Latest Comments by LibraSunCNM

LibraSunCNM, BSN, MSN, CNM 23,898 Views

Joined: Jan 24, '08; Posts: 1,069 (70% Liked) ; Likes: 4,179

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  • 2
    MrNurse(x2) and OldDude like this.

    Yikes! How depressing. I guess weight loss surgery and endocrinology are the lucrative fields to go into, sadly.

  • 1
    TriciaJ likes this.

    Quote from TriciaJ
    He'll huff and puff about a lawsuit for awhile. Then he'll run (and lose) for some local public office. Then he'll get a job as mall security or drive truck. That's how these things usually pan out.
    This made me literally LOL. Here's hoping you're correct, and it doesn't pan out into a mass shooting or something instead.

  • 11
    ICUman, VivaLasViejas, Chrispy11, and 8 others like this.

    Before I had a kid, my husband and I were at a restaurant next to the most beautiful family (literally, they were all physically gorgeous), with two school-aged boys. I was taken aback that they were just quietly chatting with each other about Harry Potter and school all through dinner. Not fighting, on phones or iPads, running around. It was refreshing and multiple people stopped by their table to tell them so. #parentinggoals!

  • 1
    gingerxautumn likes this.

    Yes. A couple of my classmates in CNM school were L&D nurses and ended up staying at their old jobs and not working as midwives. That said, they were already employed as L&D nurses even before CNM school.

  • 2
    Here.I.Stand and nursej22 like this.

    There's a whole HBO documentary about that McDonald's incident called "Hot Coffee." It's actually really interesting and the story is more complex than a lot of people realize.

    With regards to the OP...I think we can all agree that cop is a weak, pathetic bully. Hopefully the lawsuit never even comes to pass to save that nurse further grief.

  • 2
    brownbook and Pixie.RN like this.

    I have always known 4 weeks of notice to be the average standard for leaving. That being said, I've also seen people quit with no notice at all, and manage to get other jobs eventually. I guess it depends on how much you dislike your job, and (more importantly) whether you already have another one lined up.

  • 0

    You might get more feedback on the Nurse Practitioners forum.

  • 1
    amberella123 likes this.

    Here is a list of all of the accredited certified midwifery education programs in the country:

    https://portal.midwife.org/education...eload=timezone

    Any of those programs will be "acceptable" in any state in the U.S. Many of them are distance. Frontier is in the top five programs in the country. Hope that helps!

  • 2
    adventure_rn and Carrie_RN like this.

    "Baby nurses" are super common in NYC and often make as much or more than RNs, but they essentially work 24/7 for weeks/months at a time providing care to a newborn so that their wealthy parents can sleep through the night every night. Most that I came across were immigrants who were actual nurses in their home country and worked contracts similar to travel nurses. I don't think they're regulated very stringently at all, I'm not surprised you came across an agency employee who was shifty.

  • 2
    vimmie and Oldmahubbard like this.

    Quote from vimmie
    Thank you for your reply. You confirm what I thought.

    Despite the difficulties with the US healthcare system, I am looking forward to being properly remunerated for the level of responsibility that we have! It's an issue in the UK that we are loosing nurses and midwives by the bucket load because the pay doesn't reflect the whole lot of stress and responsibility that we have. I love working in a healthcare system knowing that there isn't a financial incentive to offer different tests/treatments and the NHS will treat you, no matter who you are.

    However, our healthcare isn't going to keep up unless we pay and respect those that work on the frontline. I think it was Richard Branson that said "If you look after your staff, they'll look after your customers. It's that simple".
    I got connected with some British midwives on Facebook and was FLOORED to learn what they earn. I don't know you support yourself on that salary unless you have a partner who makes way more than you do. I understand that the health care system there is stretched to the max, but as you say, you can't expect people to stay where they're treated so poorly for the incredibly important work they do.

  • 1
    cayenne06 likes this.

    Quote from brynnelizabeth
    I felt as if the amnisure is being considered the final say and golden standard. We don't do the fern test and I'd be interested to learn more about it. I'll start some research and see if we can't make some sort of procedure. I am just someone that wants a final iron clad answer/way to truly determine ROM. I do like the idea of the wearing the pad and just sitting on her for obs to make sure.
    Well, to my understanding Amnisure is incredibly accurate, although I did hear of a recent study claiming that it is actually not---possibly because of "micro" leaks in amniotic fluid that cause the test to be positive but essentially the membranes are still intact. In my experience in OB, the standard trifecta for determining ROM is ferning, pooling, nitrazine, and that's what I rely on. Ferning is easy as long as you have a microscope.

  • 1
    klone likes this.

    There is one other option---you could become a certified midwife (CM). This is a newer credential than the CNM credential, and currently only recognized in a handful of states---they are licensed in NY, NJ, RI, ME, and "authorized by permit" to practice in DE and MO. In a nutshell, in the states where the credential is recognized, you are considered interchangeable with a CNM---CMs work in hospitals, write prescriptions, order labs, etc. You just don't have to have a nursing background. In (most) states, where the CM credential does not exist, you would not be able to work. There are only a couple of programs where you can study to be a CM, one is in Philly, one is in NYC. The vast majority of CMs that I've known work in NYC. Since you mentioned that you want to work "all over the U.S.," this option may not appeal to you, but I thought I'd throw it out there. Here is the American Midwifery Certification Board website's explanation of the various credentials for more info: Why AMCB Certification.

  • 1
    cayenne06 likes this.

    Quote from brynnelizabeth
    What is your rule of thumb for determining true ROM?
    Hypothetical situation: Patient comes in at 38weeks c/o possible rupture 8 hours earlier with no other discharge. Nitrizine positive/questionable. Amnisure negative. No contractions. 1/50/-2. No pooling of fluid in vagina or smell of amniotic fluid. Any evidence backed articles would be appreciated or what policies you have regarding this.
    Well, in the scenario described above, I would consider the patient to have intact membranes, although I also always, always do a fern test and full wet mount. I've used Amnisure at previous jobs but currently don't have access to it, we determine SROM with ferning, pooling, and nitrazine. If it's equivocal, we have the patient put on a pad, walk around for a couple hours, and reassess the whole thing. What issues are you specifically running into?

  • 6

    We all need a little more kindness nowadays, that's awesome that you spread the love and I'm sure made their day.

  • 0

    I did, but several years ago when there was a different program director. She was not great at all, and as a result felt like I taught a huge portion of the didactic content to myself or learned it on the job. However, I had great clinical rotations, one of which led to my first job, so I feel like it all evened out. There is a new program director now who I hear is much better. The application process was easy for me because I went there for undergrad as well, and did the "dual degree" program, where you apply for the master's program while still in undergrad and could take up to 3 classes to count for master's credits during undergrad. I don't think my classmates who did undergrad elsewhere had a particularly hard time with the application, at that time the GRE was not required, not sure about now. Hope that is helpful!


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