Nursing Birth

One Labor & Delivery Nurse’s View From the Inside

Hey NursingBirth!!! Where the HECK have you been?!?! March 29, 2010

Filed under: Ramblings — NursingBirth @ 11:57 AM
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“Hey did you hear what happened to Nursing Birth?  I heard she was struck down by a bolt of lightning when she encouraged one of her patients to push in an upright position instead of on her back in stirrups!  She hasn’t been the same since!!

 

“No, no no…you’ve got the story all wrong!  I heard that the government had to put her into the witness protection program after she suggested to a  room full of obstetrical residents that a woman could indeed deliver a baby WITHOUT pitocin!  And it didn’t help matters when she then told the group that women do not have to have a vaginal exam every two hours while in labor!  That really set them over the edge!!

 

“I heard she was captured by an angry mob of obstetricians after mentioning the possibility of a TOLAC for a woman who showed up on the ward in labor after 5pm at night!  They held her captive on a deserted island where she was forced to listen to lectures touting the “benefits” of elective primary cesarean sections for all pregnant women!!”

 

“You know what I heard?  I heard she had a nervous breakdown after hearing 20 maternity nurses simultaneously utter the phrase “Why don’t you just let us take the baby to the nursery tonight and give him a bottle so that you can get some rest” while at the same time shoving a box of pacifiers into her mouth!

 

“No, you all have it wrong!  I heard that she had to flee the country after a group of anesthesiologists overheard her admit to a patient that indeed epidurals do carry some RISKS to both mothers and babies!  Rumor has it they chased after her screaming “HERETIC!  BLASPHEMY!”

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

No you are not seeing things!  It’s really ME!  Your old friend NursingBirth!  I’m sure you all just did a double take when you saw my post pop up on your google reader but it is true, I am back!  However as hard as it is to believe, none of the above scenarios are true! 

Despite the fact of me being back, however, being “better than ever” is unfortunately debatable.  The last 5 months have been a whirlwind of highs and lows, with Christmas time with my family, a newborn nephew, and more than double the amount of sunny days being a few of the “highs” and the selling of my first home, moving TWICE and to a new state, dealing with the bureaucracy of multi-state boards of nursing, a panicked job search, a husband out of work, moving away from my very best friend, and starting a new job as being some of the, well… “lows.” 

When I wrote my last post back at the end of October, (WOW, I haven been “gone” for 5 months.  No wonder why my readers have been getting frantic!!) I truly did think that I would be back in action at the computer in only a few weeks.  But the multiple moves really took a lot out of me especially since we spent one of those months without the internet.  (AAHHH!  NO INTERNET!  Lame I know but I am crippled without it!!  Haha!)  However, the biggest hurdle that I had to overcome in order to return as “NursingBirth” was my “new” job. 

Why was my “new” job a hurdle you ask?  Seems like a new job would bring an endless amount of new material.  And in reality it absolutely has.  However as I stated in my last post, when my husband and I decided to move and hence leave behind my “old” job (which hereby will be referred to as “Big High-Risk Urban Hospital” or BHRUH) I started out on a quest to find and work for a hospital or birth center that was both truly mother-friendly as well as baby friendly in their philosophy, attitudes, actions, and outcomes.  I did not want “more of the same.”

But what happened is that I, NursingBirth, became a victim of the Ol’ Bait and Switch!!!!

What was supposed to be a beautiful beginning to a long career at a nice community hospital turned into a deep depression as day by day I realized more and more that I was in waaaaaaaay over my head.  However, I wasn’t in “over my head” as far as my nursing skills or knowledge was concerned.  In fact, I saw, experienced, and managed  situations at BHRUH daily that the nurses at my new job (which will be henceforth referred to as “Bait and Switch Community Hospital” or B&SCH) experienced monthly or even yearly.  (Not that that is good or bad.  No value judgements here.  I also fully acknowledge that there is still much I have to learn and have yet to experience as a nurse.)  I was in way over my head because the “mother friendly/baby friendly” hospital that I thougth I was working for was actually a:

 

“Don’t under any circumstances rock the boat or the nursing leadership will throw you under the bus–We do things here this way because that is the way we have always done them so don’t confuse me with the facts– If you don’t give me my way I’ll just take my patients to your biggest rival instead– Look at all our big screen TVs and SHINY THINGS while we distract you and seperate your baby from you at every possible opportunity– Your nursing license and the safety of the patients comes second to keeping doctors happy– Give them all an epidural at the door to keep them quiet– My C/S rate goes up when I am in a bad mood– Every admission to the nursery= More money for the hospital–No midwives allowed–You can’t do anything to change things here because nurses are not an equal member of the healthcare team” hospital.

 

   And it wasn’t until I made the very hard decision to leave B&SCH that I have had the motivation and inspiration to start writing again.

But today I also come to you with good news!!!  As of May 3rd I will be starting a yet another NEW job at community hospital #2 which I will from here-on-out be referring to as “Birth Center in Disguise” or BCID!!  Luckily my decision to leave B&SCH coincided with a random, word-of-mouth, unlisted job opportunity at BCID that lead to an interview and job offer last Thursday!!!  I feel revitalized and excited and nervous and joyful as well as so many other emotions that I just had to write about them all!! 

I hope you will all stick with me over the next few posts as I process and debreif the last 5 months of my life.  I feel like there is so much I want to share with you about what I have been going through and I haven’t had anyone else to process all this with!  I also want to appologize for going MIA for so long.  It was so hard for me to come back but I hope that I am back for a long time.  I didn’t realize how much I really got out of blogging and I really missed how much I learned from all of you!

Thanks again for all your words of encouragement and pleas for me to return over the past 5 months.  There is no doubt that without them I would never have returned!  You all rock!!

Sincerely,

NursingBirth

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51 Responses to “Hey NursingBirth!!! Where the HECK have you been?!?!”

  1. Molly Says:

    YAY! Welcome back! I really really hope that your next place of employment is a BCID!!!!!
    -Love your #1 fan

  2. Sabi Says:

    Hooray!!! Welcome back– you were missed!!

  3. Annapolitan Says:

    Yay! Welcome back! So, so happy to see you in my Google reader.

    So sorry to hear about Bait and Switch Community Hospital (sounds like the hospital in my town), but thrilled to hear about new job at BCID. Am looking forward to catching up.

    And I’m crossing my fingers that you aren’t the sole breadwinner for long.

  4. Ted Says:

    How can we expect pregnant families to select a mother/baby friendly hospital when a Nurse can get baited-and-switched? I’m glad you’ve found some place new, and am very sad to hear that places like B&SCH are as common as they seem to be.

  5. Katie Says:

    yay!! so glad youre back! i literally emailed you last night after discovering your blog a few days ago, and i am thrilled that i will be able to read updates throughout the rest of my pregnancy. best of luck with the new job, i am glad you left the hospital (well, both hospitals!) where you did not agree with the ‘policies’ or just with the drs in general. hopefully this new job will be a place where everyone works together, and you are not constantly fighting against the administration for your patients! had trouble posting this the first few times, i apologize it if shows up more than once, feel free to delete repeats! :)

  6. Saylor Says:

    You’re back! Wow, I missed your posts so much! I need to go back and re-read some of your posts as I prepare for my in-hospital VBAC. I’m excited and hopeful–glad you’re back so I can read more from you. I can only hope to have a nurse like you :)

    Hope everything goes better than you even expect at BCID.

  7. Jessica Says:

    Yeah! you are back! I have a BCID hospital in my neck of the woods so I will be looking forward to the case. In the case of our BCID the admin does not allow VBAC’s even though there is a willing (and successful) team in place. Such a shame.
    Welcome back!

  8. mommymichael Says:

    wahoo!!! yay!! I’m so glad you’re back. I send people here all the time!

  9. Welcome back! We are really looking forward to more of your posts! We enjoy your blog very much! MOSW

  10. Dear NB:

    Thank you for updating. I have missed your posts and often share them with my clients and students! I always say “doors open and doors close.” glad you are getting to a place that I hope brings you much satisfaction and happiness. Looking forward to reading all about it!

  11. I’m DANCING over here! Yippee! I can’t wait for your next post. I’ve shared so many of your words with my clients and friends – you would not believe the impact you’ve had on people you’ve never met just by sharing your experiences and the benefits of normal birth.

    One of the top posts I send out is your Pitocin Protocol for Labor Induction/Augmentation Decoded post. Often that link forward happens on the heels of someone asking me, “So on that show (Birth Day, Deliver Me, Orgasmic Birth, etc), what do those numbers on that blinky lighted box attached to the IV pole mean?”

    Thank you for coming back! I see many more conversations and link forwarding in my future… (-:

  12. Kristen Says:

    YAAAAAAYYYY!

    So glad that you are back, NB. I’ve been thinking about you a lot lately.

    On the other hand, I’m sorry (for you and for every woman who steps foot in that L&D unit) that the B&SCH turned out to be what it was. Congratulations on your new job, however!

  13. wb Says:

    YAY!!! I’m now expecting my second baby, and I’m delighted to see you back as I love your take on things, and I used your previous series as I interviewed many different providers (and hospitals) this time around. Welcome back! Post and debrief soon!

  14. Rixa Says:

    Nice to hear that you’re back! I’m glad you finally found the job you were looking for.

  15. manhattandoula Says:

    So glad you’re back! I have learned so much from you and can’t wait to read what you have to say.

  16. Jenn Says:

    Welcome back! Glad to be reading you again!

  17. Mandy Says:

    So glad you’re back! I hope this new job works out perfectly for you :)

  18. Welcome Back! May 3rd is my birthday, so I’ll send my birthday luck in your direction, hoping your new job at BCID is waaaaaayy better than the Bait n Switch place.

  19. Ameya Says:

    YAY! So glad you’re back!

    Ugh, what a terrible place your first new job was! Makes me so frustrated for all the poor women who birth there!

  20. Lori Says:

    Welcome back!! You were missed.

  21. Monkey Mama Says:

    YAY!! Welcome back. Now don’t leave again like that, please. :)

    Pretty please, with a cherry on top.

  22. Monkey Mama Says:

    PS- you must be here in Orlando. Our local baby factory is all about what you described with the whole “Oooh look, shiny marble counter tops! Room service!!” They just never seem to mention their 48% c/s rate and their “transition nursery”, aka baby jail.

  23. geogling Says:

    yay yay yay yay yay!!!

    I have so many friends about to become first time mamas and can’t wait to refer them back here!

  24. Steph Says:

    I’m glad you’re back too! I started reading a lot of your posts about a month ago and was really disappointed that you seemed to have stopped blogging. (I’m about 7 wks pregnant and have been trying to educate and prepare myself.) Best wishes with your new job!

  25. Chara Says:

    My husband thinks I’m crazy because I just started squealing (very quietly since the monkey is in bed- which only made it weirder). I can’t tell you how much you have inspired me to educate myself on all sorts of topics that I didn’t even know I was ignorant on.

    I’m so, SO glad you’re back and doing well. Keep up all of your good work!

  26. Diana J. Says:

    I am SO glad you’re back! We have missed you!

  27. Rebecca S Says:

    Welcome back. We missed you.

  28. Brittany Says:

    Welcome back! I discovered your blog during your hiatus and was looking forward to your return. Now I have another blog to read while waiting on the arrival of my first child :)

  29. Dou-la-la Says:

    Another big slobbery welcome back! Your voice has been sorely missed. SO glad you’ve found what sounds like a wonderful fit!

  30. Sharon M Says:

    Yea for the return of Nursing Birth!!! Look forward to hearing about your adventures soon.

  31. EG Says:

    You’re right, I did a double-take when I saw you pop up on Google Reader!

    Glad you’re back.

  32. Catie Says:

    Glad you’re back!

  33. Jenny Says:

    OMG I am SO EXCITED that you are back! Sorry about the bad luck though that really sucks! Can’t wait to read your posts!

  34. Laurelin Says:

    HOORAY! So glad you are back! We have all been waiting and hoping, and now our wishes have come true! You did the right thing by taking a blogging break during that time of upheaval — taking good care of yourself and getting your feet back underneath you should always come first. CONGRATULATIONS on the new job — you built up a lot of good karma with those last two jobs, and now it seems it’s comin’ round!

  35. Blair Says:

    Oh, I’m so relieved you are ok! I refer people here often. Especially those seeking a VBAC or whom are being induced for absolutely no reason other than they are tired of being pregnant at 39 weeks.

    You have lots of fans and we love your blog!

  36. HeatherDoula Says:

    Hooray! I’m so glad you’re back, I’ve really missed your writing. Plus, I was starting to think that one of those scenarios must have come true, tee hee!

  37. Angie Says:

    I am very happy you are back!! I guess I was just another of a long line of people who missed your blogging :)

  38. Joy Says:

    You’re BACK!!!

    I’m so excited! I had my baby not long after you left and I just wanted to say THANK YOU! Because of your blog and posts and encouragement… I had my baby naturally in a side-lying position without cords and straps and IVs and junk all over me.

    http://whendoesdaddycomehome2.blogspot.com/2009/10/happy-birth-day-zoes-story.html

    Thank you, thank you, thank you! You helped me find my voice and speak up about my birth. We’re now a co-sleeping pair (she’ s asleep on my chest right now) and an article I wrote is going to be in a co-sleeping book. Fun times!

  39. Melissa Says:

    LOL Joy, me too!

    I was just coming to gush that I had my little boy at home not long after you left. 8.5lbs at 40+3. LOVED my midwife (keep preaching that your choice of care provider matters)! Birth story at http://www.tender-beginnings.com/Adam.html

  40. Amanda Says:

    THANK GOODNESS!
    I’m a new reader, and although I have been having a wonderful time reading your many old posts, I AM SO GLAD to see you are back to writing again. You are truly a treasure of information and stories. THANK YOU!!

  41. Yay! So glad you are back!

  42. Renee Says:

    I am so glad to see you back! I had put you in my folder of blogs that are updated infrequently. Then I just read an article with a link to an old post and thought, hey, I’ll just check for a new post, though I have been disappointed so many times before. And here you are!!! YAY!!!!!

  43. Wendy Says:

    Glad you were able to get out of B&SCH and I hope you have wonderful experiences at BCID! Welcome back to the blogosphere! YAY! I send people to your web site all the time for REAL information about what to expect in the hosp. You write great stuff! I’m so glad you are back!

  44. Liz Says:

    Ditto to all… So glad you are back!

  45. Katherine Says:

    Yay! So glad you’re back! :)

  46. Sarah Says:

    I had been wondering. Thanks for the updates. Looking forward to reading more posts.

  47. Meg W, RN Says:

    B&SCH sounds like the hospital I left in January. Long story. We’ll have to swap them sometime. Glad to read you blog again, though!!!

  48. Leah Says:

    I just found your website from a friend who is having her first baby and doing research. I felt I had to respond to this post because I think I am kindred spirits with you even though our experiences have been slightly different. I am sorry you’re not blogging anymore because I have spent all afternoon reading your posts and can totally relate. My first OB job was in a smaller hospital which has half & half natural vs. medically managed. Basically, medically managed during the day and naturally managed during the night (tongue-in-cheek, but essentially true) by the awesome night nurses. One of the charge nurses when I started was a huge natural birth advocate and had trained several nurses. She held a class during my orientation for labor support, so I learned the skills right from the start. I worked there for 5 years, 3 in labor/delivery and loved my job. Even when I had to go to section, I felt like (most of the time) I had done my best. Most of the sections I did were ones I was assigned to as soon as I got there. Few of my patients, even with epidurals, ever went to section, cause most of the time I stuck them in semiprone.

    Last year I moved to another city and ended up at a B&SCH. I mentioned in my interview that I loved natural birth and would be a great advocate for patients. In a primarily Hispanic community, I think they figured they were stuck hiring me cause I spoke Spanish and there was no one else to take the job. Little did I know they had a 90% EPIDURAL RATE!!!! Almost all of the docs had no problem with 2 or 3 day inductions. Natural birth? Laughed off by almost all the nurses – “I hate unmedicated labor!” Finally, I had a patient on a 2 day induction (I got at day 2) who was 1cm when I took over, started on pit, and got her to 5-6cm before baby started late decels, exhausted from the long labor (go figure). After the section, which I stayed late for, the nurses lied about my actions to my boss, who said basically I wasn’t a good fit. GOOD RIDDANCE!!! I hated the atmosphere there….felt like I was banging my head against a wall.

    Three weeks later I called up a tiny rural hospital which I had interviewed at before the other one; they had reopened the position. They gave it to me on the phone. I have never looked back. I work with 3 doctors and all of them are patient-oriented. They still do plenty of interventions but are open to research and doing things better. Our section rate is 11%, and most are repeats cause we’re too small to do VBACs. As the only nurse, I have freedom to help my patients labor how THEY want to, and follow THEIR birth plan. It is wonderful. I hope your new job is as refreshing to you as mine. Thank you so much for all you have posted. LOVE, LOVE, LOVE reading your blog; more nurses like us need to share our experiences!!!!

  49. Jennifer S. Says:

    OMG! Do we work at the same hospital?? I know this is an old post, but I just found you. I’m an L&D nurse in a community hospital like the one you describe. No VBAC’s allowed. And don’t dare rock the boat and challenge our stellar reputation for patient satisfaction! This is no lie…..the other day, a woman in preterm labor at 34 weeks with her 7th baby. She had had a c/s for her 6th due to an abruption. She was 9 cm dilated with a bulging bag, and she got a STAT C/S not because of fetal distress, but because they couldn’t allow a VBAC!! She didn’t protest, because she had planned a repeat c/s all along. And I’m the ONLY ONE who saw anything wrong with this!


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