cnm in progress

cnm in progress

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All Content by cnm in progress

  1. Do birth plans grate on your nerves?

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

    Not only is there no proven risk to their choices, their choices are proven to have LESS risk than what they get bullied into!!! I argue with co-workers all the time who say that childbirth is SO...

  2. Blood pressures pospartum-what to report

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

    Unless you have a protocol that says you have to report all BPs > 140/90, I'd say it's patient-specific. If you have someone who is a known hypertensive, then you have more leeway. Also, someone...

  3. Anyone Starting At UPMC Shadyside School of Nursing?

    cnm in progress replied to ChristineN's topic in Pennsylvania Nursing

    The nurse recruiter at Magee is VERY slow to respond. You might find a unit that has need, but hours/staffing have been cut WAY back, so there might be a hiring freeze. I worked as a PCT (casual) when...

  4. Why is it so hard?

    cnm in progress replied to Nishababy23's topic in Ob/Gyn

    I'd suggest that you visit the unit on a weekday and speak directly to one of the unit managers. If you apply through HR, your interest may be overlooked. If you "connect" with someone in person,...

  5. Why is it so hard?

    cnm in progress replied to Nishababy23's topic in Ob/Gyn

    Often it is simply a matter of the "mix" of experience on the unit. If the unit is "heavy" on newer nurses, they won't even consider new grads until their mix swings back in the direction of...

  6. WVUturtle514...did you have your baby? How did it go?

    cnm in progress replied to HappyNurse2005's topic in Ob/Gyn

    Congratulations!! Your story is SOOOOOO similar to my first! Sorry to hear it didn't end the way you wanted. He's

  7. Do birth plans grate on your nerves?

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

    AMEN!! I welcome birth plans, because it gives me insight into what this patient wants, fears, values. What I don't care for is the attitude that some couples with birth plans have as soon as they...

  8. Do birth plans grate on your nerves?

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

    How many of your patients actually come in with no PNC or no hx (do your OB offices send a hx to L&D at 36 weeks)? If it's a significant percentage, then you are working with a unique population...

  9. Do birth plans grate on your nerves?

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

    Maybe she would have...maybe not. But the bottom line is she'll never know. Because someone didn't want to accomodate her wishes, she's filled with "What if..." Think about how differently the...

  10. Do birth plans grate on your nerves?

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

    do you suggest that patients be made to get epidurals against their wishes. there's a lawsuit waiting to happen. in all actuality, not having an epidural in a vbac is a plus...the patient is more...

  11. Do birth plans grate on your nerves?

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

    Sorry...I read it as the patient, not JCAHO. Yeah...they do need to go away...far

  12. Do birth plans grate on your nerves?

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

    Having an IV for a VBAC isn't unreasonable, but it certainly isn't necessary. The risk of uterine rupture is 0.5 to 0.7%---lower than many risks in a c/s that are glossed over in the informed consent...

  13. Do birth plans grate on your nerves?

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

    That sounds an awful lot like a power-trip to me. Do you know the statistics regarding continuous fetal monitoring? When EFM first became a "standard" everyone thought it would decrease bad outcomes....

  14. Do birth plans grate on your nerves?

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

    Such as what? An IV? Continuous monitoring? Asking about pain? You can't force an intervention on anyone, "hospital policy" or not. If a patient says "No," then that's it, end of story. The patient's...

  15. Is it time?

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

    I don't know if money is an issue for you, but Pitt's program is very expensive. The UPMC diploma program is VERY good, but it's not 76 weeks. It's 21 months, and you come out with a diploma in...

  16. Male CNM

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

    I work with Patrick, and I know he'd be more than willing to talk to you and even let you shadow. If you have any trouble contacting him, PM me and I'll set you

  17. Statistics course advice

    cnm in progress replied to nursingmommyto3's topic in Certified Nurse-Midwives, CNM

    The Frontier class is not bad at all. Very little math...you mostly use SPSS, which is a program that comes with your textbook. The name of the textbook says it all..."Statistics for People Who Think...

  18. Use of D5LR as base fluid intrapartum

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

    We do about 10,000 deliveries/year. We have a very busy triage unit that is always staffed with an OB hospitalist. He/She sees the patients, then calls the patient's attending to discuss the plan of...

  19. Use of D5LR as base fluid intrapartum

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

    We use LR at 125/hr and we use NSS for our diabetics. If a diabetic is on an insulin drip we will often use D5NSS so they have some substrate. One of our triage hospitalists has recently started...

  20. Do birth plans grate on your nerves?

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

    I understand what you are trying to say and I agree with you 100%... unfortunately in today's world of UNnatural childbirth that the MDs have created, women DO need saved from it. 99% of what makes...

  21. Do birth plans grate on your nerves?

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

    Yes...that's where I'm at. It can definitely seem like a baby factory at times, but most women get the experience they desire. (Almost all women who come there WANT an epidural, etc...) If someone...

  22. Do birth plans grate on your nerves?

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

    I'm at a LARGE teaching facility very close to you that I'm sure you know of... our MDs have a very wide variance, as do our CNMs. I think it's hard for me as a nurse to get the word out, because I...

  23. Do birth plans grate on your nerves?

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

    BIG difference... Mr. MI is sick, but a birthing mama is not. A birthing woman is doing something natural that our society has twisted and turned on its axis until it's one of the most unnatural...

  24. Vag Exams & Dilation

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

    I got sidetracked in the middle of posting... hit submit... almost identical answer in the meantime from someone else... I sound like the kid in class who repeats everything!

  25. Vag Exams & Dilation

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

    100% effaced means that the cervix is paper-thin...it's no longer thick. You will still only be able to spread your fingers 6 cms