Clinic day #8

Clinic day went well yesterday.

I am seeing extra clients because my neighbour midwife is on her month of holidays, so there were lots of new people to meet yesterday. I also encountered a few new situations yesterday - sending someone to the general hospital for RhoGAM (this is a shot that you get at 28 weeks and often postpartum if you have Rh negative blood type), and having someone ask how many babies I'd delivered and not being impressed with my answer. (!)

I made a boo-boo too. I was looking over a woman's chart before seeing her and noticed that her primary had made a note to not use the doppler (this woman didn't want any ultrasound exposure in the pregnancy). I discussed it with her, and agreed not to use it, but then in the course of the routine that I've done a thousand times I picked up the doppler and listened to the heartbeat. She didn't say anything, and I proceeded to finish my clinic day. It was only after clinic when I was reviewing my charts that I saw the note again and mortification set in. I'd gone against a woman's wishes - trampled on her informed choice... So I think I'll call to apologize.