I must have a really, really sensitive conscious. They called me tonight while I was walking through the mall and said they were desperate for help again. I told them no because I've worked every night but Wednesday this week...but then about 20minutes later I called them back and they still hadn't found anybody, so I went in...and just got home about 0830. I'm pooped...
Yesterday when I was wishing for babies...I got 2 of them last night. I took a SROM that had been there all afternoon who was still 2-3, she was doing great, I liked them, we were bonding...then another SROM came in and I ended up taking her back for a section partly out of her choice (she was "thinking" about a VBAC...) and partly because baby looked like poop. So I handed out my first patient to her 4th nurse of the day and took the new SROM to the OR. I circulated her section, then they called another nurse in and she came in just as the doc was closing the skin. So she finished the recovery for me, and I went back out to my "original" patient.
I got her a block, laid her back, everything was peachy...then baby takes a nose dive, then I can't trace baby again, I'm starting to sweat, I flipped her one way, the other, the kid's still diving with every contraction. I swear I hate the sound of decels! I finally grabbed the charge nurse and she put on a scalp lead for me. I've never done a scalp lead, and the time to learn is not when I can't think straight anyway. This in the middle of 3 other nurses delivering. My kid's still diving with the contractions, the pit's off, I call the doc and she says "watch it and fluid bolus her". Ok. She's on F4 at this time...
Anyway, a very LONG story short, the kid never did look real good again. The pit stayed off, we ended up turning her epidural off because her BP wouldn't stay up and I think that had something to do with how unhappy baby was. I was never happy with the strip, but the doc refused to come 'till she was complete. So I called her when she was complete and I figured she'd push the kid right out, but it took her a good hour to push it out. By the time she was in the middle of pushing the epidural was really starting to wear off, so it was a little more intense delivery than anyone was thinking it was going to be. She got a dose of fentanyl about 5 minutes before delivery...I hope she can walk by noon! Her pelvis was kinda funny and it took the kid forever to fit under the bone. I felt really bad when we heard a snap when the head did pop out and the end of Mom's tailbone broke! Ouch... Anyway, so that was 0700...and I was WAY behind on charting on my LOVELY heart tones! Oh well...I'm only back for my 7th shift in 8 days tonight. Sleepy time!
Babies today: 2m
Babies total: 30M/25F = 55
Vag:22M/22F = 44
C/S: 8M3F = 11
Babies 'caught' = 1f