nizhoni

nizhoni

Midwifery, Case Management, Addictions

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All Content by nizhoni

  1. An OB's Birth Plan

    Poppy, Good for you! So happy you and your baby had a safe and satisfying birth with midwives. To his credit, your former obstetrician believes in "truth in advertising" (though he provided it...
  2. Valproic acid is used for treatment of both migraine and neuropathy. The 6th edition (2002) of the book Pain Management: A Practical Guide for Clinicians by Richard Weiner, pg. 185, classifies...
  3. CNM or direct-entry midwife

    Smallwonders07, I am an RN who is a California licensed midwife and a direct-entry midwifery educator. I have not done a CNM curriculum but have seen several. I would say there tends to be more...
  4. San Diego Staff vs. Travel Nursing?

    My part-time case management position pays $33 per hour here in San Diego. Other RNs I know are making considerably more than that as CMs. Can't speak to hospital nursing salaries personally but...
  5. CNM or direct-entry midwife

    EarthboundMare, It sounds like you have really looked at (and lived through!) the options available in your state. If I were in your situation, I absolutely would go for my CNM. I lived for 17 years...
  6. CNM or direct-entry midwife

    I am a registered nurse, ANCC-certified in perinatal nursing, and a licensed midwife in California. I've been attending homebirths as a direct-entry midwife for over 31 years. Licensing laws for...
  7. Retire by 30, thanks nursing!

    Hey AlwaysLearning, How wonderful that you are thinking in these terms at age 21! Wish I'd done the same. I scanned through the bazillion replies you received. May I recommend two additional ideas...
  8. Precipitous Second Stage Question

    Here is an excellent article on the Maternal-Fetal Ejection Reflex. http://www.collegeofmidwives.org/prac_issues01/MFer_01a.htm This term was coined by Dr. Michel Odent, a French surgeon who practiced...
  9. Coaching women during childbirth has little impact

    I have given birth to seven babies, all with midwives, first in the hospital in 1976, the last six at home. All babies were posterior and lengths of labors ranged from 3 hours to 52 hours total (not...
  10. Coaching women during childbirth has little impact

    Oops, duplicate posting occurred. See
  11. working for insurance company?

    I would like to mention that telephonic disease management will be a different role than that of case manager. It is not likely to be as fast-paced. Our HMO has trended away from a disease...
  12. What nurse role/skill did you once fear, but now enjoy?

    Starting IVs. Love it, love it, love
  13. working for insurance company?

    I work part-time for a Medi-Cal HMO in California. We administer benefits for a Medi-Cal population that is pretty high-risk from a case management standpoint. This job has been a great experience. I...
  14. How much does a delivery cost in the U.S.?

    Hi, I am a licensed midwife and a registered nurse in San Diego attending homebirths. The global maternity fee for prenatal, homebirth and postpartum/newborn care, excluding labwork, ranges from...
  15. Andrea, I'm just a regularly sized nurse but I'm wondering if you could have someone make you some scrubs. They are easy to sew and you could have them sized appropriately to you. Just a
  16. Career Opportunities for Holistic Nurses

    I have concerns about Canyon College, since education-related boards that I subscribe to describe CC as a degree mill. Canyon College does not hold NLN or CCNE accreditation. While that's not strictly...
  17. Nursing programs that integrate acupuncture

    RubyCo, I am a registered nurse with a deep interest in Chinese Medicine. You will need to complete acupuncture school if you wish to provide acupuncture, even if you are already an RN, as it is its...
  18. Tips for reaching a posterior cervix??

    It is remarkable how far back a cervix can be, especially in a first-time mom with a well-engaged fetal head. As a new examiner you might even be fooled into thinking that the patient is complete,...
  19. Interesting places where women have given birth

    I'm a licensed midwife and RN-C and have attended homebirths for over 30 years. I attend a lot of waterbirths. We simply have each family buy a little strainer (the type used for aquariums) to scoop...
  20. Good Bye to Nursing for me...

    Dear Healer27, Many of us have had similar experiences but from my perspective of 30+ years since graduation from my ADN program, I can tell you that it was well worth it to become an RN. I married...
  21. Is there REALLY a nursing shortage?

    I know a few posts here have said that it is necessary to obtain hospital experience in order to get a case manager position, but the only hospital areas I've worked in have been in Labor &...
  22. Is there REALLY a nursing shortage?

    Hi BusyLady61, I work in a low stress nursing position at a managed care organization. I perform Level II utilization reviews. That is, I make sure that referrals that come to us for authorization...
  23. Is there REALLY a nursing shortage?

    The last hospital nursing job I held was in 1988. When I was hired I was 5 mos. pregnant and was promised that I would not become the answer to their 11 pm to 7am shortage, but within a month that's...
  24. Experience to Enter CNM Program

    Hi Lovingpecola, I should clarify . . . . While it is legal in every state for parents to have a homebirth, the legalities of *direct-entry midwifery practice* vary from state to state. In some states...
  25. Experience to Enter CNM Program

    I've been a homebirth midwife for 30+ years and have also worked in L&D, PP, nursery and ambulatory settings. I love doing homebirths. The model is very safe provided the midwife accepts as...