Not so Nice-ella...

So I just got off from by far the MOST painfully terrifying trial by fire day of my academic career. I was on day call (a 13 hour shift) covering L&D, OB Triage, and post-partum. My orientation to L&D was "here is the 5th floor where L&D is, and here is the board with the 15 patients that are currently in labor on it, and OB Triage is over there and you need to do all the admit H&P's on patients when they get to L&D and also cover everything else in triage, too...ok, call me if you need anything" (my senior was then off to do C/S and high risk OB all day). I had no clue who to even precept with, there were about 500 frazzled nurses running to and fro..."the board", which I came to refer to as "the torture device" seriously had 15 patients that were in labor that I had to write notes on Q2hrs...PLUS do deliveries and write delivery notes/orders (thank goodness for our intern handbook...Dr. L didn't screw up those pages!)...PLUS, every time I'd deliver, they'd take that patient to post-partum, and a new laboring lady would come in that I'd have to write an H&P on her and staff it with an attending, which took forever.

I seriously just stood and stared at my arch nemesis (ie, "the board") for a good 5 minutes when I first got there. I then decided to go see the first patient on it, and went into her room. I hadn't been inside more than 10 seconds before the attending walks in, asks who the heck I am, and when I tell him I'm a new FP intern rotator, he gets this nasty look on his face and tells me "come with me"...he then takes me into the hallway, and asks me how many babies I've delivered, to which I answered "2 during 3rd yr". He then freaks out, starts yelling at every nurse we pass by in the hallway that he hates this hospital because they have freakin interns running the floor that are incompetent and have never delivered a baby before. He then pages my seniors, stat, so he can yell the same thing at them about me. I seriously wanted to sink into the floor and die...it sucked! Then, a nurse runs up and says a lady is crowning, so my chief takes me into the room and I deliver the baby, and the lady ends up with massive tears because the baby was ginormous (9#9oz)...the chief (who is post call mind you) then has to do the repairs because they were periurethral and I sure as heck wasn't touching that.

I gradually started to figure things out a little bit, but always felt like I was chasing my tail and could never get caught up. I delivered 2 more uncomplicated babies, and then my final delivery was with that nasty attending, and after he left, the lady ended up having a post-partum hemorrhage. Luckily, we had ALSO, and since her uterus was all boggy, I figured it was probably atony or retained POC...we gave her some pit, which didn't work, and then I had to stick my whole hand into her uterus and dug out a big chunk of placenta...and tons of clots...and then put TEN cytotec tabs where the sun don't shine (YUCK!)...but she finally stopped bleeding, thank goodness.

So it was pretty much a not so fun day...but hey, the bright side is that I get to do this 27 more days, and the next 14 days I get to do it without a day off and with a 30 hour call right in the middle where I work all by my freakin self while the entire OB residency is gone on retreat. Somebody please shoot me...AHHHHHHHH!

(Before any of you do this rotation, meet with me and I will go over how to do everything. I am taking tons of notes and am keeping a lot of stuff for you so hopefully it won't be so painful!)