Still no vaginal births

I still haven't had a vaginal birth at work in the past 2 weeks. I'm starting to get bummed.

My last shift, I started out with a recovery from a vaginal birth, plus a labor patient. I got the recovery completed, and passed her off to the OB tech to transfer her upstairs. Got my labor patient an epidural, per her request. Things went downhill quickly after that.


Can you see what those are? (Best I could do, to find pictures of the strip). Late decels. Deep late decels, with minimal variability and no accels. In fact, the strip never had accels all day long, after I looked back at the previous shift.

The decels got deeper and deeper. Yuck yuck. MD was called in. Urgent c/s was done. Baby had apgars of 2 and 9. I don't think they did a cord pH. Baby had tachypnea after resuscitation at birth and was brought to the transitional care nursery for continued observation.

After recovering the mom from her c/s in our PACU, I received report on a twin mom who was stable (not laboring, on tocolytics). It was super busy on the unit, with c/s after c/s after c/s, so the secretary/OB tech was busy in the OR scrubbing. I ended up being the secretary for a few hours, as well as taking care of my preterm twin mom.

I rarely do secretarial work (other than putting my own charts together and entering labs in the computer from time to time), so it was a challenge.

The hospital does NOT pay the secretaries enough money!!

Ring ring. Answer the phone. Buzz buzz. Answer the call bells. Track down the nurse for the call bells. Ring ring. Answer the locked unit door. Let people in or not let them in, depending on the situation. Put together charts for admissions. Call to admissions with the patients who need admitted. Add the admitted patients to the Excel spreadsheet on the computer. Sign off and enter admission orders in the computer. Enter baby info into the computer and call babies to admissions. Enter cord blood orders on new babies.

Ring ring. Answer the phone again.

Buzz buzz. Darn call bell going off again. Where is that nurse for that patient? Page her to the desk.

Charts. Phone. Call bell. Order entry. Excel spread sheet.

Pull chart for another patient coming in. Duck when charge nurse curses at me when I tell her that it's a twin mom who is ruptured and breech. Which means another c/s.

::sigh::

Get the heck out of dodge after giving a 45 minute report on the twin mom that I barely saw.