Today we met the director of nursing, who is a University trained Nurse midwife. She is smart, poised, and committed to improving health care. The limits of what they have available makes it difficult to consistently give safe care. There are intermittent supplies of medications. I had a patient whose IV ran out and she needed pitocin. The family would have to go buy another bottle at a local pharmacy in the morning.
If you haven’t read "Half The Sky", consider it....the situations are very real here. The director gave us an extensive wish list of things that would be greatly appreciated including things like an oxygen concentrator, Oxygen masks and tubing, as well as suction. I had a birth where the baby was covered in thick meconium, and there was no suction or O2...I am definitely not a neonatolist or pediatrician. We did our best to clean up the baby and left her attached ....with stimulation she responded....we watched that baby carefully.
