cnm in progress

cnm in progress

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All Content by cnm in progress

  1. 1st Jail time awarded for HIPAA violation accessing/reading medical records

    cnm in progress replied to NRSKarenRN's topic in HIPAA Challenges

    I hardly think anyone would have even NOTICED if he had accessed all of OUR records, let alone prosecuted him. I'm confident that the celebrity status had a lot to do with it. Edited to add: Sorry...

  2. new med order

    cnm in progress replied to nursey_girl's topic in Ob/Gyn

    I don't quite understand the rationale for such high-dose protocols, but not because of uterine rupture issues. A 24 week uterus doesn't have many pitocin receptors, so what are we accomplishing with...

  3. new med order

    cnm in progress replied to nursey_girl's topic in Ob/Gyn

    At 24 weeks gestation, the lower uterine segment is still quite

  4. new med order

    cnm in progress replied to nursey_girl's topic in Ob/Gyn

    The risk of uterine rupture in a 24 week uterus is really low. Risk of rupture becomes more of an issue as the uterus is stretched to its maximum. That's why this protocol (and high dose misoprostol)...

  5. Reintroduction

    cnm in progress replied to CNMtobe2012's topic in Certified Nurse-Midwives, CNM

    Ditto!!

  6. Bicitra in labor?

    cnm in progress replied to CEG's topic in Ob/Gyn

    Not here

  7. Reintroduction

    cnm in progress replied to CNMtobe2012's topic in Certified Nurse-Midwives, CNM

    Congratulations! You'll love Frontier! I'm in Class 61... just 10 more births to go... I thought I was scared starting the program, but now I'm REALLY scared! Boards...

  8. I just need to share and gush. I had a wonderful interview yesterday

    cnm in progress replied to klone's topic in Ob/Gyn

    YEAH!! That sounds like an ideal setting! Where is it located? I'm at a large university teaching hospital, and we have tons of midwives, but no separate birth center (which I would love to change!!)....

  9. Cervidil Question

    cnm in progress replied to adoptionacres's topic in Ob/Gyn

    Interesting. I'm thinking some women are really sensitive to it... and for others it does nothing at

  10. Positioning for bp

    cnm in progress replied to Heather OB RN's topic in Ob/Gyn

    The most accurate way would be for them to sit upright or in a semi-fowler's position. You're correct that if she's on her left side and you take it in her right arm then it is slightly lowered. If...

  11. Cervidil Question

    cnm in progress replied to adoptionacres's topic in Ob/Gyn

    Definitely true regarding the inability to remove it after placement. As a practitioner, I know that I will pick and choose very carefully who is a good candidate for cytotec for that very reason....

  12. CNM Online Education: Frontier vs. University of Cincinnati

    cnm in progress replied to MegM, RN's topic in Certified Nurse-Midwives, CNM

    I just looked at the U. of C. website. Part of their curriculum includes 900 clinical hours. Frontier only requires 675 clinical hours, yet their required numbers of births, labor managements,...

  13. Cervidil Question

    cnm in progress replied to adoptionacres's topic in Ob/Gyn

    I did a little research, because I've never heard/read that Cervidil can't be repeated. I work in a very large, well-respected teaching hospital that is usually up-to-date on practice standards... and...

  14. Birthing Ball Policy

    cnm in progress replied to rickdon19's topic in Ob/Gyn

    I have to admit, I'm speechless... maybe I'm being naive, but why would a hospital need a waiver for a patient to use a birthing ball? Next we're going to have women signing a waiver to be allowed to...

  15. CNM Online Education: Frontier vs. University of Cincinnati

    cnm in progress replied to MegM, RN's topic in Certified Nurse-Midwives, CNM

    #1: requires you to have l&d nursing experience (to me that implies a certain base level of knowledge required for entrance at cincinnati) not necessarily so. i admit that i don't know enough...

  16. this makes me sick

    cnm in progress replied to adpiRN's topic in Ob/Gyn

    If that infant had developed complications after birth, I'd like to see how he would defend his actions in

  17. Need help with my students on rotation

    cnm in progress replied to Midwifemama5's topic in Ob/Gyn

    From my experience as a nurse in L & D... some students were incredible and some shouldn't have been there. I'm a former teacher and regularly oriented new nurses on our unit, so I have no...

  18. CNM Online Education: Frontier vs. University of Cincinnati

    cnm in progress replied to MegM, RN's topic in Certified Nurse-Midwives, CNM

    I'm a current Frontier student who will finish in June. Although I might be biased, I think it's a fantastic program. I know several Frontier grads who are excellent midwives. I haven't met a single...

  19. Is there a reason why most CNMs don't do homebirths?

    cnm in progress replied to klone's topic in Certified Nurse-Midwives, CNM

    Yes... lots of Amish in that area. There are several thriving CNM practices in that part of the state that serve the Amish and non-Amish

  20. Is there a reason why most CNMs don't do homebirths?

    cnm in progress replied to klone's topic in Certified Nurse-Midwives, CNM

    CNM's can and do attend homebirths in Pennsylvania. The Pittsburgh area has no CNM's currently attending births at home because of the lack of physicians willing to be their collaborating physician. I...

  21. Will you give terbutaline to vaginal bleeding pt?

    cnm in progress replied to Jiayou's topic in Ob/Gyn

    Terbutaline is a very common tocolytic in OB. Consider the risk vs. benefit... in this case there is a known placenta previa. Continued contractions will lead to dilation which can lead to fetal...

  22. Para or Gravida

    cnm in progress replied to NiesyLuv0o's topic in Ob/Gyn

    Yep... T=term (37+ weeks) P=preterm (less than 37 weeks) A=abortions (spontaneous & therapeutic) L=living children M=multiple

  23. Para or Gravida

    cnm in progress replied to NiesyLuv0o's topic in Ob/Gyn

    This is partially correct. If she carries triplets, after delivery she is a G2 P2 using the G/P system. But if you're using G/TPAL or G/TPALM (which everyone involved in obstetrics probably should be...

  24. Mandatory prenatal HIV testing

    cnm in progress replied to mitchsmom's topic in Ob/Gyn

    here are the cdc guidelines for hiv screening in pregnancy: for pregnant women hiv screening should be included in the routine panel of prenatal screening tests for all pregnant women. hiv screening...

  25. Para or Gravida

    cnm in progress replied to NiesyLuv0o's topic in Ob/Gyn

    Technically... When she becomes pregnant the first time she is a primigravida. When she becomes pregnant the second time she is a secundigravida. (a very rarely used term...most people talk about...