Miraculous First Day of OB!!!

Guys, I had such a fantastic day today!!!

So, our first day was supposed to be yesterday, but there was a second snow day. Needless to say, my much needed counseling session was cancelled and rescheduled next Tuesday... It's going to be rough. I wanted a snow day, but only for Monday. I got so sad when counseling and my first day of OB clinical was cancelled! Oh no!!!

Regardless, when we showed up today, there was a super low census. They were sending nurses home left and right. There was only one woman laboring, less than a handful of women in Mom/Baby, and NICU has a short supply of babies. This is in a hospital known for having the busiest Labor Delivery/Mom Baby/NICU and all other woman related portion of the hospital in our half of the state. They fly and transport people to this hospital from several other states because they are a great hospital. So, to have such a low census and also request for students to be paired with nurses was not ideal at all.

As is typically the case, I was the odd man out. The other students were able to be put in their assigned area for the day. The other girl who was supposed to be with me in Mom/Baby ended up being able to make up her NICU day from yesterday. I wanted that to happen because she really wanted to go there and I've already been there the past couple of summers. Praise the L-rd! Anyway, I was the last one and it took about 20 minutes to even find a baby or patient for me to be able to see.

I ended up getting pulled into a circumcision! Yay! I have wanted to see one for a really long time and we had missed the one earlier today and that bummed me out. Naturally, I prayed about it. L-rd, can I please see a circumcision during my time here in OB clinicals. Then I didn't even give it another thought. Little did I know He was going to answer that prayer today! And not even 30-45 minutes after I had requested that in my heart. Praise you L-rd for answering even the smallest of prayers.

With that baby having to stay in the nursery for a couple hours, I got to also practice my newborn assessment and it was way easier than I expected. Granted, the baby had no abnormals and I had a nurse helping me assess and then chart the whole time. Check that off the list of stuff I am supposed to do for clinicals. Yay! Plus, the NNP that performed the circumcision was so sweet and her and the nurse assisting pulled me right in and explained everything they were doing. They were so incredibly sweet.

As I was sitting there charting the assessment, my instructor came in to check on me and saw there was nothing going on and the baby was fixin' to get discharged. "You want to see a placenta?" She asked. "Hell ya I do!" Of course, I didn't say those exact words, I just said "Ya!" but you know what I mean. So, I got to discover the placenta, look at all of the components of it, touch it (through gloves), and talk about some of the complications that can occur with the placenta. Then, after we talked about it and held it, she asked if I wanted to practice IV's. What kind of a question is that? Of course I do! So, I started two IV's on a placenta. No big deal. Just kidding, it's a HUGE deal!

Then we had dinner, since it's the evening clincal group. After dinner, I had nowhere to go. The baby I had watched got discharged. The unit I was supposed to be on had patients leaving and so they were down to 2-3 patients and didn't want a student. So my instructor set me up with a computer and asked me to research some points that I thought were interesting to share with the rest of the group. After brainstorming, I picked nursing interventions for babies withdrawing from alcohol after being born and nursing interventions related to STI's in pregnancy/L&D. I got through finding the info for withdrawal babies when my intructor busts into the room and says, "Hurry up and come with me! I might have found you a procedure to come and watch. It's not much, but it's better than research."

Well okay! Off we go RUNNING down the hall to get me changed into hospital scrubs so I can go into the OR. We get me all decked out in the funky hair net/hat thing, shoe booties, and greens (scrubs) and I am ushered into the OR.

My instructor was yelling from the door, "Hurry up! Take off your clothes! Throw these on! Let's go, let's go! I hear voices!!!" According to my friend in the same clinical group, it sounded hilarious from outside the locker room because my friend had no idea what was going on, she just heard my instructor telling me to hurry up and strip down. Oh goodness, that made for a funny post-conference.

Anyway, I got all dressed up and made it into the OR and stood there for about 15 minutes waiting for the patient and doc to get there. No big deal, I'm good at standing in corners looking awkward.

A lady came up to me randomly and asked, "So are you the nursing student?" I said I was. Then she started quizzing me on what to do in a certain situation and why. I answered, correctly according to her, but she gave further rationale and what interventions she did. Turns out, that was the doctor! I was floored because she was so nice. But wait, it gets so much better!

As they were prepping the patient, the doctor had me come closer to her, then literally pushed me closer to the patient and told me, "the only way you learn is if you get up real close and watch everything". She said it nice, the words are easy to mistake for not being said nice, though. Of course, I know that getting up closer will help me see, but we are taught to stay in the corner and try to see around the people who are actually trying to do their jobs.

Well, the OB got all geared up in sterile gown and gloves then turned to me and told me to go scrub in! WHAT?!? Am I allowed to do this? She must have been reading my mind because she asked the nurse (who was the patient's nurse and the charge for her section of the women's ward) and the nurse said it was totally fine. Off I go, all sorts of excited, and I scrub in really carefully, making sure I don't cause problems for the patient. I go in and they gown me up in sterile gown and gloves and talk me through everything! All of this to allow me to hold a retractor (this one looked like the bottom half of a speculum that was detached and the OR tech was holding the top portion so that I was able to see everything the doctor was doing). She kept stopping and moving to the side so that I could see the problem she was working on, her stitches, how to make sure the problem was fixed and everything! She talked me through it all and she was just absolutely amazing. I also got to watch as they intubated her and the doctor and anesthesiologist made sure I got to look down the patients throat to be able to see her "windpipes" when they were intubating the patient at the beginning. I had even mentioned that I wanted to become a midwife and the doctor asked, "A certified nurse midwife, right? Because you'd get clocked if you want to be a lay-midwife!"

Me: "Ya, a CNM."

Doc: "Okay, good!"

Haha, if I were to be a lay midwife I could have saved a lot of time and money and have been working for a few years already!

When the surgery finished and the patient was getting wheeled back, the doc encouraged me to follow the nurse and ask questions. I did, but mostly I just helped get the patient hooked up in PACU. The nurse seemed to like the help, maybe. I don't know. I get confused because I can't tell if students are a gigantic pain in their ass and just an extra thing to keep track of during the day, or if they actually like us being with them if we are able to help. Whatever. She and the anesthesiologist seemed pretty impressed that I was able to help hook the patient up, but I don't know why because I still don't know what I'm doing but I offered to hook up leads, hook up the BP cuff, take a temp, and talked with the patient as she came down off her anesthesia. Regardless, it was great.

When I walked back to the nurse's station, I ran into two of my classmate. They, and all of the other nurses, were asking me how it was and what happened and everyone was so excited to hear about what I had gotten to do. How did they hear all of this? I don't know!

From there I went straight to post conference, where I was late because of said surgery, and they stopped post-conference and had me tell them all about it because they had heard some of what happened!

How did they know??? Good heavens, it's like they knew about all of it before I even got to the hospital today!

Anyway, I told the story, keeping the scrubbing in part out in case I wasn't supposed to do that. Then my instructor added it in! I asked if I was in trouble and she said "Absolutely not! That is amazing that the doctor let you do that! Plus, doc so-and-so pulled me aside afterwards and she absolutely loves you!" I'm almost certain my jaw dropped and I got so excited and giddy I don't remember much else of post-conference.

I've been on cloud 9 ever since the circumcision and yet G-d keep blessing me more and more!

I absolutely loved that doctor. I loved the nurses and surgical techs I was able to work with. I am so incredibly grateful for this whole amazing adventure I had today. There were a lot of times, thinking back on today, that I could have been grumpy or upset because I had nowhere to go and no plan for me. Well, G-d had a plan. I did not get sad or upset or grumpy all day and He continued to bless me, time and time again. It's almost like it was a mini-testing season with amazing rewards that were given nearly immediately to me.

Today was the best day I've had in nearly a year or longer! The day after I was so bummed, discouraged, and sobbing (for 20-30 minutes last night), G-d blesses me with such an amazing experience as today was. I'm am blown away and so very humble at this moment.

Recap: circumcision, newborn assessment, placenta, IV's in placenta, dinner (unremarkable), research (slight bummer), and then getting pulled to go into a surgery, then... SCRUBBING IN TO SAID SURGERY!!! 

So incredible and such a blessing filled day. I'm in awe of the way G-d works in my life. I needed a booster and this was exactly what I needed. It shows I was right for fighting to stay in OB this semester, instead of pushing it off until next semester as was suggested in counseling. This is my passion, within my passion of nursing. This is where I feel I belong. This is where my heart is happy and I make sense in this world. I feel G-d made my heart to want to serve women in this season of their life.

Thank you L-rd for your many miracles and behind-the-scenes workings. Praise you L-rd for giving me joy in the midst of this long season of darkness.