career transition questions

[bebeleche]

I am an FNP, who has been practicing general family practice x 4 years- some prenatal, lots of gyn, most recently college health. I've never practiced as an RN b/c I did a "bridge" NP prgram. My hope is to go to CNM school w/i the next 5 or so years. Am considering applying for work as an RN in L&D for the experience, as well as the the "3 twelves." My questions:

1.) Anyone ever hear of an NP working in this capacity? Would I even have a chance at landing such a position w/ my lack of hospital experience?

2.) If i get an interview, do you think it's positive or detrimental to mention my midwifery aspirations?

Thanks.

[JaneyW]

I just met an NP on the L&D floor this week. I don't know what her RN background was, but she had been a WHNP for about 5 years and was back on the floor to enjoy 2 12s a week and more time with her kids. You should definitely get some time on the floor IMHO before pursuing the CNM. Good luck!

[babyktchr, BSN, RN]

I agree. I think it will only benefit you in the long run to have labor experience if your aspriations are to continue on to the CNM path. Besides, you may get into L&D and find you don't like birthin those babies. As far as divulging your plans...I don't think it would matter either way really, but perhaps it may dissuede a potential employer from hiring you because you will be leaving them in a relatively short period of time. It costs a lot to train a newbie only to lose them down the road to somewhere else. Just my opinion.

Good luck

[llg, PhD, RN]

I think it is OK to mention your thoughts about midwifery, but I would recommend being vague about them. As you suspect, managers aren't anxious to hire and train people who announce that they are looking for a temporary job only. I would reheorifice saying things like:

"In my previous practice, I became increasingly interested in the whole perinatal experience, particularly the birth experience itself.... I missed this aspect of nursing in my previous career path. .... I have considered midwifery, but I am not sure and would certainly need to get L&D experience before I could make that kind of decision. .... I am attracted to the work schedule that your L&D position would offer. It fits well with my personal needs. ... etc. etc. etc."

Do you see what I mean? Don't deny that you are interested in midwifery, but don't make it sound like you intend to get 1 or 2 years of training in L&D and then it's "Adios, I'm out of here."

Good luck.

[bebeleche]

Your comments affirmed my suspicions on this matter. I really appreciate the feedback. You Ob nurses are a lively, thoughtful group:wink2: