Birthday Nurse

Don't know why, but it seems like I have been working ALOT lately! And the sad thing is...I really haven't been! I haven't done the 6 or 7 IAR thing for a long time, just my 3's with 2 off in the middle. But this is my last set of 3 before my "long stretch" and maybe that's why I'm tired. This week kinda messed me up too with the holiday. I didn't get to work my Sun/Mon/Tues, instead it was Mon/Tues/Wed...so I've been behind a day all week! After my rough week last week I've been a little over anxious/nervous every time I come to work too. I didn't get my first baby 'till Wed, and that was a C/S that wasn't supposed to happen but baby only tolerated the cervidil for about 5 hrs before it got grouchy. I've done cervidils the rest of the week, I guess I had a recovery one night too, but no babies. :( Sadness for me! I'm super glad that I get a few days off now, I need some time to sleep and exercise some, that's f...

So much better night at work last night...I had no nightmares today while I was sleeping! I must say, I love the nurses that I worked with. I guess I was more shaken up about the whole run-in with the doc and the crappy strip from Wednesday night, plus the 30wk SROM from Tuesday night than I thought. I had at least 3 nurses come up to me last night and tell me that I was a great nurse, that it just takes time to get the docs to trust you, and that the particular doctor didn't have a nurse there who hadn't had a run-in with her at least once. The couple nurses that had looked at my strip said they wouldn't have done anything different than I did, and that I did all the right things. That almost made me cry all over again! When I'd left Thursday morning I really felt like the worst nurse ever and that I had totally missed something super important and that I put my patient into real danger. But after all these nurses who have 10+ years of experience were saying the same ...

Ok ...so Tuesday night I learned that I should stand up to doctors when I want something or think something should be done for my patient. Last night I learned that it's probably better to call the doctors TOO often than not enough...and to go with my gut feeling instead of listening to what other people are "suggesting" even if they may have tons more experience and their opinions make you feel better about the situation at the time. My strip turned to @(#^ last night, and after one run-in with the doc earlier in the evening I wasn't too excited about calling her back and asking for her to come back in to assess it. I had one nurse saying "ya...maybe you should call" and another nurse who has worked there WAY longer than any of the rest of us saying "no...it doesn't look that bad. If it was bad you'd be doing something about it not just sitting here watching it." Ok ...so I didn't call 'till the patient was almost complete, then th...

So after getting sent home @ 0200 on Monday night, I got the dreaded 'you're on call" phone call @ 1745 last night. I was seriously on my way out to my car...bother. So I sat around after having slept all day, kept texting one of the nurses at work who assured me that everything was nice and quiet and under control. So finally about 0115 I sent one more text saying I was going to bed. My phone rang exactly 10 minutes later "we need you!" Ok ...here I come. I loved my patient that I had, she was 30+1 weeks and had just SROM'd . Absolutely nothing was done for her when I got there other than a sterile spec by the laborist to confirm rupture and that she was closed. Ok ...so IV, antibiotics, one dose of beta, tuck her in. She was "cramping" every 5-10 minutes she said but didn't say they were any more intense than a menstrual cramp. I finally called the doc about 0430 just to let him know that she was still contracting every 5" or so and i...

So Monday was my birthday, and I wasn't originally supposed to work. But then I switched a shift with another nurse so she could do something with her daughter...so I ended up working. I know nobody likes to work on their birthday, but I thought it was kinda fun! I had put in the request book that I did want a labor patient, because if I was gonna work my birthday, then I didn't want antes or postpartum! The worst part of the deal was that I only got one night off (Sunday night) between my 2 sets of 3 IAR , so that was kind a bummer. But tonight was good! I did get my birthday twin, a nice couple, a good delivery. She delivered right around 2100 and had a little girl! Yay ! It's kinda weird to think that not-all-that-many years ago that was my mom and dad looking at their first baby and not sure exactly what hit them...then here that baby is helping another mom and dad do the same thing! That's pretty cool :) It turned out that we had 3 back-to-back-to-back deliveries ...

This weekend has been CRAZY. Not "no end of patients" crazy, just steady and "nobody goes home" weekend! After the 33wkr came in with no heart tones on Friday night, things just snowballed. I feel like I've gotten SUPER lucky though. I've had AMAZING patients and AMAZING delivereis EVERY NIGHT!! Makes up for that week of all antes and NO babies! Anyway...I'm pooped! Friday night I got a totally cool patient, she's a nurse at one of the children's hospitals in town. I feel an extra bond when the patient is a nurse too, even if they don't know the first thing about labor. I think there is something to be said for having the common ground of just working in a hopsital. They know what it's like to get tied up with doctors, they know what it's like when things have to change or don't go EXACTLY as planned, they've learned what it's like to go with the flow. Even if you're not a nurse, you still understand the environment an...

So after my little "bike accident" on Monday...I've turned down more extra shifts at work than I EVER have. Mark this one down for the record books...I didn't even step foot inside the hospital since I left last Wednesday morning 'till I went back for some simulation drills this Wednesday night! That's over 7 whole days...gotta be a record for me!!! I'm sad about all that extra that I missed :( I felt super guilty and stayed for 2 hrs after the sim drills to do a C/S recovery Wednesday night and counted it my extra shift for my week off. And then did a full 12hr shift Thursday night. Things haven't slowed down...that's for sure! I did have a nice delivery, first one in a while after having antes all week last week. I went in early for a nurse so she could leave @ 1730...it's amazing how just an extra hour or two at work can make the shift seem never ending. After the delivery I took a cervidil , then another cervidil , then handed them off, th...

Ok...one more story from my "non-work related life." Beautiful day today, so I decided to go for a bike ride instead of the running I was planning to do. There's a great trail just down the road that's about 24-miles round trip from end to end, so I thought it would be a great day to ride it. Set out, it's beautiful! About 5 miles into the ride there's a small hill on the trail that got wiped out in a flood a few years ago and they've never totally finished it, it's still gravel and torn up trail pieces. It's normally no big deal, but today my tire caught on it "just so." I skidded to a stop on my elbows and knees and the first thought I had was "it's gonna be a sore ride home from here." I've whipped out numerous times before (running, rollerblading, etc.) and I usually pick myself up and head back, 'cuz how else am I supposed to get there? Anyway, as soon as I got up everything hurt, especially my L elbow. My first...

Things I realized this week: 1) I hadn't had antes in a long time 2) I had antes twice this week and that was enough for a long time 3) Antes are all just little time bombs ready to explode...and I'm always afraid that they're going to explode on my shift! 4) If they don't explode...antes are boring after the first couple hours 5) I went all week with no babies...that made me sad and only slightly grouchy on my last night 6) I actually am going a WHOLE WEEK without working extra (because I was out of town the nights I wasn't working...) 7) I have GREAT job security...

12hrs Monday night, 12 hrs Tuesday night, 13.5hrs Wednesday night, got a call and went in @ 0430 on Friday morning, then got another call last night and went in from 2300 to 0400. Part of 5 shifts in 1 week! I took tonight off before I start my 3 IAR tomorrow. When I got there last night they re-evaluated the board and kinda figured that they hadn't needed me as desperately as they thought they did, several of the patients ended up going home, and they did some re-assignments. If we get called in, we get paid for at least 2 hrs, so I figured I'd sit for 2 hrs and then go home. I helped move a patient or two, did some random stuff and was just about to leave when one of the doctors came down from the lounge and said he had a patient coming in who thought her water broke. He said that her own doctor was coming on call at 0700, so to just tuck her in and wait for the morning. So I said I'd hang out, get her started, then leave. Story short, she delivered an hour and a half ...