LibraSunCNM BSN, MSN, CNM

OB

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All Content by LibraSunCNM

  1. LibraSunCNM

    Why is EFM cert. a requirement for L an D

    LibraSunCNM replied to BSNbeauty's topic in General Nursing

    Who says they aren't??? Mine
  2. LibraSunCNM

    How are you assessing alcohol withdrawal?

    LibraSunCNM replied to nj3456's topic in General Nursing

    Ah yes, I remember well working on a med/surg unit as a new grad, taking care of a vascular surgical patient who had had a AAA repair. Right before I left for the night I noticed he was acting...
  3. LibraSunCNM

    Why is EFM cert. a requirement for L an D

    LibraSunCNM replied to BSNbeauty's topic in General Nursing

    I would be very, very nervous to work with RNs in L&D who couldn't pass an EFM
  4. LibraSunCNM

    Prescribers vs Providers

    LibraSunCNM replied to Mavrick's topic in Advanced Practice

    Is your beef specifically only with NPs, or do you see all advanced-practice nursing as laughable? As a CNM, I'm a provider and a prescriber. I definitely do not simply "slam 20-40 patients through...
  5. LibraSunCNM

    Does everybody want to be a NP?

    LibraSunCNM replied to Cola89's topic in General Nursing

    My experience working on a med/surg, then a postpartum floor, was that it did seem like everyone and their mother was going back to become an NP (strangely, on postpartum, I was the only one becoming...
  6. LibraSunCNM

    CM in NY

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

    I'm a CNM in NYC at a hospital that is part of the public hospital system, HHC. Most HHC hospitals have large midwifery practices and are a place where many new grads get their first job. At least...
  7. LibraSunCNM

    Pay shock

    LibraSunCNM replied to bethymaester's topic in General Nursing

    What kind of "event" was it that paid so well? Just
  8. LibraSunCNM

    The cost of medications and universal healthcare

    LibraSunCNM replied to macawake's topic in General Nursing

    This is so full of fallacies I don't know where to start. Do you really believe that citizens of the U.K., Switzerland, France, Denmark, the Netherlands, Sweden (I could go on, but all countries with...
  9. LibraSunCNM

    Plan B!

    LibraSunCNM replied to Determined2017's topic in General Nursing

    As a midwife that was definitely where my brain went
  10. LibraSunCNM

    Really, is this real?!?!

    LibraSunCNM replied to FlossyRN's topic in General Nursing

    That's very likely. Conditions don't get that horrendous unless people stay and tolerate
  11. LibraSunCNM

    Really, is this real?!?!

    LibraSunCNM replied to FlossyRN's topic in General Nursing

    I simply cannot imagine a world in which one nurse taking care of 6-8 stepdown-level patients (and honestly it sounds like some of your "stepdown" patients would really be in ICU in some other...
  12. LibraSunCNM

    Tell me about Midwifery

    LibraSunCNM replied to auson16's topic in Certified Nurse-Midwives, CNM

    I'm not on call. I work 2 days a week in our clinic (8 hour days), and 2 12-hour shifts a week on L&D, usually one is a night shift and one is a day shift. The patients generally see the same...
  13. LibraSunCNM

    PCA/tech OB

    LibraSunCNM replied to BeachsideRN's topic in Ob/Gyn

    I forgot to add that our L&D techs make delivery tables too. The techs on Mother/Baby take mom and baby's vitals, fetch ice, water, blankets, etc., help moms with peri care, and help with...
  14. LibraSunCNM

    PCA/tech OB

    LibraSunCNM replied to BeachsideRN's topic in Ob/Gyn

    Our OB techs stock the floor, assist with cleaning up mom and changing the bed after delivery, and assist with transporting to Mother/Baby as needed. They can also run labs or fetch supplies in an...
  15. LibraSunCNM

    Gynecological scope of practice

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

    I would say in terms of fertility, you're referring out to a GYN or REI. You could always do initial labs before you send her, but I don't know any midwives starting women on Clomid. In my practice,...
  16. LibraSunCNM

    Tell me about Midwifery

    LibraSunCNM replied to auson16's topic in Certified Nurse-Midwives, CNM

    My main challenges are working in a system that does not always support normal, physiologic birth. When a healthy, low-risk patient comes in (and I work in an inner city public hospital, so those can...
  17. LibraSunCNM

    Device to insert misoprostol vaginally

    LibraSunCNM replied to OBnurseEdu's topic in Ob/Gyn

    Sorry, never seen or heard of that before. We just insert with our fingers, if we're using the lady partsl route for
  18. LibraSunCNM

    Tell me about Midwifery

    LibraSunCNM replied to auson16's topic in Certified Nurse-Midwives, CNM

    I would suggest looking at the American College of Nurse Midwives' website, midwife.org, to answer some of your more broad basic questions about midwifery and women's health. There's a lot of good...
  19. LibraSunCNM

    The cost of medications and universal healthcare

    LibraSunCNM replied to macawake's topic in General Nursing

    You're preaching to the choir with me, macawake. Completely agree and have been sickened recently by articles like these:...
  20. LibraSunCNM

    Staffing/Safety Issues

    LibraSunCNM replied to kgm92's topic in Ob/Gyn

    Holy crap that sounds horrific! Epidurals and Mag in triage?? I see you're in Louisiana, so I'm guessing any attempt at organizing labor could be extremely difficult. I guess start by approaching...
  21. LibraSunCNM

    Favorite Nurse Quote?

    LibraSunCNM replied to fannurse's topic in General Nursing

    When I read the title of the thread the first saying that popped into my head was "All bleeding stops eventually." Then I read on and saw that you're looking for something cute for a T-shirt...may...
  22. LibraSunCNM

    CNM as First Assist in C-Sections

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

    The surgeon sutures the uterus, fascia, and subcutaneous layers. The first assist can suture the
  23. LibraSunCNM

    CNM as First Assist in C-Sections

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

    I am learning to first assist currently. Many, many midwives first assist. The role of the first assist is to literally assist the surgeon in whatever they need. We help prep the patient and get...
  24. LibraSunCNM

    An open letter to the #NursesUnite movement

    LibraSunCNM replied to disillusionedrn's topic in General Nursing

    Exactly. How do people think change is effected? Magic? "I don't even believe in unions" but then in the same paragraph stating "I'm not sure what it would take to solve these issues" is baffling...
  25. LibraSunCNM

    An open letter to the #NursesUnite movement

    LibraSunCNM replied to disillusionedrn's topic in General Nursing

    Agree