Midwifemama5

Thanks. I have found some outsourcing for developers,including odesk,which seems to be possible. It can cost anywhere from 200 for a simple app to 2000 for a more complex app. One idea for a simple app would be optimal fetal posiioning. This would be directed towards midwives and doulas in the field. It would include 3D models along with directions on what to do if the baby is not in the optimal fetal positional, say an asynlitic head. Most of know these things, but it is very helpful to have something to help visualize exactly how you want mom to rotate, which way to lunge, etc. Which is the whole concept behind the spinning babies idea. Nursing school sims are simulations. I generally do the ob ones; right now we are doing pre-eclampsia and pospartum hemmorage. We started something different this semester, using the company evolve, where we actually let the students "do" the simulation. They get to spike and hang the bag, give the injection, do the cath, call the doctor, make critical thinking decisions. All along, I have a dry erase board where as they take the vitals, I tell them what they are at that time, so they know if the patient is getting worse or better. I did a whole masters project on this and even have an app/game on my phone for ACLS like this. I play it all the time. Same concept. I have a patient come in and am given a scenario, then I run the code. All along, I can pick the meds (and there's a little dictionary I can refer to if I forget). I can stop and return to CPR, intubate, shock, etc. And my patient continues to get worse or die. These are the kinds of things I'd like to do for ob. My daughter is actually pregnant and has found a ton of very simple apps, and that's when it dawned on me that there was no reason I couldn't be involved in this! She has everything from due date calculator, to what her baby looks like/can do now, to baby names, to the chinese calendar, to treating common pregnancy complaints,to even one that is childbirth classes (not really fond of that). I also have been looking into second life. One of my students takes other classes there and has shown me some interesting ideas. I looked into what some of the other colleges were doing and was surprised to see how some have built entire campuses! I feel that not only is my college missing out, but as a nurse entrepeneur who can only work outside the home part time, I am totally missing out on an opportunity that I had felt was way out of my league at first, but really is a simple concept. It's just learning the steps and basics to get started. And that's where I need the help. Thanks for your reply.

Has anyone ventured into the development of phone apps? I know someone out there must be doing it! I have been working with nursing school sims and the development of those, along with some other things that I think would work well with an app. However, I would need to have a developer, since that is not my area. anyone do this? Or have knowledge in this area?

Does anyone have sample letters you send out for your bids? How do you approach that? How do you find out what positions are available and what hospitals/facilities are looking for independent contractors? I have been thinking of doing this too. I am very early in the idea, but I have owned my own business for several years. I have worked as a homebirth midwife and a lactation consultant. I love my job and love my business, but due to sick family members who need care and 5 kids to take care of, I can't be on call 24/7 and rush out to births at a moments notice. I am teaching nursing students in postpartum right now 2 days a week and really like that too, but need more income. I have an NPI number that I use. RN's can get one, you just go to the website and apply. I have been able to use that for some of my lactation work and even some of the midwifery appointments (and I am a direct entry midwife, not advanced practice). I have a billing company that I hire out and they do the billing for me, they specialize in midwives so they are very good at getting the reimbursements. I didn't realize that I could even get coverage as an RN, but I did!

We are having the same issues in my area. The jobs that area available area for ICU or cardiology and they want 5 years or more experience. I teach as a clinical instructor and have been looking for something part time over the summer with no luck. I guess I could work per diem in a nursing home, but I have done that before and the stress is a killer. Midwifemama5

I'm a nursing clinical instructor (and a midwife) on an ob floor. I am having trouble with the nurses basically ignoring my students when they are assigned their labor rotation. They end up missing the actual delivery, and missing stuff like epidurals, catheters, IV bag changes, etc. I have talked with the nurses and told them it's really more of a shadowing that needs to occur when they are doing labor (on postpartum I am with them and they are actually assigned the care of the couplet). I am thinking of developing a checklist they can go over with their nurse that explains to both the student and the nurse what the goals and objectives are. Any ideas? How is it done on your floor? Any suggestions for a checklist? The students are having to do extra clinical days at another hospital to get their labor experience in which doesn't seem fair to me. I've talked with management, who has been receptive to my ideas. This is a small hospital, so we can't miss any opportunities. Midwifemama5