Posts

It's an OPINION!

I figured my comment about home-birthing might cause some stir.....and I think I was right. Let me just say up front (again!) that this is MY OPINION. It doesn't mean that it's the only opinion or heck, even the right opinion! It's just how I see things through my eyes. Someone asked what we have in a hospital that wouldn't be available at home. I'll admit that I've never been to a home birth, but from the research I've done here's a small list (not all inclusive) of things we would have in a hospital (not necessarily at every delivery but available within seconds) that usually wouldn't be available at home: ~ 5 L&D nurses ~ 4 NICU nurses ~ 2 Neonatal Nurse Practitioners ~ a full team to take care of mom after delivery and a separate team to take care of the baby after delivery ~ a labor bed that can be adjusted to many different positions to facilitate McRoberts maneuver (plus lots of others) ~ a full OR team/equipment (including anesth...

If It Scares Us It Must Make Us Stronger...Right?

Every nurse has experiences that they never forget....shoulder dystocias are some of those experiences. Not going to go into detail....but all 7 nurses and the doctor were shaking pretty bad after a very cute and chubby baby destined to be a linebacker came out safe and sound. Scenarios like that are what put lots of things into perspective: ~the high acuity of what I get to do every night ~the great teamwork we have as a unit ~and why home birth is such a bad idea in my book! This mom didn't push very long, nobody would have guessed after a recent sono showed a <7# baby that he'd be a tight fit!! If this mom had tried to deliver at home, the outcome would not have been good.....for her or baby. On a less tense note...I got to deliver a baby for one of my friends from church this week. Those are so fun! Not only do I get to help Mom and Dad welcome their new baby but I get to watch her grow up over the next couple years. It's like a premature ending when I deliver ...

The Babies Keep on Coming

Even though I live in a large metropolitan area, it continues to amaze me how many babies we continue to deliver every month. It's not like we're the only hospital in the city, there are several other hospitals who deliver just about as many babies as we do......and the last few months we've been >350! A week or so ago we had 23 babies in 24hrs...and with only 17 labor rooms that makes for some crazy times! I've been doing lots of thinking over the last several weeks as we're losing some nurses to day shift and have a new traveler with us and just in general about how much the last 2 1/2 years have changed me as a nurse. We were all sitting around talking (one of our rare moments of peace and quite!) about 'seniority' and off all the nurses on our night shift I'm 3rd on the list for seniority. Not by experience by any means, but by employee time at the hospital. And there are several nurses with less experience too. I don't feel like I've be...

Lots of Babies!

July was a record setting month at work...for all times! 361 babies in 31 days...with an 18-bed L&D, no antepartum unit...that's a lot of babies! We had 6 sets of twin, 4 of which happend the last week-and-a-half. I had at least one 3-delivery night (all vag!) plus several 2-delivery nights. We were a busy bunch for sure :) I think all of us nurses are more than happy if we don't break the record again for a VERY long time! It was kinda cool though, I delivered the record-breaking baby one morning(356) and then came back that night and delivered the new record-setting baby (361) that night. How cool is that?! We had a lot of earlier babies too...2 sets of 31wk twins, some 32wk PIH moms...our NICU is full to overflowing! Job security is amazing! I was thinking this week that the begining of August marked my 2-years as a L&D nurse, and my 2-years as a nurse period. I sure feel like I've been doing it longer than that (and am very guilty of telling my patients that I...

#200

My 200th baby!! I've been waiting for like a week for that and it took one of the nursery nurses to point out that I had it last night! And check out these stats... Babies today:1m Babies total: 94M/106F = 200 Vag:70M/80F = 150 C/S: 25M25F = 50 Babies 'caught' = 2f1.5m A 3:1 split on the vaginal deliveries vs C/S's... Almost a 50/50 split on the male/female deliveries... An exact 50/50 split on the male/female C/S deliveries... And 3/200 babies I got to catch... :D That one's the best one! Less than 2 years to make 200 babies, that's pretty good I would say!

Birthday Twins!

Every year (all 2 so far..._ that I've been a nurse I've worked on my birthday. Last night it was the night of my birthday, this year it was supposed to be both ends. Everyone thinks I'm nuts for doing it, but I personally think that it's kinda fun! I've gotten birthday twins both times, and that's fun for me!! This year I looked like a slight idiot doing it, but it all worked out OK. I had a triage come in for bleeding and she sure wasn't bleeding, and she was contracting every 7min, SVE unchanged from the office earlier in the week, cervix way posterior and she said she wouldn't have come in except for the "bleeding." I sent her home with some vistaril after I told the doctor "she's not bleeding or laboring." She was back 1hr later, contracting every 2-3min and 3-4cm. Chalk one up to my great triage skills!!! Oh well....she delivered a few hours later, blocked and comfortable, girl #3 with 2 pushes! We almost had extra people at...

Catching Babies!!

I must say....I've been waiting to catch a baby for a long time now! It's been almost a year since I've caught a baby! Yet another reason I love unblocked multips with no doc in house :) Yay!! I have yet to catch a nice, normal controlled delivery, all my babies just shoot out at me. And once again, one glove on and one glove off. I guess it's my signature :) Shift change, I had just gotten report. Grand multip, unblocked, on pit, ruptured. The doc had just called, she was 5cm and he said to call him when we were ready. I checked her about 20min later and she was 6cm. I stuck a warmer in my room and put a delivery table outside my door just to be ready. Someone else delivered and needed a gelpie , so I went in to help them look for one. I got back to my room and my Mom said "I gotta puke..." I put on a glove, sure enough, there was the head. I grabbed the phone and called the laborist's room.....it rang....the head came out...I put the phone down in the be...