healingheart 808 Views
Joined: Apr 10, '03;
Posts: 10 (0% Liked)
Thanks for your thorough response. You are right, I am hyper reflexive to the use of interventions in the hospital. I am a new graduate nurse with a year of doula experience and homebirth roots. Specifically I was responding to the word need in your sentence: "When I gently corrected her and explained that I would need to turn up the pit based on her labor pattern and dilation the doula acted shocked as though I were cruel." I appreciated the rest of your explanation and needed to hear more of the story before making any assumptions or accusations. I apologize for this. I know that I will learn a lot from the experienced nurses out there... unfortunately I have seen plenty who seem less than willing to support women in natural childbirth, and creating the positive birth experience despite the circumstances. My nature is not to do things because of tradition or policy, but to question whether it is the best way to do them for everyone involved. This will no doubt cause some conflict along my path. Communicating is the key.
Thanks again for explanation,
Do you not agree that the patient has the right to refuse pitocin? Of course after 24 hours of ruptured membranes there is an obvious risk of infection. However, if the baby is doing ok, what is the harm in refusing pitocin? When does she lose her right to choose?
last week I had a pt who was a nurse and really wanted to deliver vaginally. She had no risk factors, other than an epidural and AMA but baby's HR slowly but progressively went from 150s to 190s to 200s, even the ocassional 210. Midwife was very concerned after 2 hours of elevated FHR and waiting for the cervical lip to disappear. Doc came in and decided that pushing could take just as much time as a c-section and did not decrease the risk of infection so they had her push for 1.5 hours with MD and CNM helping the baby A LOT to come down and baby came out perfect, with no evidence of infection or distress. I was impressed!
Roughly the scenario is an induction, mom has an epidural and a temperature (don't know how high), baby has meconium and elevated FHR (180s) but good variability. If mom is getting antibiotics, is the elevated FHR really a concern and a legitimate reason for a c/section?
I am a doula and BSN/RN grad (in 5 weeks) and disappointed with the lack of hands on support I see at the hospital where I am doing my last clinical. I do not want to lose my doula skills plus the compassion and respect for women giving birth. I'm wondering if this is the norm... do many nurses feel that they are good nurses by keeping the monitors going and the pain meds flowing? Is there a hospital out there for me?
Anyone planning on attending the midwifery conference in Eugene? Here is the link.
I am looking for others who want to share a hotel room. Email me at firstname.lastname@example.org.
They range from having a few requirements such as A&P, Microbiology to many requirements. The more prestigious ones that I have been looking into are UPenn, Johns Hopkins, Emory, Yale, but there are even programs at local universities. I think there is a website: allnursingschools.com which helps disern between thei programs. Good luck!
I've almost decided on UPenn. Had a conversation this a.m. with student services and got a good feeling from them - they have strong emphasis on leadership which speaks to my desire to create my own niche within nursing. Either education would be great, but because of location (Philly seems like a neat city) and opportunity to learn about midwifery (one of my many interests), I think UPenn is the one to choose. Of course, it's hard to say no to a name like "Johns Hopkins" but in the end I think UPenn will provide me with more skills, resources, goals, etc. Any current students or alumni out there to provide feedback??
Depending on the school, it's approximately a 2 yr. program for my BSN (since I already have my BA). I then have the option of applying for the MSN portion but may decide to get some work experience before I continue. Ultimately though I want to complete graduate training.
I was thrilled to hear the news that I was accepted into both Johns Hopkins and UPenn for 2nd bachelors programs. Not so thrilled to get very little financial aid from Hopkins (my 1st choice) and a nice package from UPenn. Even with a 20k grant from UPenn I will end up with significant debt. Question is, do I walk away from top schools to go to a state school (UMass)? I've worked hard to get here and want to get the best education. Do these schools really offer better educations & opportunities? If so, do I go for my top choice (JH) and wind up with 40k debt as compared to ~25k debt with UPenn?
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