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vimmie

vimmie

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vimmie's Latest Activity

  1. vimmie

    UK Midwife Married US Citizen

    Lemme send you a private message!
  2. vimmie

    UK Midwife Married US Citizen

    No problem at all! Hope it helps. You can definitely do it cheaper but I wanted to get back to work quickly. So it’s over $100k for an Ivy League school on their accelerated 18 month program. It ain’t cheap! But the teaching is very good and pay over here is much better once you start working. As I said you can do it much cheaper. University of Minnesota is very well respected. You could also be a CPM (a homebirth midwife) but the integration between home and hospital maternity care is very poor. You wouldn’t be able to work in a hospital as a CPM and they aren’t allowed to practice in all 50 states. Good luck with your move. Let me know what you choose to do!
  3. vimmie

    UK Midwife Married US Citizen

    Don't worry- it is super confusing! So prior to like 2000 or so all UK nurses were 'general' trained. My aunt for example as part of her nursing did every large specialty (maternity, pads, adult, mental health). So it is easy for those nurses to qualify as RNs in the US. But because our direct entry course is so specialized in maternity we don't have the broad scope that US RNs do. Adult trained UK nurses are the only ones that have the scope to take the NCLEX (the exam that you need to take to be a US RN). But often adult trained UK nurses are deficient in maternity and pediatrics. There is no bachelors prepared midwives. All certified midwives or CNMs have to have do a masters. Certified midwives are only licensed in ~5 east coasts states so you need to be a nurse first if you want to practice as a hospital midwife in Minnesota (then take a masters or doctorate to be a CNM). The scope of practice of a CNM is so much larger though (teenagers- post menopausal) you do well women gynae clinics and you'd have full prescriptive authority. It's kinda like a UK version of a RM/junior SHO/GP (that specializes in women's health). Anyway- I'm still learning how it works! But yeh that's my plan accelerated nursing masters for 18 months and then a two year midwifery doctorate. Then back to work! Re. NMC pin- my move to the US is permanent so this year I was due to revalidate but didn't. Just took myself off the register from the end of this month.
  4. vimmie

    UK Midwife Married US Citizen

    Hi S1mm1! I'm doing the accelerated nursing masters and then a midwifery clinical doctorate so will end up being a CNM in 2022! Can't wait to be a CNM. It's fascinating seeing the similarities and differences between UK and US maternity care. Both have got their own challenges but I'm excited by the increased scope of practice here in the US. I miss my colleagues in the UK though and I find that obstetric model of care is a lot more prominent in the US. Hopefully in the future there will be more CNMs compared to OBs and the midwifery model of care will be more accepted. That's great you are going to MN! Me and my husband are thinking of moving there after I graduate.
  5. vimmie

    Are we intervening too much?

    It’s easy and fairly accurate to date a pregnancy using a woman’s last menstrual period date. Ultrasounds are also not perfect- estimated due dates have a margin of several days either side. Babies have been weighed at homes and in hospitals for a long time, definitely 1950s onwards. Everyone always wants to know the baby’s weight!
  6. vimmie

    Are we intervening too much?

    Yes. Definitely there is a middle ground. I come from a country where you have a national health service where there is no billing the patients and no charging insurance companies so people get what they need and nothing extra. In the US you can bill for a range of unnecessary things to cover yourself or it’s more profitable for the hospital/service. You compare the recommendations for cancer screenings in the US compared to Europe or Australia for example. When you allow advertising of prescription medications on TV too people think they need a medicine to solve everything and then go and demand this from their provider. Take circumcision of newborns for example. Completely medically unnecessary and comes with a whole bunch of risks but because it’s profitable for people to do- it’s still done routinely.
  7. vimmie

    Kudos/Patient Compliments

    Sounds like you are a wonderful nurse. I wouldn’t loose any sleep about it. I tried to figure out the science between the care me and my colleagues provided and the praise we received but who knows?! Some of my most caring colleagues complain that they don’t ever get cards/mentions. Sometimes I wonder if it helps to give just a bit of your own personal story to your patients so they see you more as a well rounded person rather that just a fabulous nurse. Hmmm. Anyone with a background on psychology?!
  8. vimmie

    Transitional Care Nursery! Help!

    I can only speak from the UK but we would never separate mom and baby within the first 4 hours (unless in an emergency and one or both was very sick). The midwife (we don’t have OB nurses) would stay with the woman and baby, making them comfortable, providing refreshments, finishing paperwork while STS is on going. If we were happy with both mum and baby we would leave them with the call bell and then go into the room now and then to check on them and go back if they need anything. We do skin to skin in the OR after we’ve dried baby and checked they can breathe ok! Then we transfer to recovery remaining skin to skin. Hope that helps.
  9. vimmie

    How OB nurses work with CNMs

    I’m looking forward to comparing the two ways of working but with the two very different healthcare systems I feel it might be comparing apples to oranges. Im looking forward to having full prescription powers as we only have a narrow range of drugs we can give without a Dr prescription in the UK (no abx or pitocin for example) and the range of women we care for is different in the UK (just pregnant women and postpartum for 28 days instead of complete well women care. But it I feel that the barriers to access care are higher for disadvantaged women in the US and the OB/midwife relationship might be a bit less supportive as the midwife numbers (relative to the UK) are smaller and from what I’ve read. Anyway- they are my assumptions before I start. Looking forward to learning a lot from my experience on the other side of the Atlantic.
  10. vimmie

    How OB nurses work with CNMs

    Nice! Best of luck with the NCLEX. I hear that it’s all in the preparation. Will you go into L&D nursing or another specialty?
  11. vimmie

    How OB nurses work with CNMs

    Thank you so much LibraSunCNM! I thought it would become apparent when I started clinicals but it’s great to have a rough understanding of the roles. Amvictorious- that’s great! Where are you moving to/moved to? What bought you state side? Sadly, because I’m a direct entry midwife my midwifery degree is not acknowledged in anyway (apart from it being a bachelors level qualification) and I can’t sit the nclex. To give myself full flexibility I’m doing an accelerated masters in nursing and then a three year DNP in nurse midwifery. I’m working at a London hospital currently.
  12. vimmie

    How OB nurses work with CNMs

    Yes. I’m a UK midwife who is emigrating this year to NY. We don’t have OB nurses, just midwives and doctors on our labor wards so I was just wondering how it all works within the team in US hospitals. I have a place on a CNM program which I’m excited for as it’s more expanded than my role in the UK. But I have a few questions of how the team works together over here. Thanks so much!
  13. vimmie

    How OB nurses work with CNMs

    Hi there! Had a question about how OB nurses work with CNMs in the labor room and in the postpartum floors of the hospitals. In the labor room, do the nurses do the observations of mums and vaginal examinations, fetal monitoring and the midwives oversee care and come in and out to offer advice? Or is the midwife there all the time with the mom perhaps without a OB nurse? On the postpartum do the CNMs do rounds and then the postpartum nurses help moms with more of the practical side of things? I'm just curious how the interaction in hospital is different from a OBGYN doctor and nurses compared to CNMs and nurses. Many thanks
  14. vimmie

    Columbia SON MDE 2019

    Hi all!! Congratulations to all you who got accepted! I also got that heart-stopping email today that said I’m admitted to the MDE/DNP nurse midwifery program! Any other midwives out there? I’ll add myself to the group. Can’t wait to meet you all for orientation
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