Get a call for active labor on the "other side of the railroad tracks" 02:30.
Greet pt who is in back of a sedan in a dark alley, 30 yo female c/o abdominal pain. Contractions 2.5-3 minutes apart lasting 40-50 seconds. No urge to push, water intact. She takes a few steps to gurney, get her loaded in to ambulance. Due date in 7 days.
Visualize - no discharge, no crowning. G-4 P-3 no complications. BP- 130/72 P-110 RR-20 Sat-99%
H - smoked cigarettes during pregnancy, meth use in past (teeth almost all gone - just for the visual)
M - prenatal meds
NKDA
Start a 20g L AC, tko. O2 - 4lpm via NC C-3 transport to closest ER approx 5 minutes away. Pt screaming bloody murder, doesn't bother me, but hard to make base report due to volume of pt.
Get pt to L and D and transfered to bed. Ok! Dodged that bullet!! Clean up and start paper work. Look at my phone cause it had been going off. Missed call and text from my fiancé... Hmm weird cause it's 3am now... This is the text "Hey baby I just got a pocket dial from you. It scared me cause I heard that lady screaming "
I can only imagine my fiances thoughts. Oh hubby is calling, a little sleepy but answers the phone, "hi honey" "AHHhHhHhHhHhHhhhh, oh myyyy god, AHHhHhHhHhh"
Hahahaha
Greet pt who is in back of a sedan in a dark alley, 30 yo female c/o abdominal pain. Contractions 2.5-3 minutes apart lasting 40-50 seconds. No urge to push, water intact. She takes a few steps to gurney, get her loaded in to ambulance. Due date in 7 days.
Visualize - no discharge, no crowning. G-4 P-3 no complications. BP- 130/72 P-110 RR-20 Sat-99%
H - smoked cigarettes during pregnancy, meth use in past (teeth almost all gone - just for the visual)
M - prenatal meds
NKDA
Start a 20g L AC, tko. O2 - 4lpm via NC C-3 transport to closest ER approx 5 minutes away. Pt screaming bloody murder, doesn't bother me, but hard to make base report due to volume of pt.
Get pt to L and D and transfered to bed. Ok! Dodged that bullet!! Clean up and start paper work. Look at my phone cause it had been going off. Missed call and text from my fiancé... Hmm weird cause it's 3am now... This is the text "Hey baby I just got a pocket dial from you. It scared me cause I heard that lady screaming "
I can only imagine my fiances thoughts. Oh hubby is calling, a little sleepy but answers the phone, "hi honey" "AHHhHhHhHhHhHhhhh, oh myyyy god, AHHhHhHhHhh"
Hahahaha