I am on night shift today. I had time to rest and celebrate my friend’s birthday at their house before my shift. I was able to sleep about 3 hours before working. I felt refreshed and ready for the night. There was only one continuity patient endorsed to us from the swing shift. It was a Serena’s patient. She was not on shift but it was her patient so she will be taking care of the patient. The patient was 3 cm when the IE was done. An hour before our shift began, the baby’s heartbeat started to go up to more 160 per minute. The normal range of FHT is 120-160. The patient was monitored frequently but there were times the heart rate reached to 197, 180s. We administered oxygen to the patient and inserted an IVF (intravenous fluids) and put the patient on left side lying. Even after all the things we did still the FHT still high. It is called fetal tachycardia. The patient’s bag of water was already broken just few hours ago with meconium stain. When there is already a meconium staining, it means the baby is in some degree of distress. So we decided to transport the patient to the hospital. The patient was transported about 11:30pm.
After that action, we slept until 20 minutes before endorsement.
The next day, the patient informed Serena through text that she delivered normally and that the baby was doing well. Thanks God. 7/01/09