Saturday's women
Feb. 7th, 2021 06:31 am![[personal profile]](https://www.dreamwidth.org/img/silk/identity/user.png){kind=small}
whitewriterP4
4th baby, 2nd in Australia. Ethnicity: Filipino.
In all the 6 months I've been at SSH I never realised how rushed we were with the women postnatally compared to at MSH.
Or perhaps it's because as a student I was always allocated to work with a pro; and their time management is awesome. While I'm still finding my feet.
I actually started taking notes on it at the start of my shift.
Hard to do without looking like a turd on one's phone.
I'm a casual now so need to be extra extra careful. I'm only there once a week so whatever happens in that one shift will probably stick around for much longer than I'd like be it bad.
We're bed blocked this morning.
Apparently all the women upstairs in postnatal have fevers and can't go home.
Fever city.
Anyways so birth unit is blocked up with postnates -when it should really be pretty much open rooms waiting for women to go into labour and need a 1:1 midwife.
So we get doubled with a postnate and a labourer.
I saw that happen at MSH also but usually it happened to a senior with a student - the student would stay with the labourer, and the senior will do everything to post haste send that woman upstairs.
The AM senior jokes that there must be a problem with the air conditining.
Advocacy
Someone has booked 4 inductions on a Saturday and the registrar is not happy.
AFI of 7? How does that qualify for a need for IOL>
AM senior throws the book at him- read the policy, AFI of <7 requires induction within 24 hours.
She has an AFI of 7.
He argues bacK.
She tells him to read the policy.
I have not ever seen such arguments in ICU. Only amongst nurses where we argue how things should be done, in nursing-related things. Everything runs like a clock.
Here, the rules seem looser (although, they should not be).
Reminds me of my woman who had an AFI of 3... (I want to get to a post on the 10 women that helped me qualify as a midwife- but we'll get there).
Meanwhile in the tearoom, they're discussing a midwife who is having her 4th baby-- to set the scene, she's working in MAC (the clinic next to BU) and MAC and BU share the same tea room.
She has a bad case of pregnancy brain.
But it's another type of pregnancy brain (or so it seems to all the single and childless midwives who are bitching in the tea room).
Supposedly she had a 40 minute tea break (we're supposed to get 20 mins). I'm pretty bad at calculating my time but I generally figure, if I'm done eating my food and I've been to the loo that'll fit the criteria and I head back and it usually works out.
They work as a partnership in MAC so your buddy waits for you to get back before they go for a break. Buddy wondered where she was to the AM senior (whups).
Pregnantlady says she was on the phone with her husband and based on the length of her phone call it couldn't have been more than the allotted time.
Uhuh.
These days, pregnantlady (from what I've observed) only wants to talk about herself. Her BGLs. Her appointment with the endocrinologist. Her FGTT results. If she's going to have a baby shower. That she's never had a baby shower (this is your fourth, lady are you sure? -- or was it a party, and you just didn't call it a shower...) that this is her last baby and on and on...
She offered us in BU help as clinic was quiet: I pipe up- I need morphine s/c for my lady can you get it with me.
I'm all ready to go with the needle and the book is written up etc.
I'm like p0, IOL started at 10:00 and it's now 12:00.
What's she started at?
2cm
When did she start contracting?
11:00
You need to do a VE
"really...."
"yup you never know."
And I'm like ... um....
And she's like "call me back after you've done it" (like year right ...)
So I go to AM senior... "she wants me to do a VE" (I'm thinking you just wanted to get out of helping me?)
AM senior: "why..."
"because she thinks she might be fully" (fat chance-- she's not there).
AM senior ends up getting it with me.
Little P0 did well, supposedly at the next VE at 14:00 she was 5 cm and I'm not totally unsurprised - because at the start of the day, the head was stated to be well applied.
Power. Position. Passenger, placenta and psychology.
Just like how the old ward clark warned me: women. When they have kids that's all they talk about.
That topic doesn't run dry for the next 30+ years.
Maybe that's why none of my friends have kids...
4th baby, 2nd in Australia. Ethnicity: Filipino.
In all the 6 months I've been at SSH I never realised how rushed we were with the women postnatally compared to at MSH.
Or perhaps it's because as a student I was always allocated to work with a pro; and their time management is awesome. While I'm still finding my feet.
I actually started taking notes on it at the start of my shift.
Hard to do without looking like a turd on one's phone.
I'm a casual now so need to be extra extra careful. I'm only there once a week so whatever happens in that one shift will probably stick around for much longer than I'd like be it bad.
We're bed blocked this morning.
Apparently all the women upstairs in postnatal have fevers and can't go home.
Fever city.
Anyways so birth unit is blocked up with postnates -when it should really be pretty much open rooms waiting for women to go into labour and need a 1:1 midwife.
So we get doubled with a postnate and a labourer.
I saw that happen at MSH also but usually it happened to a senior with a student - the student would stay with the labourer, and the senior will do everything to post haste send that woman upstairs.
The AM senior jokes that there must be a problem with the air conditining.
Advocacy
Someone has booked 4 inductions on a Saturday and the registrar is not happy.
AFI of 7? How does that qualify for a need for IOL>
AM senior throws the book at him- read the policy, AFI of <7 requires induction within 24 hours.
She has an AFI of 7.
He argues bacK.
She tells him to read the policy.
I have not ever seen such arguments in ICU. Only amongst nurses where we argue how things should be done, in nursing-related things. Everything runs like a clock.
Here, the rules seem looser (although, they should not be).
Reminds me of my woman who had an AFI of 3... (I want to get to a post on the 10 women that helped me qualify as a midwife- but we'll get there).
Meanwhile in the tearoom, they're discussing a midwife who is having her 4th baby-- to set the scene, she's working in MAC (the clinic next to BU) and MAC and BU share the same tea room.
She has a bad case of pregnancy brain.
But it's another type of pregnancy brain (or so it seems to all the single and childless midwives who are bitching in the tea room).
Supposedly she had a 40 minute tea break (we're supposed to get 20 mins). I'm pretty bad at calculating my time but I generally figure, if I'm done eating my food and I've been to the loo that'll fit the criteria and I head back and it usually works out.
They work as a partnership in MAC so your buddy waits for you to get back before they go for a break. Buddy wondered where she was to the AM senior (whups).
Pregnantlady says she was on the phone with her husband and based on the length of her phone call it couldn't have been more than the allotted time.
Uhuh.
These days, pregnantlady (from what I've observed) only wants to talk about herself. Her BGLs. Her appointment with the endocrinologist. Her FGTT results. If she's going to have a baby shower. That she's never had a baby shower (this is your fourth, lady are you sure? -- or was it a party, and you just didn't call it a shower...) that this is her last baby and on and on...
She offered us in BU help as clinic was quiet: I pipe up- I need morphine s/c for my lady can you get it with me.
I'm all ready to go with the needle and the book is written up etc.
I'm like p0, IOL started at 10:00 and it's now 12:00.
What's she started at?
2cm
When did she start contracting?
11:00
You need to do a VE
"really...."
"yup you never know."
And I'm like ... um....
And she's like "call me back after you've done it" (like year right ...)
So I go to AM senior... "she wants me to do a VE" (I'm thinking you just wanted to get out of helping me?)
AM senior: "why..."
"because she thinks she might be fully" (fat chance-- she's not there).
AM senior ends up getting it with me.
Little P0 did well, supposedly at the next VE at 14:00 she was 5 cm and I'm not totally unsurprised - because at the start of the day, the head was stated to be well applied.
Power. Position. Passenger, placenta and psychology.
Just like how the old ward clark warned me: women. When they have kids that's all they talk about.
That topic doesn't run dry for the next 30+ years.
Maybe that's why none of my friends have kids...
