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LibraSunCNM has 10 years experience as a MSN and specializes in OB.

LibraSunCNM's Latest Activity

  1. LibraSunCNM

    Crushing Burden of Regulatory Compliance on Healthcare

    Agreed. American healthcare is a hot mess. The bloat/red tape/inefficiency on the non-patient care end is astounding.
  2. LibraSunCNM

    RN Working Condition in Mayo Clinic Jacksonville, Florida

    I have no info about the Mayo Clinic at all, but I just want to point out that just because a hospital is "well known," sadly, that does not mean it's good place to work as a nurse. Florida is about as anti-worker of a state as it gets, from wages, to worker protections, etc. Hope it works out but don't go in with rose-colored glasses.
  3. LibraSunCNM

    Evaluating a new offer

    So the second offer just occurred? And you're wondering if you should leave your current job for it? If I got that right, then I would definitely leave and take the 2nd offer. There are obviously tons of things that stink about your current job, but one of the biggest for me is the office manager being married to the physician you work for. That, in my opinion, literally never works out for the other employees.
  4. LibraSunCNM

    RN, new CNM student

    Are you unfamiliar with direct-entry programs? Are you a midwife? The midwifery programs at Yale, Columbia, Vanderbilt, and NYU, just to name a few, don't require nursing experience at all, let alone L&D. One of the most highly ranked programs in the country, Frontier, is also online. To be sure, no program is perfect, but just because a program doesn't require L&D nursing experience, or is online, doesn't mean it's low quality. I feel like you're trying to pick a fight just for the sake of it, without actually having the faintest idea what you're talking about, and I'm not sure why.
  5. LibraSunCNM

    CNM career change, L&D burnout

    I have literally no idea what your agenda is or what we're even arguing about anymore, peace out.
  6. LibraSunCNM

    CNM career change, L&D burnout

    That's completely untrue. It's absolutely possible to work as a midwife in a hospital and use evidence-based practice, intervening only when truly necessary and supporting physiologic birth. The poster is simply saying she is choosing not to work as an RN in an environment that is NOT like that, because she would have no power (as the RN) to do anything about it.
  7. LibraSunCNM

    Setting my orientee up for failure?

    How sad! It sounds like management would rather let patient care suffer or be outright unsafe, in order to avoid doing the work of supporting the new grad and/or having difficult conversations with them. You sound like you're doing an awesome job, I honestly can't see from your posts what more you can do with the situation you've been handed.
  8. LibraSunCNM

    CNM career change, L&D burnout

    The poster is saying she is unwilling to work as an L&D nurse in an environment where physiologic birth isn't respected. In no way does that mean she is only interested in participating in "happy successful births." How did you make that leap?
  9. LibraSunCNM

    Social Skills Should Be a Bigger Focus in Nursing School

    This is me to a T! I don't really find it as hard to stay "charged" at work for some reason, just in true social situations. I became a nurse at 22, and now that I'm 35 can definitely look back and see how some life experience would have helped me gain some perspective. But I did the best I could and made it. I think nursing schools in general could do a better job of preparing their grads for "real world nursing" in MANY ways, but I don't think they're pushing "victimology" or anything.
  10. LibraSunCNM

    CNM career change, L&D burnout

    Based on your description of your job, it's completely reasonable that you're burned out. It's not at all UNreasonable to get a different job while in school for midwifery. It's a rigorous, demanding couple of years, you want to be able to focus on school as much as possible without constant mental and physical fatigue to battle at the same time.
  11. LibraSunCNM

    Breakroom Pet Peeves

    Well, then you worked at crappy institutions. I couldn't stay at a facility where I didn't ever get a break. That's so bizarre that he would rather sleep out in the open in a random break room than in the privacy of his office! Good on you for not caving to that nonsense.
  12. LibraSunCNM

    Breakroom Pet Peeves

    Steve Wilkos actually got his start as a "security" guy on Jerry Springer's show. Hot pile of garbage. Heating up fish in the microwave, giving me grief over moving your bag from a chair so I can sit on it, not cleaning up after oneself, talking or watching videos on one's phone on speaker, pretty much everything everyone else already said.
  13. A laugh for you: https://www.instagram.com/p/COjG-UFF0kP/?utm_source=ig_web_copy_link Happy Nurse's Week!
  14. LibraSunCNM

    Any CNMs who started out at a private practice?

    Ah, that is trickier! I honestly have no intel into midwifery in the LA area, other than that there are a good amount of midwives, and Kaiser hospitals in particular utilize us frequently. There is an AWESOME midwife named Ginger Breedlove, she's a former president of the ACNM and teaches at Shenendoah University. She used to work for the corporation that owned my birth center. She now has a business called Grow Midwives, which helps midwives navigate this very process--negotiating contracts and schedules, and making sure they don't get taken advantage of. Might be worth getting in touch? https://growmidwives.com
  15. LibraSunCNM

    How do we prevent Nurse Practitioners from undervaluing themselves?

    I'm a CNM, not an NP, but can relate to this. From my experience, I think a lot of nurses want to become NPs because it's a way to advance and (in many cases, although not all) earn a better salary than a staff/floor RN, and still keep a moderate work/life balance, compared to MDs. This has led to a glut of new NPs, many of whom become generic FNPs, which isn't exactly a lucrative specialty, much less when there are hundreds of resumes in the stack with your own competing for a job. I also agree we're not taught enough about healthcare economics in our masters programs, it's still totally fuzzy to me and I've been in practice almost 8 years. Just my anecdotal experience.
  16. LibraSunCNM

    Any CNMs who started out at a private practice?

    Hey! I was in the NYC area for years and worked there as a postpartum nurse and then a new grad CNM. I would be really careful about a private practice, but as you say, it's extremely daunting to find that first job and get a new grad opportunity! I just feel like you want to start out in a practice that actually views midwifery care as the ideal model, rather than views you as a physician extender, if that makes sense. So many private practices will just run you into the ground and have you work like an animal, but also want you to practice in a very medically oriented, interventive way and have no respect for the midwifery model of care. I got lucky enough to start at a public hospital with a decades-old midwifery service, where I was on a team of 16 midwives who nurtured and mentored me. The downside there is the pay is crappy, but it was worth it for me. Do you know the OBs you're interviewing with? What hospital would you be delivering at?