LibraSunCNM BSN, MSN, CNM

OB

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All Content by LibraSunCNM

  1. LibraSunCNM

    Is it abandonment or taking a moment to collect myself?

    LibraSunCNM replied to Mollythenurse's topic in Patient Safety Issues

    I agree that they are trying to intimidate you and make you think you are at fault, to avoid you taking action for a hostile work environment. I also cannot see how "patient abandonment" applies in...
  2. LibraSunCNM

    Viability cut-off in other countries?

    LibraSunCNM replied to adventure_rn's topic in Ob/Gyn

    It accounts for some of it, but not as much as you'd think. When you adjust for those differing cutoffs for viability, the U.S. still lags behind all the other industrialized nations in perinatal...
  3. LibraSunCNM

    CNM Salary

    LibraSunCNM replied to callthemidwife325's topic in Certified Nurse-Midwives, CNM

    In the NYC area I made about 90k at a public hospital (first and only job so far). That is on the very low end, and the job had other benefits to make up for it, like free health insurance for my...
  4. LibraSunCNM

    Breastfeeding support

    LibraSunCNM replied to ama3t's topic in Ob/Gyn

    Thanks for that info, klone, I hadn't seen that research. I definitely don't think nipple shields are always bad, but that "almost every mom" getting one seems like a lot. Although if almost every...
  5. LibraSunCNM

    Breastfeeding support

    LibraSunCNM replied to ama3t's topic in Ob/Gyn

    I've had similar frustrations throughout my career as a nurse and a midwife. It sucks. If you work in an institution where breastfeeding isn't supported and staff is uneducated about it then moms...
  6. LibraSunCNM

    Job offer without telling me pay rates

    LibraSunCNM replied to nekoneko's topic in Job Search, Interview, Resume

    I agree with everyone else that it's extremely odd and I think this poster (with a great name, BTW!) has provided a very good script for exactly how to proceed in your communication with
  7. LibraSunCNM

    What is your dream job?

    LibraSunCNM replied to MHDNURSE's topic in School

    Have you researched the Nurse Family Partnership? You start doing home visits on first-time moms when they're pregnant, and continue to see them until the baby is 2 years old, I believe. It's an...
  8. LibraSunCNM

    CNM vs WHNP vs Having Both

    LibraSunCNM replied to JennaSnow's topic in Certified Nurse-Midwives, CNM

    Not to nitpick, but not all CNM programs require OB nursing experience. In fact, some require no nursing experience and encourage students to go straight through. Whether or not this is a good...
  9. LibraSunCNM

    CNM vs WHNP vs Having Both

    LibraSunCNM replied to JennaSnow's topic in Certified Nurse-Midwives, CNM

    I've been a midwife now for four years and literally the only reason I've come across yet that people get both certifications, is that they reach a point where they want to do just outpatient work, no...
  10. LibraSunCNM

    Can Nurse Assistant Managers and Nurse Managers work 3 days?

    LibraSunCNM replied to PrincessAlexis's topic in General Nursing

    At the hospital where I worked at as a floor nurse, the nurse managers worked M-F, 8-5 or thereabouts, but assistant nurse managers worked 12 hour shifts, and most units had one ANM on days and one on...
  11. LibraSunCNM

    Is this reasonable or just over the top?

    LibraSunCNM replied to Lakeshore18's topic in General Nursing

    I don't know why, because it's probably the least important aspect of this hot mess to get upset about, but the part where you're supposed to say you're "going home to your family now" really bothers...
  12. LibraSunCNM

    Manager catch phrases

    LibraSunCNM replied to Emergent's topic in General Nursing

    LOL! My former manager used to write, "As always, thank you for all that you do!!!" at the end of every email with a long list of horrible changes coming down the pike. I actually loved her and she...
  13. LibraSunCNM

    SF Bay area lactation courses for RNs?

    LibraSunCNM replied to jo716's topic in Ob/Gyn

    I'm a big fan of the CLC program. It's a nice foundation for breastfeeding knowledge for health professionals, and the 5-day length makes it thorough, but not unreasonably long. I've taken it twice...
  14. LibraSunCNM

    I just can't!

    LibraSunCNM replied to momto5RN's topic in School

    I think I would have just burst out laughing in that kid's face. I don't know how you guys do what you
  15. LibraSunCNM

    Cytotec inductions

    LibraSunCNM replied to Miki34's topic in Ob/Gyn

    When you say "as opposed to also using Pitocin," do you mean that you normally give Cytotec and Pit together at the same time? Or are you talking about only using Cytotec for the whole induction?...
  16. LibraSunCNM

    Needed to vent a bit

    LibraSunCNM replied to I<3NEPatriots's topic in General Nursing

    I know this was not intended to be funny, but I got a little snort out of picturing a unit so understaffed that doctors were actually getting involved and calling management for nurses! Sounds pretty...
  17. LibraSunCNM

    Needed to vent a bit

    LibraSunCNM replied to I<3NEPatriots's topic in General Nursing

  18. LibraSunCNM

    Direct entry NP, switch to bedside RN?

    LibraSunCNM replied to LSNP's topic in Nurse Practitioners, NP

    No, you don't sound crazy, just burned out, to echo the others! As an FNP, you can absolutely work in women's health, opportunities abound in that area. If you can find a new job where you can get a...
  19. LibraSunCNM

    LDRP Hospitals

    LibraSunCNM replied to L&D4Lyfe's topic in Ob/Gyn

  20. LibraSunCNM

    CNM vs. Med School

    LibraSunCNM replied to DreamerCNM2b's topic in Certified Nurse-Midwives, CNM

    There are courses you can take and the ACNM has a reference book about it, but generally speaking it comes from on-the-job experience, going into the OR with an OB. It depends on the institution...
  21. LibraSunCNM

    Anybody else dealing with pertussis?

    LibraSunCNM replied to Kittery's topic in School

    Scary. At my last job as a midwife, caring for a diverse group of women who come from all over the world, we started checking titers for not just rubella, as has been standard in pregnancy for many...
  22. LibraSunCNM

    NPC hot topic for our unit***

    LibraSunCNM replied to obrngbpackers's topic in General Nursing

    Agree with the others---it is NOT your responsibility to cover staffing shortages, and the longer you continue to do so, the longer there will be "no room in the budget" for extra staff, be it...
  23. LibraSunCNM

    Allnurses needs nurses

    LibraSunCNM replied to Emergent's topic in General Nursing

    I never used the app very much, honestly only if I was traveling and didn't bring my laptop. But why was it gotten rid of, does anyone know? I assumed they were just creating a better one, but...
  24. LibraSunCNM

    OT for Time, Love or Money???

    LibraSunCNM replied to SouthpawRN's topic in General Nursing

    I get what you're asking, but I've never heard of a hospital doing this. However, I've only ever worked at two hospitals in the same city, so my experience is not that broad. As a nursing student,...
  25. LibraSunCNM

    Seriously?!?! You gotta be kidding me!

    LibraSunCNM replied to ~Mi Vida Loca~RN's topic in General Nursing

    This is actually not the first time I've heard of a little old lady doing this, with the same results! Wild