on call for the weekend came in, did an ultrasound and vag exam and said pt. was not ruptured. No fern test was done. Pit was cut off, pt watched all night then sent home. The next day (48 hrs after ?srom) pt came bak with c/o leaking fluid, temp of 100.7 night before. Temp now was 97.9, pulse 130's. FHT's 160/170 with decrease variablity but reactive at times. Doc got cbc which show white count had double from 2 days before and was now 27,000. Vag culture for 2 days before was + for group B. She was nitrazined and neg. She is also 41 weeks and 3cm dilated.
Doc on call wrote prescription for antibiotics and gave orders to d/c to home. At my facility 2 Rn's must sign the strip before the pt is d/c'd. This pt belong to my charge nurse and I would not sign the strip because I did not think she should go home.
The partner of the doc on call was notified of the situation by my charge nurse. He ended up taking over care for this pt. Well the doc on call let me have it. Among all the things he said to me was that I should resign and I did not belong in L&D. You can only imagine all the other things he said to me as he stomped around shouting and pointing his finger.
Anyways- The pt was induced and followed by the on call doc's partner. Was I out of line? I felt like I was being an advocate for the pt and her baby. I just could not live with myself if she had gone home and came back with a dead baby. Please give me your opinions. Thanks, LDRN