Yesterday I went to a conference about legal issues in OB nursing. I learned some very interesting things.First of all, OB is the most highly sued profession (I don't remember if it was just nursing or if that included doctors). Part of the problem is that the statute of limitations is sooooo long. It totals 21 years, unless the child has a disability, then it's forever. That's kind of scary. In nursing school, we learned that if you don't document it, it wasn't done. To add to that, if I get sued in 21 years, I'm probably not going to remember the patient at all. So if I didn't document it well, no one can defend me. I won't go into any boring details, but I have a new perspective on how I need to do my charting. If my charting is late, there needs to be a documented reason. If I disagree with the decisions the physician is making (based on what I know the standards of care to be), and I tell them, and they don't care, I need to document that we discussed my concerns and are still continuing with the plan of care. It's kind of like writing a book, so if I ever have to go back, I can "see" what was going on at the time. I also learned that in a 12 hour shift, an OB nurse makes an average of 183 decisions. That's 15 decisions an hour (one every four minutes). It's no wonder that I'm completely exhausted when I come home. Luckily not all of these decisions are life or death, but sometimes they can be. I love my job (although it's not always obvious) and I can't imagine doing anything else. But sometimes, I wonder what the heck I was thinking when I decided that this was what I wanted to do for the rest of my life. On a completely different, but related, subject (lawyers), do you ever read the directions on things and wonder what stupid things people did in order to have them worded as they are? Things like, "please remove wrapper before eating." Do you have any phrases from directions that made you laugh or wonder??