Wednesday, May 5, 2010

Labored, and Delivered

This past OB clinical was the one I was truly dreading. Labor and Delivery.

The thing about babies is that they come out of va-jay-jays. (Or at least they're supposed to.)

This is just the awkwardness I could really do without. My wife was as unthrilled with the va-jay-jay parade as I was.

My day did not begin well. The entire L&D staff dresses in hospital provided scrubs while they are on the floor--even the unit secretary. Presumably in case they get sprayed with va-jay-jay juice. Have no doubt, there is only one locker room on the floor, a woman's locker room. Thank goodness the staff restroom was separate, and had a lock on the door. After much pomp and circumstance to make sure there was nobody in a state of undress in the locker room, I was escorted in to make my selection of scrubs. XL is what I usually wear, so I grabbed a set and scurried off to the staff restroom to change. I tried the top first, and got it on easily, but when I spied myself in the mirror...

Two front pockets, and a crossover neck. It was then that I realized my hands were slowing going numb and tingly because the sleeves cut deeply into my biceps. (You should have seen the IV access popping up though.)

Next up, pants. Pretty, shapely woman pants, with an elastic waistband panel across the backside. I got them up to mid thigh before my apparently XL-woman's-hips sized legs arrested all upward progress.

I redressed in my uniform. Found an escort, obtained an official Act of Congress, and returned to the locker room to try the XXL's. The tops were the same as the XLs, except with darting in the bust. The XXL pants were so huge, the drawstring literally wouldn't draw enough to tighten around my waist.

I redressed in my unifrom. Again.

And then I was rescued by Lacey, my preceptor for the day. Lacey has been a nurse for only 2 years, but she's sharp as a tack. And lovely, and nice. And merciful. She escorted me to the hospital-wide OR, (where other boys work and they have two locker rooms, one for girls, and one for boys) to get me scrubs.

After I dressed, she whisked me off to the OB/GYN OR to witness my first C-section, and placed me in the care of a CRNA. A fun, crusty old CRNA who kept asking me questions trying to stump me. And I LOVE that! I like the challenge.

I ended up seeing 2 C-sections, and 3 epidural placements. I basically spent the day with the CRNA. In between procedures, Lacey had me palpate a fundus so I could feel what a properly contracted uterus feels like. But other than that, she summarily excused me from all vaginal checks, even lochia checks. Bless her. The only va-jay-jay's I witnessed were when I placed the foleys for the the C-section patients. And I don't know why, but foley va-jay-jay is way different than root-of-life va-jay-jay.

Maybe that makes me, *gasp*, a boy.

I'm glad it's over. My instructor is disappointed I didn't get to see a vaginal birth.

I told her, "I've seen my own 3. I'm good."

She said, "It's different when it's not your own."

I said, "You're right--it would be way more awkward."

12 comments:

  1. Hahahahaha! What an adventure. Glad you didn't have to play with the va-jay-jay's all day. :) How cool was it to get to shadow the CRNA?

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  2. Loved it. CRNA's are just cool people.

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  3. Yeah, my OB clinicals were on a floor in which the nurse's changing room = the women's changing room, and the men's changing room was the physician's room outside the obstetric OR. In 2009. The women-nurses wore blue and men-doctors wore green. Srsly. SRLSY.

    The blue was sorta unisex, but sometimes I had to wear green and then everyone assumed I was a physician or resident.

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  4. I went to an old fashioned hospital based nursing school that many students entered right out of high school. At the time of our OB rotation many SN's were only 19, some barely. It was interesting trying to convince moms (in Lancaster, PA) in L&D to let 19 year old BOYS witness their births. Needless to say most of my male classmates never witnessed a vaginal birth.

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  5. This is why I'm giving birth at home. Do not want to be delivered by anyone who has only ever seen a c-section!

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  6. Kinsey-- Lucky for you, you'll not catch me working on a Labor & Delivery unit.

    Secondly, I *have* seen vaginal deliveries. 3 of them.

    Thirdly, I can think of a multitude of great reasons why birthing at home is a better option, and hospital staff inexperience ranks pretty low...hope you have other reasons too. ;)

    Fourthly, it's a shame you have your profile private so that we can't come comment on your blog too. :)

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  7. "va-jay-jay-juice"--LMAO. The CRNA sounded cool though--maybe one of these days they'll pair me with someone who actually doesn't mind having a student nurse along for the ride...

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  8. Wow. Glad you found some scrubs that didn't require a bra. :)

    M

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  9. Well, I'm clearly female and I wasn't overly thrilled to see lady bits on display when I went through my L&D experience. I feel you bro!

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  10. I was laughing so hard at "the act of congress!" LMAO!! And imagining you in a criss cross cut top...seriously, I need a picture of that...pretty please??

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  11. In the last hospital I worked, all the RNs and OBs wore the exact same scrubs. Hospital GREEN. Avoids a lot of confusion when one goes to get dressed...they come in ALL sizes. No darts. No crossovers. 4 hospitals ago the OB Unit had the RNs wearing PINK SCRUB DRESSES. Now whoever thought that one up must have been playing a mean trick, because we might have well been wearing NOTHING under them - they showed EVERYTHING. And don't try to get up on the patient's bed to do any manoeuvers. :( Thus my dislike of PINK - or WHITE for that matter. Lucky for you, you didn't do any of your clinicals at that place!

    I can see why they wouldn't allow a vag exam, no offense - personally I think most OB units do WAY too many to start with. VE's take a lot of practise to get it right(its subjective anyway) and you can't even begin to get in and out quickly as a nursing student (sorry!:) - and if you are in a teaching hospital, what with residents and post grad RNs galore- all wanting to "practise"...well...too many fingers *spoil* the cervix -never mind uncomfortable for mom- and it's all about mom and babe safety and comfort! :) As for all the rest of the assessment....well...I can't see why they would have a student just stand there and watch. There is so much to do with a laboring mom...but as I said....American OB units operate differently...they seem to me to be less hands on and more "watch the monitor".....IMHO...but then I can only go by my experience which is 5 American hospitals....so - very limited.

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  12. Va-ja-jay!!!! Bah ahahahahahahhaa!!! Hilarious! I just sprayed juice through my nose!! OMG! Sorry after that everything else was just mumbo jumbo I was laughing too hard.. lol!!!! Ok I read it.. Hilarious!!!!

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