Ria21

Okay yeah that makes sense!! Thanks so much for your advice!!

Thanks for your response! The first job doesn't seem to offer much support as it seems pretty busy, kind of like a hospitalist cnm role (youre on your own, sink or swim). The second job has a couple of seasoned midwives that seem nice enough to take me under their wings. First job: only perk is the schedule Second job: perk is a supportive environment! No first assist in either role. Salaries are comparable

Hello there my fellow birthworkers! I just recently passed boards and officially a CNM!! I have been interviewing and have 2 offers so far! Just wondering if you can give any advice on what to look for in first Midwife job! 1. University hospital: Two 8hr clinic days, two 12 hr shifts on L&D, managing GYN consults from ED, triage, and the floor. Comanaging high risk deliveries with one physician as backup. Problem is they are short staffed, very eager to higher. Sensing high stress environment, with no support. But may be great opportunity for various experiences. 2. Private practice/community hospital: Two 8hr clinic days, plus 36hr call shifts (can take call from home, one 24hr, one 12hr). Only manage patients from practice, physician backup from practice. OB hospitalist in house at all times as well. This group seems very supportive of new grad, laid back environment, not high stress. Only problem is...it seems like lower volume than previous offer (about 60 deliveries/month) and 36hr call shift!! But I'd get support and patience as I blossom into a Midwife! Team seems great! Thoughts on which I should put as priority? Experience in high stress environment? Or support for new grad, with long call shift? What would you say would be most important as a new grad midwife?

LOL! No worries!! So does that mean you're going to do the Whnp!!?? Awesome!! You're gonna love it☺

@atyourcervixxWhich WHNP program offers CenteringPregnancy? Did you mean training to facilitate and run A CenteringPregnancy program?? Tell me more!!?

Hey! I would totally do the dual program! Here's why...you want to be on the labor floor. WHNP may exclude you from that in some states. You are more marketable with both. A LOT of places hire CNMs over Mps because they can deliver if they have to (ie being a provider in a triage OB unit at a hospital). There are even 12 hr CNM positions in a hospital. And also clinic only CNMS who round on PP in hospitals. Do the dual program, you'll have more options! I'm a WHNP now doing the midwifery program. Just do it in one shot!☺ NPs* not Mps LOL

Hey guys! If you're a full time RN at Johns Hopkins hospital or Johns hopkins university, does anyone know what their tuition reimbursement/remission policies are?? Does anyone know how much they'll cover for tuition, especially if attending johns Hopkins university?

Hi! So I'm a WHNP and I do understand the dilemma! When I was applying for my Master's, I applied for both the NP and CNM program as I love women's health (and they didn't have a dual option! I ended up choosing the WHNP program because it worked for me at the time. I would recommend doing the CNM program or do a dual program if available. You can always opt out of deliveries if you need to. Some hospitals do hire Whnps on the labor floor as well. Doing everything except deliveries. A dual program would be best!

I agree with you Numenor! I do think the majority of DNP programs are fluff and you're pretty much doing the same thing as in an MSN research class. It drove me crazy for yeeears and I refused to get a DNP as well. My feelings about this were SUPER strong. I honestly think the best thing is to get another degree that you can monetize (ie maybe an MBA if that's your thing or a subspecialty certificate (for example...maybe doing Psych NP if you're a FNP and want to work in psych). I am a WHNP considering my options of becoming a midwife (since I'm relocating to a state where WHNPs only work in offices and I love Being in the hospital setting on the labor floor and wouldn't mind delivering babies). Now with that being said, I am finally warming up to the idea of a DNP because I want to teach within the next 5 years, be involved in health policies and want to have practical application to those roles. I would only consider programs that actually give me something WORTH MY MONEY, no fluff! Now, is it necessary? No. But looking at the market, you do have a competitive edge with a DNP + the experience. If marketability doesn't require it, then no need to think about it. But these recent times have shown us to be prepared for anything life throws your way. If your job is paying for it, go at it at your own pace!

Just a quick update! I ended up resigning from the position. I was fighting too many battles and outing too many fires. It was exhausting! It really put a bad taste in my mouth for clinic work in a private office. Hoping I will be able to find a group that practices differently and actually do as they say?

I believe it! I do agree that they are seemingly looking for someone to do the role of nurse and NP. it's definitely not what we discussed on interview so my impression of the role was different. And yes, people hear "NURSE practitioner" and they just think nurse. It's such an ugly battle.

Thanks For the advice! I agree that helping here and there adds confusion. There really is no one person to talk to...i expressed my thoughts in a meeting but to no avail. I will try again this week, but I'm starting to conclude that this place was just not ready to receive an NP and just doesn't want to adjust.

I see patients with the doctors for now...which is why I say no to these other requests. There is so much more involved in my actual role that I could use that time for. Smh...just kinda mad at myself that I ended up in this situation. I know I have a lot to offer this office, but not if they're giving me other tasks that the up my time

I agree with not doing anything the doctors don't do. I started saying no to the requests of giving injections, drawing blood etc. One of the doctors told me that my attitude is "bad" bc I'm expected to do whatever is asked of me. I don't think they see the consequences of that...I could just leave but I honestly thought these were growing pains that could get worked out?

I agree that it's quite bizarre! I think the office is trying to cut corners as I'd be cheaper than MD. I do receive NP salary though, but I guess with the expectation of playing a dual role, which is deceiving. *sigh*

Thanks, sounds like a good idea. I want the experience and am willing to be a team player. However, respect is non negotiable.

Yeah, that's exactly what I thought. Things are just harder bc I feel like I have to set the tone/standards bc they've never had an NP. But I also have to kinda teach everyone about the role without seeming stuckup. It's exhausting!

I started at an OBGYN office as an NP a month ago, was hired to replace an MD and help with influx of patients. There are 6 medical assistants, 1 RN and 6 MDs. This office has never had an NP, so it's new role to the office and to the patients. I can deal with patients not wanting to see me, etc. But the most frustrating thing is the way I'm being treated by the staff. I feel like the role of an NP is not understood and at times disrespected 1. The MDs think I'm just their assistant, expecting me to "help" with the duties of the RN and the Medical assistants. Or they ask me questions like "can you prescribe?", "do u know how to give IM injections", "do you want to draw the bloodwork?" 2. The Medical assistants think they can tell me what to do bc they've been there for years and also in an effort to alleviate some of their tasks (bp weight, blood work etc). They don't recognize me as a provider. 3. The RN is also expecting me to alleviate her tasks by giving injections and returning phone calls. She said she was told that I would help her and her tasks. When I interviewed, it was conveyed to me that I'd be a provider. I am super helpful and not typically the type to say "that's not my job". But it seems they misled me bc they want someone who will do all the tasks of RN and MA and also have a full panel. I've been vocal about it and it has proven problematic. But I'm not a pushover?Any thoughts on how to navigate this?

Hey LovePurple, Congrats on being an RN!!! I am also a lover of fitness! I am in the process of getting my personal training certification. I was looking into IFTA, but it's not accredited. I am also studying for the ACSM Health Fitness Specialist exam. So I figured I don't need a national cert for personal training, but I don't know if that's wise. Getting the IFTA is so that I can start getting some training experience while I study. I know ACE is notorious for it's cert for PT. Would you suggest investing in a national personal training cert. like ACE or ACSM instead spending money of IFTA? What do you think? Thanks

Thanks so much DLStango! The info you provided was really helpful! Thanks for the advice! I plan on starting in the hospital sometime soon for my fundamental experience. But I am looking into other aspects of nursing. I love the pt teaching/ health promotion aspects of nursing so Community/Public Health sounds like something that would be right up my alley! We'll see what happens. Thanks again!

Hi all! I was just browsing and this post caught my attention. I am a new grad RN and I'm interested in community/public health nsg. Just wanted to know if case management would fall into this category? It sounds like something that I would love doing! Would anyone mind telling me what kind of experience is needed for this and just a little bit more about what the role is all about? Thanks so much!

Thanks so much! Very helpful!

HELP!!! Is there anyone out there who is enrolled in Downstate's FNP or WHNP program? I am very interested in both MSN programs. Are the programs hard to get into? Do you know if they have a dual degree FNP/WHNP? Where are your clinicals generally based? Thanks in advance for the help!!

Soso, I really think that you should go for the WHNP/MPH program if that's what you really want to do! If I could find a program like that here in ny, i'd jump at the chance! I say go for it!!! Thanks, itshanrtym!!!!!!!

Hello all, I am interested in working for the community and being involved in public health as I love the education/prevention aspects of nursing. I am a new grad rn (bsn), looking forward to pursue either a msn/mph degree or a whnp. I would love to combine both but don't know if I really want to spend all that time in school. I am looking forward to working in a clinic setting. I would also love to work as a nurse internationally (public health) but focusing more on women and children(whnp) who do not have access to health care. What do you think? Should I pursue the msn/mph in hopes of landing in an ob/gyn/women's clinic or involved in a maternal-child health program, or should i pursue the whnp and work in clinics in the community?? So confused...any help would be appreciated!