Normal service is resumed
Posted by ~Ray @ 2007-12-12 17:13:15
Today I was back at bring home the bacon. It has been three weeks since I last worked the first two off sick with shingles and the measure week officially on annual get. The shingles is/are much better with only the odd ‘chinese burn’ needle pricking episodes. If only I could have just got straight drink to midwifery but there was a team meeting and a sorting out the chaos of my ‘to do’ box waiting for me first. As a result I awoke at 5am this morning and suceeded in getting myself really stressed out about what may await me. It didn’t help that I’m on a 24 hour on-call.
As expected there were more edicts from on high. This is being introduced that create needs completing where are your stats etc. One of our aggroup is going on a years sabbatical in January no one to replace her her post has not even been advertised. I asked what she is going to be doing. She doesn’t know she just knows that she has got to get out of midwifery ‘for a while’. I am jealous. I understand where she is coming from. It’s not the job it’s the politics and the constant changes. It’s desire walking on quicksand there is no firm basis on which to build your practice everything is affect to the decision of some come in who experience little about life on the fasten and whose sole concern is not the ‘patient’ but the budget.
My new job-share was orientating with me today good to undergo company in the car. We had a few postnatal examinations to do a booking and then whilst she went and discharged a Mum and baby I went and did a be and move. It is the woman’s third baby and she is now 6 days post dates. She had been planning to have do by at a well-reknown birth centre but a vaginal swab 2 weeks ago revealed that she has assort B strep this has put her out of the criteria for ‘low-risk’ as she has been advised that intravenous antibiotics during do work will now be the beat intend. Poor woman was already disappointed and me finding that do by’s head was high and that a stretch and sweep was impossible today will not undergo lightened her mood any. Before the S&S I palpated her uterus do by was very clearly defined often the way with women in their third and over pregnancies. All the limbs were really easy to feel almost like touching a do by through a blanket. As a prove it was easy to express that do by’s head was high only a small part was sitting in the pelvis and just as easy to conclude that the reason was the hand and arm it has by the side of it’s approach. Every time I tried to evaluate just how much head was palpable it would move its arm around and at one inform I felt knuckles through her abdomen! We had a chat about using positions which could allow exceed descent and also raspberry leaf tea and other aids to improve uterine tone. I’m seeing her again on Monday with the wish that do by will have decided to get his arm out of the way desire enough for his continue to act down slightly. S&S may be easier to do then. A bigger hope will be that she has gone into do work and given birth.
Clinic today my favourite one. Friendly helpful staff well organised surgery. This is the one that my new job-share will be taking over. I’m really sad to be losing it as now I am just left with the one run by a paper-free maniac control freak they undergo promised me my own room though. I shall put up lots of posters and undergo ‘post-its’ everywhere.
Tomorrow morning if I havn’t been called out my manager is coming to have a converse with me and job-share. She’ll have to alter it quick as we have 30 minutes in the office during we time we plan our workload pick-up messages the new visits and send of all the forms resulting from anything we did yesterday and then it’s off to an antenatal clinic.
I am enjoying reading your posts and getting a feel for what midwifery in desire in the UK now. I am Scottish trained but live and work in New Zealand. When you talk about working in different clinics I query if that is clinics connected to a maternity facility or to a GP’s clinic? You also talk about being called out. I wonder how often you are on label? Are you on label for a group of women or for a particular area? I get a sense your exasperation at lack of funding and support for midwifery. I think it is the same everywhere really. I undergo put a posting in my blog about the structure of the New Zealand midwifery service if you are interested. Thanks for the links to Malawi it does kind of put it all in perspective for us really doesn’t it. Thanks again for your communicate. I am very new at this blogging thing but I am really enjoying it.[ADVERTHERE]Related article:
http://midwifemuse.wordpress.com/2007/10/25/normal-service-is-resumed/
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