Trial and Error

Ugh, the amount of high's and low's I experience per shift in L&D has given me a terrible case of whip lash. One shift goes great, while the very next night is absolute hell and I can't seem to do anything right.

Last night's shift was a crazy combination of both.

I admitted a patient who was there for an elective induction, but did not want any of the meds to get labor started...

Then I immediately got another pt who needed an epidural pronto and then her blood pressures bottomed out and she went from a 5 to a 10 and delivered in 1.5 hours.

About 3 hours after the delivery, as I was getting caught up on charting, my preceptor came to me and asked if I minded taking ice water into the delivered patient, and asking what they decided to name the baby since they had waited until after the birth to pick a name. I went in, asked what the name was and you know what? They named their baby after me! I was with them for a total of maybe 5 hours, missed her whole recovery because of my other pt, and they honored me by naming their baby after me. Yes, I happy cried and teared up in the room. I don't think I have ever been so honored by anyone, let alone someone that I barely knew.

I came out and sat down to chart when my other pt pressed her call light. I went in and she said she thought her water broke. Okay, so normally we are supposed to check them when that happens so that I could report to the doctor. Well, this particular doctor was planning to come in and check her and break her water about 30 minutes after when she SROM'd. So, I figured I would check her (as normal) and go let him know. Well, I got REAMED for that because apparently he likes to check his own patients when he is at the hospital. I had been told this at the beginning of my orientation, but I am still in the task-oriented phase of learning and I did what would normally be done.

I'm trying to let it roll off my shoulders and just learn for next time, but it's still frustrating to me that we bend over backwards for doctors, and yet they yell at us for something so small as a preference. Nobody was hurt, nothing bad happened, and it didn't change the course of treatment at all...

I will do it differently next time. I will do my best to remember the little nuances and remember every doctor's preferences as best I can... but I'm still going to complain about the way that we are chewed out for stupid shit every day, just because the doctor is having a bad day or likes some random things done a very specific way.



Deep breaths. He'll be mad at me for the next several weeks and I will have months of proving myself to him and the other doctors. I hate this part, but I am also the most motivated when I feel like people are expecting me to fail, so I guess we'll see how it goes. L-rd willing, I don't struggle too bad.