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  1. kythe

    Staying Positive in Nursing

    I'm an LPN and burned out of long-term care after several years. I kept working only because I need to support my family and that is my job skill. LTC also pays well for LPN's, but in terms of personal satisfaction money can be a poor motivator. But recently I started with a home health agency, and very suddenly I remembered again why I've always wanted to be a nurse. I like spending tuime with people and being able to get to know them. Now I'm not just passing pills or rushing through treatments. I'm helping *people* (not just "patients") maintain the highest standard of living they can while still living in their own homes. This is personally rewarding. :)
  2. kythe

    Mental Illness Can Be Terminal

    Thank you for this. As someone who has struggled with depression and occasional suicidal ideation, I have heard all the stereotypes and have greatly learned not to talk about it. There is nothing worse than hurting, laying your heart out to someone, only to get a response of "think about your family!" or hearing people say "now she's saying stuff for attention". It's always good to see this kind of education in medical circles. The same stigmas exist between many nurses and doctors as exist in the general public. No one is "immune" to personal mental issues.
  3. kythe

    Study ties home births to higher infant death rates

    I'm not sure I follow this. Midwives only see low risk clients, so why would they have any statistics on high risk births? There is nothing to "filter out".
  4. kythe

    Planned Parenthood

    Probably 8 years ago, I spent time at a Planned Parenthood as a Medical Assistant through a temp agency. I loved it. At the time, MA's did the back office work - rooming and vitals, fingersticks for rh and hemoglobin testing, prep for pap smears, etc. LPN's worked in the post-abortion recovery room. But since I became an LPN, they seem to have stopped hiring LPNs and gone exclusively to MA's. Many offices do this for financial reasons, but it is disappointing. I applied for a job anyway, hoping to get in with my past experience at PP as well as past experience as an MA. But now I'm overqualified. Everything about the hiring process is done online now, so its hard to talk to a real person and I kept getting redirected.This is my personal experience - its still worth applying in your area if that's what you want to do. This is what you may face, though.
  5. kythe

    Girl brain dead part deux

    This case gets stranger and stranger. I haven't posted on this topic at all, but I found myself reading the other thread in its entirety. It's rare that a single subject will interest me for 2000+ posts. But I feel like I now have a fairly comprehensive education on what brain death means and what happens to the body, how this differs from a coma, and the various ethical issues that present themselves in such a case. I have no critical care experience and nothing to add, but I want to thank each of you who have posted here for the wealth of knowledge you have shared.
  6. kythe

    Study ties home births to higher infant death rates

    One problem with collecting national statistics is that state laws for lay midwifery vary greatly. Some states do not "allow" midwifery, which means women choosing home births must be attended by midwives who cannot legally intervene when complications arise. Other states do allow midwives a scope of practice allowing minor emergencies to be handled at home. It's very uneven.Also, some studies do not distinguish between midwife-assisted deliveries vs planned unassisted births vs planned hospital births where the mother simply didn't make it on time. It doesn't make sense to compare modern homebirths to homebirths 100 yrs ago. First, in 1900 almost *all* births were at home, including high-risk ones. Hospitals weren't much better back then in quality either.Today, midwives in states where it's legal may carry pitocin, IV normal saline, Doppler or fetoscope for monitoring, oxygen for both mom and baby, etc. There is also licensing throught the state Department of Health which regulates the training and scope of practice for midwives.I live in AZ where hospital transfers from homebirths still count under homebirth statistics. At least here, nothing is being skewed. But in states where midwives are illegal, hospital transfers probably count under hospital births since the midwife technically does not "exist".
  7. kythe

    How do you clear a newborn's airway?

    Ok, I tried to clean out my pm's - something I think I haven't done since joining the site years ago. Maybe I should stop second-guessing myself based on what random people on the internet say. I should probably hang out here more, I would get a better education.
  8. kythe

    That awkward moment when....

    I once heard a cell phone ring with a certain tone, and found myself following the sound to another room to see who's pulse ox alarm was going off!
  9. Hello everyone! I've been an LPN in LTC for 6 years now and though I've been trained as a doula, I have never worked in L&D. So I have a question for all of you more experienced people. :) I was recently in an online discussion with some people over the issue of clearing a newborn's airway. Someone asked why doctors hold babies by the ankles and spank them. Most people replied that it is the best way to drain fluid from the lungs and clear their airway. I wrote what I *thought* was a rationale I remembered from nursing school, but I was completely torn apart over it. I thought this hasn't been a common practice since the 1950's and 1960's because dangling babies causes whiplash and spinal problems since they need to be supported. Also, spanking their bottom doesn't stimulate the lungs - it only surprises the baby. The lungs aren't empty sacs that fill with air, or water to be drained by simply being tipped over. The alveoli look more like broccoli branches, and the best way to clear them is through vigorous rubbing on the chest and back, and oral suctioning. And this is all I've seen at the hospital births I attended during nursing school. But it seems the practice of holding a baby upside down and spanking it is still common. What are your experiences?
  10. kythe

    Why did you become a nurse?

    I went to nursing school with one thing in mind, and that was to become a Certified Nurse-Midwife. I haven't made it past LPN though, and I'm actually considering a different route to midwifery. Working in long-term care for the last 5 years isn't where I wanted to end up, and its taken its toll on me.
  11. kythe

    Having a celebrity as a patient

    Not as a nurse, but as a Medical Assistant working in a doctor's office, I had a couple of celebrity encounters. One was a well known author, but he was a jerk. He would come in self-advertising his books, and he tended to assume everyone kissed the ground he walked on. In reality, no one looked forward to his visits due to his arrogance. Another was a local celebrity who actually seemed a little surprised that I recognized him. He was very humble and down-to-earth. I actually felt bad after I told him I knew who he was (I was a big fan) since he seemed a bit embarrassed.
  12. kythe

    CNM without seeing a live birth?

    I'm not sure what you mean by "direct-entry CNM". I've always considered direct entry and CNM to be the two different routes to midwifery. Direct entry means a program that teaches midwifery without requiring nursing school first. CNM is obviously the nursing path. Even though I'm an LPN, I've considered going into a direct entry path because I want to attend home births. I'm not interested in working in a hospital. I don't know what CNM programs require in terms of previous experience. Direct entry midwifery requirements depend a lot on the legality in your state. In my state, DEM applicants are required to observe a number of births before starting on the next step of training, the active participation phase. Some people meet this requirement by shadowing a midwife in her practice. Another way is to become a doula and attend births as a labor support companion. Doula training is very useful for learning the non-medical side of labor support. Working as a doula gives you the opportunity to witness a lot of different styles of labor and pain management, births attended by various doctors and midwives, and you would have first hand experience with common interventions and complications of labor. I went through a doula training program and hope to work as a doula, but I haven't been able to adapt my schedule yet to being on-call 24/7.
  13. kythe

    Full moon syndrome-fact or fiction

    Sorry, I didn't mean to offend anyone. I've met people who really believe this, and from several of the comments in this thread it seemed that way here too. Maybe I am taking things too seriously. I'm not trying to scare you off from posting though. I'm sorry if I had that effect.
  14. kythe

    Full moon syndrome-fact or fiction

    Sorry, you don't have "hard evidence" of these things. This is still opinion. You can't measure "mean, crazy, and stupid people", though someone could do a study on drunks and drug addicts. But no real study has ever supported the idea that the moon affects people's behavior. I'm too much into astronomy to let this kind of thing pass. It bothers me when educated people believe stuff like this. But speaking of legends, some say its the new moon or "dark of the moon", not the full moon, that causes people's behavior to be unpredictable. It's all in which stories you choose to believe.
  15. kythe

    Full moon syndrome-fact or fiction

    I think the full moon issue is just a figure of speech. On busy days I hear people say, "It must be a full moon" without even looking to see that we are nowhere near that time of the month. People just assume because of their preconceived notions.