A Day in the Mind of an L&D Nurse

Do I work tomorrow? I need to check my schedule. Yes, I work. I guess I should go to bed, it’s 11pm and 5:30 comes early.  I wonder if my scrubs are clean.  Nope.  Do I stay up and wash my favorite pair, smell them to see how dirty they are, or Febreeze them and keep watching The Good Wife?  Urghhh.  I’ll just wear the pair that’s a little snug.  I don’t think the seam in the back of the pants is coming apart yet and no one can tell that the fabric on the inside of the thighs is worn.  I need to lose weight.  I should work out right now.  That elliptical is just sitting there.  If I could lose weight just by running in my head, I’d be a size 2 right now. I’ll buy new scrubs, maybe a size bigger, on my next day off.  Right now, I’m going to focus on The Good Wife.  That’s what I’m going to be from now on…a good wife. And a good mother.  I’m going to wake up extra early tomorrow and write a little love note to my daughter.  And maybe to my husband.  And I’ll leave food in the crock pot so that my family will actually get to eat at a normal hour.  Oh my God, there’s a full moon.  I better get to bed.  This episode will have to wait.

Does this count as excercise?

Does this count as excercise?

OMG I slept through my alarm.  It’s 6am.  Didn’t I just fall asleep?  I have to hurry.  Forget the crock pot.  I’ll pick something up for dinner on my way home (again).  And I’ll just text a sweet note to my daughter to my husband’s phone and he can just let her read it.  I hope night shift has made a fresh pot of coffee.  Maybe one of the physician’s brought us breakfast. I wonder how many people are on the floor.  I wonder how many laboring patients we have. I hope it’s a 1:1 kind of day.  I wonder who is working.  Man, I love the weekends. No managers, only one physician…I hope it’s qui—- I better not even think the word.

Raise7

I’m so excited. I got this. I’m going to be a baby-delivery machine today.  I’m going to chart every single thing I do and I’m totally going to chart in the room.  These elevators are so slow.  I can’t clock in even 1 minute late or I’ll get docked 15 minutes.  That has to be an OB urban legend.  I’ll probably get out an hour late, so doesn’t it all even out?!?  Maybe I should just take the stairs. I know I need to lose weight.  Nah, I’m still tired, I’ll just wait.  I’m so glad no one else is waiting for this elevator, I don’t have time to stop on every floor. I better stand near the back so I can just pretend to try to hold the elevator open in case someone tries to swoop on in at the last-minute.  That’s so hateful.  I’m totally getting like 15 patients for that comment.  I better stand near the front and lose an arm trying to keep the door open if someone runs up.  That’s what I’ll do.  In fact, let me hold it open for a few seconds just in case someone comes around the corner…

 

Whoops :(

Whoops 😦

There are four strips pulled up in the break room.  How many labor nurses have I seen….one, two, three.  Not bad!  I hope I don’t get the patient in room 101.  Her strip looks like a pancake. Was that a late?  I’m not clocked in yet, I’m not going to look at it.  Well, let me just pull it up really quick to see what it looked like before I got here.  Oh good, it wasn’t a late. And the strip looked better 10 minutes ago.  But it’s still flat. It’s a little iffy.  I hope she’s just been Stadol-ed or at least turned to a lateral position.  I hope I get a primip who is being cervadiled or a multip who is in active labor.  Or a primip in active labor. Or anyone in active labor!  You know, I just want someone who is pregnant. I totally don’t want to work mother-baby today.  I feel like being a labor and delivery goddess.  I’m pumped up.  Just give me someone who is pregnant, in active labor, with a good strip.

Annie_fingers_crossed

Whoop-whoop.  I did not get the patient in room 101.  But yes, she had just been Stadol-ed and yes, she’s in a lateral position.  But I’m still glad that patient isn’t mine. I’ll still keep my eye on that one. Just in case.  Thank God that girl has a good nurse.  What’s going on with my patient.  Hmmm G1P0.  Fingertip/thick/high.  Being induced for postdates,  42.1.  God bless her.  She tried to give her body time to go into active labor all on its own.  She should get an award. I’ve got my work cut out for me.  If I get her delivered before my shift is up I should get an award. I’ll let her rest until I eat breakfast and then I’m going to encourage her to get out of that bed.  I hope it’s not a 12 pound baby.  I hope it’s not thick mec.  I hope she doesn’t have a secretly scarred cervix she’s not telling anyone about.  I’ll find out more when I check her myself.

Ohhh not bad. Not bad at all.  She’s soft and anterior.  There’s hope!  I’ll get her moving.  Lets get out of bed…yes, you can do it. Before you got to the hospital, you were walking around. Trust me. I’ve had this same conversation a million times before. Just because we put that ID band on you doesn’t mean you can’t move.  Yes, it does feel better in the rocking chair than in the bed!  I’m like a psychic.  I should charge money. Oh wait, I get paid pretty well.

PsychGif11

Here comes another patient presenting to triage.  She’ll be a keeper. She can barely keep her bottom on the wheelchair.  She’s doing that half-sit, half-wobble thing dance.  I’ll laugh at myself if she’s closed.  I hope she’s term. She looks term.  That’s no 30 week belly.  Complete! +3!  She’s about to have her baby on the triage floor.  That labor nurse is grabbing an NTN, that labor nurse is grabbing an IV start kit and postpartum Pit, and I’ll grab some gloves and tell her to breathe. I hope the unit clerk called a physician. We don’t have time for a start kit. I hope someone brought an IM needle. Oh no, she’s grunting. Blow it out! Like a candle! Like a candle!  Too late, there’s the baby.  And it’s bald!  I haven’t seen one of those in a while.  I hope the physician makes it here for the placenta.

There goes room 101 again. Definite lates. Is the nurse in there? Yes.  That nurse is always on top of it. Uh oh. My baby is crashing. God, I hope there’s been a miracle and she’s complete.  Let me do a gentle vag exam while she’s on all fours.  Oh no.  I’m not supposed to feel anything pulsating. This prolapsed cord has bought me and my patient a ticket to the OR.  There’s no repositioning my way out of this one.  And now my hand has to stay in here.  Oh well, at least I got the easy job. My hand just has to stay in her vagina as we roll to the OR and I get to watch everyone else scramble. I wish I’d done a perineal wash 2 seconds before her room flooded with nurses.  I swear it didn’t look like this 10 minutes ago.  I hope everyone remembers she just SROMed.  She feels kind of hot in here.  When was the last time I took a temp?  Is that amniotic fluid soaking through my bra?  I hope it’s amniotic fluid and not urine. Oh, she SROMed thick mec. I guess it doesn’t matter which one it is… I need to pat the patient’s leg to reassure her that everything will be okay.  God, I hope this baby is okay.  Man, I don’t get paid enough for this.

brittney spears

So thankful for teamwork and a doctor that can get a baby out lickity-split.  Damn, I missed lunch.  I have so much charting to do.  Oh look, the patient in room 101 had a SVD with 9/9 apgars while I was in the OR.  Oh well, I got 8/9 apgars with a prolapse, so I guess everyone’s a winner!  Oh no, was I supposed to be recovering that precipitous delivery that happened in triage?!? I was the last one out of the room…  Hopefully the charge nurse is all over that.  What will I pick up for dinner tonight? I’m too tired to eat.  I’m too tired to stop and pick up food.  How can I skip so many meals at work and still not be skinny?  Why does my doctor say that working is not the same as working out?  It feels like I’ve worked out.  I wonder if my husband will divorce me if I order pizza one more night this week.  Did I remember to send my love note text to my husband’s phone for my daughter to read?  Man, I hope the kids are fed and bathed when I get home.  I don’t care if my daughter hasn’t washed her hair in a week, I’m too tired to wash her hair tonight.  Will she need therapy when she’s older?  I better just wash her hair.  I’m so glad to be home.  Maybe I’ll finish watching that episode of The Good Wife. Whoops, I forgot to check the schedule to see I work tomorrow.  I hope someone washed my favorite scrubs.

 

Until my next delivery ❤



Categories: For Nurses..., Nursing Humor, Random

Tags: , , , , , , ,

58 replies

  1. I am a CST in a high risk unit in Austin. This is sooo how a day goes. I love your blog.

    Liked by 1 person

  2. LOVE your blog!!! Great post.

    Liked by 1 person

  3. You nailed it.

    Liked by 1 person

  4. I love this! I work nights but it’s still the same things that run through your head! I love reading your blogs! Thanks!

    Liked by 1 person

  5. I so have lived this life. Only another L&d nurse will understand all of this. So glad to be retired.

    Liked by 1 person

  6. Wow! That was great:) I only worked L&D for 18 months and that was after 18 months in the NICU…as a new grad…thank you Navy!! Both jobs were soooo stressful, almost more than I could handle. That was a perfect description, the stress of having those two fragile patients where almost anything could happen, ugh!! God bless you L&D nurses:)

    Liked by 1 person

  7. My daughter is an L&D nurse. And I see her in this and I worry about her a lot. It seems to be a career that one can both love and hate. Yet, I’m so proud of her for going to school and choosing to do this. I’m proud of her for being able to support herself, if she ever has to. I’m proud of her for working in a charity hospital and for caring about those that the majority of people could care less about. I’m thankful that she’s an amazing mother and that she has not given up. But, if she chooses down the road to do what she loves I’m behind her 100 percent.

    Thanks to all of you nurses. You responsibilities are vast and I admire you all for what you do.

    Liked by 1 person

    • My labor career has injured me and caused me 4 shoulder surgeries and has stressed me to my limit at times but I feel proud to do what I do because it is the most special time in a mothers life and I get to make her experience that she will remember forever. If I do my job right, she will remember me for her life even though I may never remember her. There are so many careers that I would hate that others love and just felt this is what I belong doing with my life even if it hurts my body. Some people don’t understand but I was lucky to be raised by a cardiac nurse who taught me how to treat everyone like they are the most important thing going through my mind, even if they are on drugs and screaming at me. I’m glad not everyone can do my job because I wouldn’t want to do theirs. I’m glad you are proud of your daughter because it means the world to me that my mother is proud of me.

      Like

  8. Omg this is so true! A typical day for us L&D nurses 🙂

    Liked by 1 person

  9. I’m an L&D nurse for 38 years! Such an accurate accounting of a day in the life! I still love it tho! Just gotta hang in there 6 more years so I can retire!

    Liked by 1 person

  10. You nailed it.You just blogged my life.

    Liked by 1 person

  11. I worked L&D for nearly 18years until disability forced me into early “retirement”. You really nailed this one! I still miss it soooo much.

    Liked by 1 person

  12. LOL. So very true.

    Liked by 1 person

  13. This has to be my favourite post ever by you!

    Liked by 1 person

  14. I worked this for 37 yrrs and miss it desperately! The Docs, the girls in labor and yes even the lady who drops her cord. I miss it all. But chronic illnesses won over, so…….. I was just wishing,,,,,,,,

    Liked by 1 person

  15. Hi! Saw that you were having a bad Monday 😦 Please send an email to fans@dansko.com so we can brighten you day!

    Liked by 1 person

  16. Every word true!

    Liked by 1 person

  17. Almost every day… But worth every minute!!

    Liked by 1 person

  18. hilarious! this is my mind, never dreamed being in my head would be so comical

    Liked by 1 person

  19. I think I recently worked one of the days!!!

    Liked by 1 person

  20. Oh my word, you’ve hit the nail on the head with this post. My cousin posted a link to your blog on my facebook telling me I’d probably enjoy it. I must say I have and I can definitely relate! I’ve worked high-risk L&D my entire career. I’ve been a nurse for 20 years and a traveler for 12 of those. This post made me think of the night we had 7 nurses to 18 patients and none of us sat down that night. We were so grateful when our shift ended and so thankful that nobody died. We were also grateful that there was a bar that opened in that city at 0700 just for the nurses. 😉

    Liked by 1 person

  21. You got it right on. This seems to be most days for our unit, but I couldn’t imagine doing anything else!!!

    Liked by 1 person

  22. This was my exact night last night! You captured it perfectly. Good luck out there! 🙂

    Liked by 1 person

  23. LOVED this!! So what L&D is like!! I, too, had a cord prolapse and hopped on the stretcher holding baby off the cord until they got her prepped and open to the uterus! Lots of praying done. Precipitous deliveries- pit, stadol, catching couple babies… How I miss it! LOVED working L&D until unfortunately a car accident took my career away as a L&D nurse- can’t do clinicals any more. But, teach and share still. Thanks for bringing back many wonderful memories of good days in L&D!!

    Liked by 1 person

  24. I really enjoy reading your blog. I have retired after 37 years as an RN, 29 of those years spent in L & D. You are so true to life and I can relive all those hectic, stressful, I loved them to death days reading your stuff. I loved being an L & D nurse….

    Liked by 1 person

  25. Recently retired…really agree with your blog !!! Enjoy your working years…I miss L&D so much after 50 years! I simply loved every second I was there.

    Liked by 1 person

  26. Wow, I have empathy for nurses. To be honest, many people say I want to study medicine at Oxbridge because it is prestige and is every parents dream. But are people actually prepared to sacrifice their flesh, their will for the care of others? #foodforthought

    Like

  27. Perfect! The best/ worst job ever. I’ll def start reading this!

    Like

  28. So true. I remember those days. I went back to school to become a Certified Nurse Midwife to slow down and gave 1 on 1 care. I am my own boss but some days still so busy. It takes special people to be nurses especially L & D nurses. Keep up the good work. You are loved and remembered. God bless you.

    Like

  29. Oh.my.word. so true. Every word. Great blog.

    Like

  30. I started reading this and really started missing my old job, but by the end of it I was AGAIN such a happily retired L&D nurse. But … ok yes I still miss my job.

    Like

  31. Full disclosure, I am not an LD nurse. I run a company that makes software for LD units so I can at least understand some of the lingo…Enough to enjoy this awesome blog! Intense, emotional, funny, sad. You are multi talented! Thanks for your time doing this.

    Like

  32. After 35 years in L&D I truly enjoy your writing. You are spot on and proof it doesn’t matter where you are we are all sharing the same experiences. Well done!

    Like

  33. I am a new L&D nurse,my first weekend on nights was kind of like this day you described! it was pretty crazy

    Like

  34. I was a L&D mother baby nurse for 13 years before God moved me into hospice. I do miss it so. This made me laugh and cry. I also did 6monthe in NICU and traveled for a 4 month assignment once in a level 3 L&D unit. This was how most days played out! Thanks for sharing. Love it!

    Like

  35. Oh My Gosh…I just LOVED this post! I always go to bed the night before SO prepared and then the morning is SUCH chaos…I think my trip into work mimics yours, all the way down to my evil elevator thoughts 😛
    Isn’t it funny how the day just zooms by and then at the end (or near-end) you think about your family/dinner/love notes and any other misc things that just TOTALLY get forgotten for our patients??
    #NICUNURSE

    Liked by 1 person

  36. I love your blog! I am that Postpartum nurse (26 years), and NICU nurse who takes over after you have done your job. Love seeing it from your perspective.

    Liked by 1 person

  37. Once anOB nurse always an Ob nurse at heart.Retired now. Worked In a small community hospital and at times it could be hetic if you were the only nurse on nights. I wouldn’t have traded it for anything

    Like

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Google photo

You are commenting using your Google account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s

%d bloggers like this: