Posts Tagged ‘ postpartum

Postpartum Follow-up

So, I haven’t posted for a few days and I’ve been feeling the withdrawals! How neglectful!
 
This week, on Wednesday and Thursday to be specific, I finished my last two shifts on Postpartum. Which actually weren’t terrible.
The exciting thing is that on Thursday, I had 3 patients for the first time and I felt super cool. I actually felt busy and nurse-like.
 
Patient 1:
Up moment- I helped her pick out a middle name and got to hold her baby while she was talking with the Lactation Consultant. He had the nicest head of hair! Thick curls all over and so soft. Holding him made me want a baby. And then I snapped back to reality.
Down moment- Baby Daddy came in and was very curt with her. She asked him if he needed help buckling the baby into the car seat and he looked at her saying “This isn’t my first kid.” She looked like she had been slapped in the face because this was her first child.
:(
 
Patient 2:
AWESOME moment- This woman told me (and the lactation nurse) that I was awesome and just need to keep up my confidence because she could tell that I was going to be a really good nurse. She said some students come in and you can tell that they are students whereas I sounded like I knew what I was talking about. Little did she know that I felt like I was merely faking it until I made it and was still nervous. That was just the boost I needed to hear that day.
 
Goodbye postpartum!! Never again!!!
 
Love,
Laney

Fundus Buddies?

NO!

My instructor wants to us to be fundus buddies on the postpartum (PP) floor. After today, I can confidently say that I do not find the fun in fundus (aka the top of the uterus that you can feel during pregnancy).
I’m so bored!

Granted, I think it’s awesome their are nurses who do PP, but tain’t for me.
It’s just a bunch of boobs, butts, and vahoohahs.
And when I feel like I’m not doing a whole lot, time slows. Today was slow. It took FOREVER. I thought I would never leave!
We arrived at 0700. Started the morning off by going through floor orientation and then started the unit tour. Then a classmate from another rotation came in.
“Howdy T! What are you doing here?”
“Oh well, I’m meeting so-and-so for my community rotation,” T replied.
“Oh okay, cool.”
“Yeah,” he continued. “Have you seen so-and-so? I was supposed to meet her at 0830.”

My head exploded. What?! It’s not even 0830 yet? Are you kidding me? I thought it was almost lunch time!
I checked my watch in a slight panic, pushing up my jacket sleeve.
If it were a movie, there would be horror music as it zoomed in to the bright digital numbers that screamed 08:18.

My day went on in that fashion until 1530. I thought the day was done, it was 1000. I thought I had graduated school, it was only lunchtime. I thought I had already had babies of my own, it was only time for a lactation consultant meeting that dragged for TWO HOURS.

Now, this is nothing against the unit. Some students liked it. I just like a faster pace.

Here’s how to remember your focused assessment: Bubble He.

B- breasts [engorgement, cracked nipples, no clogged milk ducts]
U- uterus [firmness, fundus, is it at the umbilicus?]
B- bowel movement [have they had one, stool softener after 2-3 days]
B- bladder [emptying it?]
L- lochia [bloody, mucousy, discharge...what color is it?]
E- episiotomy [check sutures, bruising, tearing, hemorrhoids]
H- Homan’s sign [dorsiflex to check calves for blood clots]
E- emotional [PP depression, appropriateness]

And that’s it. Ugh. Not my cup of tea.
I’m team lead tomorrow aka charge nurse. Which is fine, I like charging.

Oh, and it’s a short day. Due to floor/curriculum changes, we got split into shifts for this rotation. Either 0700-1100 or 1100-1500. Luckily, we all got the shifts we wanted and I am happily on the 1100-1500 shift. I’m not trying to be up super early.
Only three more days (one tomorrow and two shifts next week) and then I can move on to Labor and Delivery. Until tomorrow…

Love,
Laney

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