Latest Comments by LibraSunCNM

LibraSunCNM, BSN, MSN, CNM 23,552 Views

Joined: Jan 24, '08; Posts: 1,031 (69% Liked) ; Likes: 4,045

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  • 15
    SmilingBluEyes, brownbook, Kitiger, and 12 others like this.

    You have a lot of lofty ambitions that sound pretty unrealistic, IMO, but the bottom line is that you don't really want to work as a nurse. So no, I would not finish the nursing program, that is a waste of time and money. I hope that you find success and fulfillment in whatever else you choose.

  • 1
    MHDNURSE likes this.

    I was working med/surg and applied to Mother/Baby at the same hospital. It took a few months to get formally hired, but the manager interviewed me when I applied because she knew she had several maternity leaves coming up and just told me to sit tight. It's different place to place, though, obviously. You have great experience, I say apply and make your case, although you may get some questions about why you want to work as a floor nurse when you are a nurse practitioner. Good luck!

  • 2
    SunflowerCat12 and djh123 like this.

    It's so depressing that toxic environments and sky-high staff turnover seem to be the norm for ALFs and LTCs. I'm grateful that my grandmother is in a small, family-owned LTC with amazing staff who have all mostly been there for years. These corporate-chain facilities are the absolute definition of corporate greed, and also show how little we as a society care about our elderly folks. Stick it out while looking for a new job if you can; if you can't or don't need to, walk now and you'd be totally justified.

  • 19

    Yes, some women probably abuse their position when pregnant, as there are lazy jerks everywhere in life. However, maybe you could channel your frustration and aim it more towards the pathetic state of maternity care in this country, where women often don't dare to take off time during pregnancy for actual medical complaints, because it means they will have to leave their newborn go back to work that much earlier. And where they have no postpartum support. And where, in many places, their ability to access and pay for contraception is controlled by a bunch of white males with more power than them.

  • 0

    Quote from Miiki
    To become a Certified Nurse Midwife (CNM), you'll need experience as an L&D nurse.
    Not true. You can become a CNM with no nursing experience at all, there are several direct-entry programs, and many CNMs have experience in areas other than L&D. I also wager that pay for NNPs is on average higher than that of CNMs, but that is just my suspicion.

  • 0

    Quote from labordude
    We're still ice chips only for everyone too. They aren't even following ACOG guidelines or listening to one of our OWN academic OBs who just published a paper on liberalization of oral intake during labor. It doesn't help that the nurses do little to question anything. It's either "well that's how we've always done it" or "that's how I was taught" because the "we've always done it that way" are teaching the newbies. I get yelled at a lot...
    Yuck. Keep fighting the good fight, labordude!

  • 0

    Quote from AnnieOaklyRN

    Just wondering if their have been studies to show if it has any long term, or short term effects on the baby?

    I think the UK uses it quite frequently!

    There have been, and it doesn't.

  • 0

    Quote from labordude
    We still do this on everyone for some reason. I have yet to have any doctor tell me why. Even ACOG doesn't recommend it, it's just stuck in their heads and the nurses too! If I need to clean something off, a little soap and water works wonders.
    Your facility does betadine washes on every woman??!!?? And here I thought evidence was making some headway into OB

  • 0

    I personally like single-color scrubs (outside of pediatrics) because I think it looks more professional, but I disagree with blanket policies, particularly about the color itself. If I look washed out in maroon or drab, communist-era gray, I don't want to wear it every dang day and feel I should be able to make that decision. I also wholeheartedly agree that putting each specialty in its own color will have zero effect on patients' ability to distinguish who's who. Clear communication of your name and role whenever you interact with a patient should be sufficient. I'm curious about the poster who said they don't think scrubs are appropriate on most units---what would you have nurses wear instead?

  • 2
    klone and TarheelGirlx3 like this.

    Quote from TarheelGirlx3
    Not necessarily 3 active labor patients... but not unusual to have a pretermer on mag with an active labor patient, plus someone coming into triage.
    That is still completely against AWHONN staffing guidelines and just crazy!

  • 2
    cayenne06 and TarheelGirlx3 like this.

    Quote from TarheelGirlx3
    So I am in my 3rd semester of a CNM/WHNP program. I have been a nurse for 3 years, where most of my experience has been cardiac ICU. I transferred to L&D back in June of this year, and this is my last week of training before I am on my own without a preceptor. My hospital is the main hospital, with 3 other small outlying hospitals. We have been the only hospital in the system with L&D for more than 5 years now after 2 of the hospital's maternity services were shut down. As you can imagine, it's made our little community hospital quite busy! Its not unusual for nurses to have 3 patients, to deliver babies in triage because labor rooms are full, or be 6 inductions behind­čś│. I am super passionate about women's health and becoming a CNM, but I am starting to not enjoy the bedside nursing role in L&D. I can't slow down enough to enjoy it 50% of the time. I am super grateful, however, for the learning is invaluable. Wondering if anyone else that is a CNM or WHNP didnt particularly enjoy the bedside RN role in the field?
    I actually think your experience is pretty common. A lot of midwives I've met who worked as L&D nurses were motivated to become CNMs, in part, by the frustrations with and limitations of their bedside role. I myself worked in med/surg and postpartum. I already knew I wanted to be a midwife before even becoming a nurse, but taking care of postpartum women who had terrible births was definitely more impetus for me to finish school and try to "change the world."

  • 13
    DAS1, Legonurse, canoehead, and 10 others like this.

    We recently changed our BP-taking practice at the birth center where I'm a CNM. We had an abnormally high number of transfers due to gestational hypertension in a 6 month period, so one of our higher-ups dove into the literature and gleaned that the inner bladder of the BP cuff that actually inflates should encircle at least 70% of the patient's arm. If it can't do that, you need to move to a bigger cuff. We were surprised to see that the majority of our patients require a large cuff based on this guideline.

  • 5
    TheAnonOne, TriciaJ, broughden, and 2 others like this.

    Quote from hherrn
    This is really off the subject, but I have to ask:
    That avatar looks like a green frog smoking a cigarette. Is that an alt right thing? The similarity to Rush Limbaugh is obvious, but why would they make him green?
    Pepe the Frog - Wikipedia

  • 1
    cayenne06 likes this.

    Here's a list of all of the midwifery programs in the U.S., from ACNM's website (an excellent resource). Each program lists whether it offers a post-master's certificate or not (way more programs offer it than I realized!):

    Pathways to Midwifery Education

  • 2
    brownbook and ICUman like this.

    Quote from ICUman
    I am a Las Vegas local. You could consider IV infusion therapy. The nurse goes around all the big hotels in town and gives hydrating solutions through the IV, various electrolyte mixes. Examples such as giving those services to certain celebrities, famous teams that come to town, etc. My friend works in it and says it pays very well and it's an enjoyable job. You must have good IV skills to do it, of course.
    I will "fourth" what you said, the first thing that came to my mind with Las Vegas and non-traditional nursing jobs was those hangover-mobiles!