cnm in progress

Latest Activity

1. 1st Jail time awarded for HIPAA violation accessing/reading medical records

   cnm in progress replied to NRSKarenRN's topic in HIPAA

   I hardly think anyone would have even NOTICED if he had accessed all of OUR records, let alone prosecuted him. I'm confident that the celebrity status had a lot to do with it. Edited to add: Sorry geocachingRN... I just finished reading the posts af...

2. new med order

   cnm in progress replied to nursey_girl's topic in Ob/Gyn

   I don't quite understand the rationale for such high-dose protocols, but not because of uterine rupture issues. A 24 week uterus doesn't have many pitocin receptors, so what are we accomplishing with such a high dose? Even a full-term uterus doesn't ...

3. new med order

   cnm in progress replied to nursey_girl's topic in Ob/Gyn

   At 24 weeks gestation, the lower uterine segment is still quite thick.

4. new med order

   cnm in progress replied to nursey_girl's topic in Ob/Gyn

   The risk of uterine rupture in a 24 week uterus is really low. Risk of rupture becomes more of an issue as the uterus is stretched to its maximum. That's why this protocol (and high dose misoprostol) are both safe in prior c/s patients.

5. Reintroduction

   cnm in progress replied to CNMtobe2012's topic in CNM

   Ditto!!

6. Bicitra in labor?

   cnm in progress replied to CEG's topic in Ob/Gyn

   Not here either.

7. Reintroduction

   cnm in progress replied to CNMtobe2012's topic in CNM

   Congratulations! You'll love Frontier! I'm in Class 61... just 10 more births to go... I thought I was scared starting the program, but now I'm REALLY scared! Boards... Independence...

8. I just need to share and gush. I had a wonderful interview yesterday

   cnm in progress replied to klone's topic in Ob/Gyn

   YEAH!! That sounds like an ideal setting! Where is it located? I'm at a large university teaching hospital, and we have tons of midwives, but no separate birth center (which I would love to change!!). We do have a free-standing birth center in our ci...

9. Cervidil Question

   cnm in progress replied to adoptionacres's topic in Ob/Gyn

   Interesting. I'm thinking some women are really sensitive to it... and for others it does nothing at all.

10. Positioning for bp

    cnm in progress replied to Heather OB RN's topic in Ob/Gyn

    The most accurate way would be for them to sit upright or in a semi-fowler's position. You're correct that if she's on her left side and you take it in her right arm then it is slightly lowered. If she's on her left side and you take it in her left a...

11. Cervidil Question

    cnm in progress replied to adoptionacres's topic in Ob/Gyn

    Definitely true regarding the inability to remove it after placement. As a practitioner, I know that I will pick and choose very carefully who is a good candidate for cytotec for that very reason. I've heard cytotec called cytoblast by others as wel...

12. CNM Online Education: Frontier vs. University of Cincinnati

    cnm in progress replied to MegM, RN's topic in CNM

    I just looked at the U. of C. website. Part of their curriculum includes 900 clinical hours. Frontier only requires 675 clinical hours, yet their required numbers of births, labor managements, postpartum visits, new ob visits, etc... is double that o...

13. Cervidil Question

    cnm in progress replied to adoptionacres's topic in Ob/Gyn

    I did a little research, because I've never heard/read that Cervidil can't be repeated. I work in a very large, well-respected teaching hospital that is usually up-to-date on practice standards... and we've definitely repeated Cervidil in the past. I...

14. Birthing Ball Policy

    cnm in progress replied to rickdon19's topic in Ob/Gyn

    I have to admit, I'm speechless... maybe I'm being naive, but why would a hospital need a waiver for a patient to use a birthing ball? Next we're going to have women signing a waiver to be allowed to ambulate after her birth, or to be allowed to wear...

15. CNM Online Education: Frontier vs. University of Cincinnati

    cnm in progress replied to MegM, RN's topic in CNM

    #1: requires you to have l&d nursing experience (to me that implies a certain base level of knowledge required for entrance at cincinnati) not necessarily so. i admit that i don't know enough about u. of c.'s program, but i can tell you that a ba...