FNP....in hospitals.....in L&D?

[HeartsOpenWide, RN]

My academic goal is to become a Nurse Midwife. I work for an FNP in a doctor's office (who is the one who encouraged me to go on to nursing) keeps showing me stuff and even having me "try" procedures for when I "become and FNP". (like how to give a trigger point injection, but just show him that I know the right location and angle with the needle cap still on) and he says, "You'll be my FNP when I am old right?" and to appease him I say "I'll take good care of you." But I really want to become and CNM and I like their model of care. Then I hear all this stuff like "don't over specialized" and "with all the medical malpractice suits going on in OB doctors are leaving the practice and there will not be enough left to back up future and current midwives." So I guess my question is....how many FNP's work and deliver in OB?

[MelissaCT]

I work in L&D as a nurse...I don't know of any NP's that do deliveries. Or PA's for that matter.

Just docs and midwives.

FNP's do prenatal care in the office, but no deliveries.

[NYNewGrad]

In my FNP program we dont do anything near deliveries. We learn pre-natal, post-natal, gyn, etc. but no deliveries.

Have you thougth about Womend Health NP?

[beckinben, CNM]

I can't imagine intrapartum care is in the scope of practice of an FNP. For one, it is not part of the educational program of an FNP. One of the women in my program was an FNP who was getting a post-masters CNM so that she could do deliveries.

But, I do have to say, I have met a PA or two who work in very rural midwest areas who do deliveries....there are post-graduate residencies for PA's, though, to train them in that area.

Becki

[AdonaiLoveable]

Emory University, and perhaps a few others, have a combine FNP/CNM MSN degree program which they call "Family Nurse Midwife". This program allows you to study for both certifications at the same time in less time than it would take to do both back to back. You graduate and can sit for the certification exams to become both a FNP and a CNM.

http://www.nursing.emory.edu/nursing/admissions/msn/fnma.shtml

Adonai

[HeartsOpenWide, RN]

Have you thougth about Womend Health NP?

The program I plan on attending gets you both CNM and WNP

Emory University, and perhaps a few others, have a combine FNP/CNM MSN degree program which they call "Family Nurse Midwife". This program allows you to study for both certifications at the same time in less time than it would take to do both back to back. You graduate and can sit for the certification exams to become both a FNP and a CNM.

http://www.nursing.emory.edu/nursing/admissions/msn/fnma.shtml

Adonai

Thanks!

[AdonaiLoveable]

Also take a look at Vanderbilt University's Program:

http://www.mc.vanderbilt.edu/nursing/msn/nmwfam.html

and Frontier School of Nursing:

http://www.midwives.org/progoption/edofferingcov.shtm

[ak127]

Emory University, and perhaps a few others, have a combine FNP/CNM MSN degree program which they call "Family Nurse Midwife". This program allows you to study for both certifications at the same time in less time than it would take to do both back to back. You graduate and can sit for the certification exams to become both a FNP and a CNM.

http://www.nursing.emory.edu/nursing/admissions/msn/fnma.shtml

Adonai

I'm starting at Emory this Fall as a BSN/MSN segue student (Adult Nurse Practitioner). If FNP/CNM is your desire you should know that they told us at an open house that they only accept one or two people a year into that track. It is HIGHLY competitive. Seems like everyone in that room raised thier hand when asked if FNP/CNM was thier interest.

[ERNP]

Delivering babies is definitely outside the scope of FNP practice. Prenatal care, yes. Post partum care, yes. Care of the newborn, yes. But not the actual delivery of babies.

As a matter of fact, I had a nightmare shortly after starting to work in the ED. I dreamed that I was going to do a pelvic on a "not pregnant" teenager and she was delivering. I sent for help but things went too quickly and I was the one left holding the baby.

If I am lucky that is as close as I will ever get to a precipitous delivery.

[texas-rn-fnp]

In the Army, FNP can deliver depending on the hospital location and scope of practice. They also admit and follow inpatients. Supports the philosophy of "Army of One." Of course this is when they are not living in Iraq.

[clhRN2b2010]

I wonder if anyone has begun these programs. I noticed that University of Michigan also has an FNP/CNM program which one could finish in 3 years.

Does anyone want to comment further? What are some of the down sides other than keeping up dual certification? What are some advantages others can see?

I love the idea of a combined FNP/CNM. Some reasons include:

1. Helping deliver and then the continuity of family care. All emcompassing.

2. Job security. As much as my heart is in pregnancy and birth, I am well aware that at times and in certain places, it may not be available to me. This option provides much more flexibility in my mind than WHNP.

Any ideas out there?