-: So I'm Leanne Brewer and I'm a registered nurse
working at Clearvista Women's Care
as an Ob/Gyn triage nurse.
So I'm one of the few nurses that have a desk job,
I work, everything's over the phone,
some patients call in from the time they have
a positive pregnancy test to the time they deliver.
And with any questions, concerns,
I'm the person they talk to.
Anywhere from what's the recommended prenatal vitamin
to assessing so you have right upper quadrant pain
or all kinds of different symptoms
and what that could entail and what kind of treatment
or tests we need to do further.
So my practice that I work for is one of the biggest ones
in the north side of Indianapolis.
We have 11 providers and we average about,
I just ran the numbers and it's about 36 thousand calls
every three months, so the phone is constantly
ringing off the hook and it's my job to figure out
okay which ones are emergent, which one needs assessment now
and which one can just be
a question that we can answer later.
And the good news is that in pregnancy
there are very few complications that can happen,
but the ones that do happen are pretty extreme.
So for example I had a patient call earlier today
that said I'm having, I used this example earlier,
right upper quadrant pain, but they weren't thinking about
the itching on their hands and feet,
they weren't thinking about the change in their
bowel habits, and so once I heard the right upper quadrant
you ask those questions and think okay
could it be cholestasis or could it be costochondritis,
you know it could be a number of things
and you have to know which questions to ask
to know what they're looking at.
So there are patients that we call our frequent flyers
that call quite often, but they have reason to,
so you do develop that relationship with them
as they go throughout their pregnancy
and there are some that might call
once their entire pregnancy.
So those patients I don't really get that much
of a relationship with, but there is definitely
that relational aspect to it.