IDeliverRN

I agree with all of you, that was the baseline. The doctor was saying it was not the baseline, they were just accels. Temp was fine. Baby was active. Variability was good. I held it until the hr came down to 160. My charge nurse agreed to holding it as well. After I explained why I wasn't comfortable giving it, the doc just said ok. He's not too pushy which I respect.

Would you give Cytotec if the fhr is elevated? Baseline 130s but then suddenly started having long accels in the 160-190 range that continued for over 30 minutes. FHR occasionally would drop back to baseline for 40-60 secs then go back to 160-190s for a few minutes.

I feel your pain! I started in L&D in January as well. I had an urgent c-sect friday night too, that didn't go as smoothly as I would have liked. We use McKesson which I am new to and I hate it. I couldn't find the correct orders, there were missing orders, and wrong orders. On top of that, mom had critical range b/p's and low blood sugar with decreased kidney function and on mag. It was a chaotic episode but we got through it and mom and baby did great! Other nurses came to help me and they reassured me that I did great and that it was the situation not me. However I still felt incompetent and as if I did't give good pt care. I actually just talked to my educator about it and she also said that I did all I could. She gave me a few tips for next time and told me to forget about it. She blames my pregnancy hormones. I say all of that to say you are not alone and you did the right thing! I agree with the previous posters, talk to someone about it and ask for the next c-sect so you can get right back in to it! God bless!

Thanks ladies! It was hormones! I'm doing fine!

So I don't know if its these darn pregnancy hormones or if I'm just not that confident in myself but my job kicked me off of my orientation 2 weeks ahead of time becsuse they think I'm beyond ready to go solo but this week I have been freaking out about going back to work. I had a wonderful 6 day stretch off and now I'm like...can I really do this?!?! My mind has been racing to all of the negative possibilities that are likely to happen on our high risk unit and I have now freaked myself out. I'm pretty convinced it's the pregnancy because I don't have anxiety and i am a pretty confident and capable person who has always arisen to any challenge. But I am freaking out. I have been a nurse for 8 years, just new to L&D.

I'm so sorry so many of you are having these horrible experiences! I have been a RN for a year and I was a LPN for 7 years before that. Thankfully I have had wonderful preceptors and thick skin towards doctors. However, thats not the case for everyone. My recommendation is to first and foremost, respectfully assert yourself to the doctors. Do everything in decency and order but you don't have to be degraded and abused. Secondly, as others have said, explore the field of nursing! I have worked in long term care, skilled visits home health, private duty home health for both pediatrics and geriatrics, internal medicine, a university student health facility, a pregnancy resource center (pregnancy tests, sex education, ultrasounds, and informing pt's on basic prenatal care), flu and wellness clinics, and finally in the hospital in L&D. There are many many more other options out there, hospice, industrial nursing at plants, dialysis, insurance companies, all of the many different types of doctors offices, some dental offices, public health. Just explore! Try different areas of the hospital as well. Everywhere will have their pros and cons but you will find something that is right for you. The pay may not be as great but your mental and physical well being is more than worth the pay cut. Plus, with things like home health, you can pick up a few shifts a month as your part time job to get a little extra. You can do it! Don't quit! And once you find that niche, remember how you feel now so you can help someone else who is new.