Monday, July 24th, 2017

I Was The Sole Obstetrical Nurse!

February 25, 2011 by  
Filed under Certified Nursing Assistant

Long ago in a hospital far, far away, I was the only nurse in obstetrics covering my night shift. In this small rural settlement, I also had a regular job medical-surgical (usually eight to ten patients) and has also helped to “take care” of the emergency room the night after the crew scheduled for retirement ER 23 hours or 3 hours. Yes, I asked the nurse “it was.

This particular hospital was the “ring the bell” On the ER. When the crew went to ER rule the night, the patient’s ring “the bell” to invoke the service. Bell would be a sudden buzz of the nurses station ‘to tell us that there was someone who needs help. All night the ambulance calls in the spread of the nurses station.

I had many interesting and varied experiences in the middle of the night working in this small community hospital in eastern North Carolina. Some patients who present our backdoor was transient Hispanic farm workers who spoke very little, if any, English. To make things even more interesting, it would often be a woman in active labor market policy, surrounded by a committee of parents and friends. The lady in the center of the crowd with the pregnant belly was my first clue to the nature of the visit. Beyond that is unable to speak English, mother-to-be often had no prenatal record she had not been seen by a doctor during her pregnancy.

I had to call my high school and college rudimentary Spanish skills to succeed as we had no translator on site. Of course, when someone comes to the back door of 10 centimeters dilated and ready to push, there is no time to invite someone to translate! In fact, one of my first posts are always “┬íNo puje ahora, por favor!” (Please do not push!)

The moments that followed were a whirlwind of activity, I hastened to transport the patient in a wheelchair to the delivery room, helped her become a dress, and began my initial evaluation.

The delivery room was surprisingly comfortable and well equipped for such a small, out-of-way l’installation. He owned a bed of birth on the state of the art, a “closet” full of IV fluid and IV supplies, heaters and newborn, and electronic fetal monitor. It was big and spacious with a “home like” atmosphere.

Eventually, he became semi-liquid Spanish obstetrics. My patients have been my teachers and I avid student. I studied the words and phrases on my days off, breaking the old textbooks and Spanish dictionary. I was finally able to conduct short conversations to cover the basics of post-partum care for mother and newborn. I even wrote a small book of common phrases in Spanish for the health worker and has given seminars to inform my old hospital and the local health department.

Through it all, I found that the most effective method of universal communication, it is a smile and a caring attitude, and it ranks even the largest language and cultural barriers.