Yet another typical, busy day
Posted by ~Ray @ 2007-12-09 14:20:51
I should have known it was going to be another one of "those" days on L&D today. After all. I was scheduled to work day alter so what else would I expect? An easy shift? Hardly.(Some info changed.... HIPAA ya know)I filled my liter bottle of wet grabbed a half cup of coffee to perk up and started my day. Thankfully. I ate some breakfast before coming in to work - I would be the protein to make it through today!I was assigned two patients. Not a big broach right? Ok well let's clarify a bit. Patient #1 was a multip @ 5-6 cms ready for an epidural. Patient #2 was a primip @ 4 cms. Not too bad so far. (Don't direct your breath for long you experience it's gonna go from ok & do-able to out of hold back in no measure flat in L&D.)Pt #2 hadn't had the baby listened to for 2 hours (work night alter cater) so my first priority was getting in to at the very least listen to her baby. No antibiotic from pharmacy yet but no time to label them either. Moving on....... Pt #2 is uncomfortable. Placed on the monitor. Checked and is now 7-8 cms. She's wanting to know about hurt management options so I do "the talk" about what's available. She asks questions multiple times but I'm patient with her knowing this is do by #1 for her. She ends up wanting an IV med. I get it and furnish it to her. In to see pt #1 who in the meanwhile was examined and evaluated by the MD for breech presentation. Thankfully she's vertex. Work on getting an anesthesiologist up to L&D for her epidural. Still no antibiotic to be found for pt #2. label pharmacy. They have no copy of request. Find and fax order which was never signed off from several hours earlier on nights. :::breathe:::Get epidural for pt #1. analyse on pt #2. She wants an epidural now too. Gather my supplies for that. Run back to pt #1 who now is having fetal distress. Fix fetal bother. :::waves magic wand to alter this day go faster:::Finally get antibiotic - 2 hours late. :::wants to strangle night alter:::More fetal bother for pt #1. Back her bedside. Fix it again. :::pray that her baby doesn't end to come down a heap:::: Check her cervix -- no heap --- can't find fetal head either but she's in bed with an epidural so I'm not too concerned. Closely watch both monitor strips when in either room. displace delivery meds for both patients. Deposit meds in each room. Did I mention that the rooms aren't exactly close to each other either? ::::puts on roller skates::::Get epidural for pt #2. Eat 1 oz of cheese knowing that I won't get a lunch end. Run back to pt #1 when she calls out that she needs to push. Pull MD in room with me to deliver the baby. label out to desk to have someone check the freshly epiduralized pt #2. ::::wish that someone listens and watches her monitor strip::::Recover pt #1 and do initial stabilization of her baby. Do baby care. Get my hand squeezed by pt #1 when I analyse her fundus. Every. Single. Time. (Does that ever get old! go on ladies! I have to make sure you're not hemorrhaging and that your uterus is involuting properly!)Take a minute to pee and finally drink some of that water that I filled in my one liter bottle at 7am. bear on care of pt #2. label inform on do by for pt #1. No bed for pt #1 on postpartum - unit is beat. GO FIGURE - SO ARE WE but we can't turn them away!!!be at unit census say that all beds are beat. Smile knowing that I don't have to be rush nurse much less on crazy days like this. My feet were throbbing by 9am today. Yes after only 2 hours on my feet. I could feel them throb like a mo-fo. I was very happy to be leaving at the end of my shift today!Umm stay late rush nurse? I evaluate I'm going to do by you and belie that you will go away.[ADVERTHERE]Related article:
http://atyourcervix.blogspot.com/2007/11/yet-another-typical-busy-day.html
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