Dang Cord Blood Collection...
The board looked like crap when we came on at 0700...we cleaned it up and actually sent on of the 2 extra nurses home...then we had about 10 patients walk in and there was not ONE EMPTY room when day shift came on. We had put 6 inductions on hold to...oh brother! I wheeled a C/S out of the OR and did about 20minutes of her post-op recovery before they decided they needed me to traige, so I handed my C/S off to a scared-spitless mom/baby nurse who'd never done C/S recoveries before while I went and got N/V chick in a room and an IV started.
Things calmed down for a while, then I took a rupture, then while I was getting her blocked in came another girl who according to her doctor was "dying" over the phone, got her blocked, etc, etc. The rest of the night flew!
I loved my SROM couple, I wish all women went into labor like that! Her water broke, she came in, was feeling "tightening" but not hurting, decided to just be done with it, got a block before she was dying, got some pit started, she labored great, pushed about 15 minutes and we had a baby about 0630! I will take a no-drama delivery like that ANY day of ANY week! The kidd-o came out in some way I haven't seen before, and neither has the doc. You could tell when mom was pushing that this kid was twisting his head all around and it spun every which way. When the head delivered he was looking at mom's L thigh, then when the doc went to deliver the top shoulder like usual, no the kid flipped totally around and the bottom shoulder came out first with the hand way up by the chin. That kid did AT LEAST a 180 degree spin on the way out. We were all just kinda looking down there trying to figure out what was going on, but mom was intact...can't ask for much more than that!
I had the cord blood collection kit all filled out, then totally forgot to throw it on the table for delivery. As the doc's about to walk out of the room it hit me...what a horrible feeling! The poor doc was super good about it, we played with the cord, we played with the placenta and actually got a good 100cc into the bag for collection, that's WAY better than I thought we would...thank goodness! I think nurses should get an extra bonus for a cord blood delivery...just another thing for me to remember after a 12-hour shift!
I'm hoping that last night is not a pre-cursor to what's going to be this weekend, that was just a little too crazy! It's the storm + a full moon...not a good combination!
Babies today: 1m
Babies total: 41M/42F = 83
Vag:30M/32F = 62
C/S: 11M10F = 21
Babies 'caught' = 1f
Things calmed down for a while, then I took a rupture, then while I was getting her blocked in came another girl who according to her doctor was "dying" over the phone, got her blocked, etc, etc. The rest of the night flew!
I loved my SROM couple, I wish all women went into labor like that! Her water broke, she came in, was feeling "tightening" but not hurting, decided to just be done with it, got a block before she was dying, got some pit started, she labored great, pushed about 15 minutes and we had a baby about 0630! I will take a no-drama delivery like that ANY day of ANY week! The kidd-o came out in some way I haven't seen before, and neither has the doc. You could tell when mom was pushing that this kid was twisting his head all around and it spun every which way. When the head delivered he was looking at mom's L thigh, then when the doc went to deliver the top shoulder like usual, no the kid flipped totally around and the bottom shoulder came out first with the hand way up by the chin. That kid did AT LEAST a 180 degree spin on the way out. We were all just kinda looking down there trying to figure out what was going on, but mom was intact...can't ask for much more than that!
I had the cord blood collection kit all filled out, then totally forgot to throw it on the table for delivery. As the doc's about to walk out of the room it hit me...what a horrible feeling! The poor doc was super good about it, we played with the cord, we played with the placenta and actually got a good 100cc into the bag for collection, that's WAY better than I thought we would...thank goodness! I think nurses should get an extra bonus for a cord blood delivery...just another thing for me to remember after a 12-hour shift!
I'm hoping that last night is not a pre-cursor to what's going to be this weekend, that was just a little too crazy! It's the storm + a full moon...not a good combination!
Babies today: 1m
Babies total: 41M/42F = 83
Vag:30M/32F = 62
C/S: 11M10F = 21
Babies 'caught' = 1f