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  1. cayenne06

    CNM and WHNP dual program

    A CNM can do everything a WHNP can do, plus catch babies. I can't think of anything to gain by having both. Is there a specific reason you want both? I would think a better dual cert would be CNM and FNP if you want a broader knowledge base. I've also thought that CNM/WHNP and psych NP would be a useful combo, at least for the pt population i take care of. Women often struggle to find psychiatric/addiction care during pregnancy, which is a time when many need it most.
  2. cayenne06

    Nurse Practitioner working without a MA

    That is just mind boggling to me- I can't bill insurance for transcribing blood pressures or filling out prior auths! Admin wants me to have a solid support team so I can spend my time seeing patients- i.e, generating revenue (Providing higher quality care is just a side benefit, as far as they are concerned ). I love my job to an almost embarrassing degree. I want to work for this organization forever. But I would quit if I didn't have a support staff. No way, just no way. My patients deserve better, and *I* deserve better.
  3. cayenne06

    Goodwin RN program - 2011 updates question

    I am a current Goodwin student, and so far I have been pretty happy with my clinical choices. I don't mind doing "CNA" work (as a pp complained about), and I have always been able to get a clinical that works for me. However, my schedule is such that I don't need a weekend clinical, and I agree that it can be difficult for those who do. I think we only have one weekend option for the coming semester.
  4. cayenne06

    The role of CNMs in abortion care

    I know this is an old thread, but I absolutely agree with this post. 1st trimester abortion (medical and surgical) clearly falls under "well woman care" and I honestly think the only reason most states disallow CNMs and NPs from providing it is because of anti-abortion bias, NOT because midwives aren't trained and competent to provide the service. The fact that it is a "surgical" procedure is a red herring. We are talking about a low risk, routine procedure that carries a FAR lower risk of complications than a full term delivery. I think second tri abortion is less clear cut, and I do not have a set opinion on it.
  5. cayenne06

    Conceiving in nursing school?

  6. cayenne06

    Nursing instructors and heart "palpations" ???

    Just because someone is an instructor does NOT make them an expert in the field they are teaching. It sucks. I feel like I can no longer trust my teacher's responses because I have heard at least two blatant errors from her this semester. However, mispronouncing words is a slightly different story. Yes, they should know how to pronounce medical terms but if they at least know what the term means then you aren't too bad off.
  7. cayenne06

    cnm vs. cpm

    I just started another thread about a similar topic. I am a midwife with an inactive CPM license. I graduated from a MEAC accredited school, and at least half of the women I graduated with went on shortly thereafter to get their CNM. I am struggling with what to do with my license right now. I love home birth and birth center birth, but the on call hours can be very difficult if you work by yourself or with only one other partner. At a birth center/homebirth you need to be present the entire time your client is in labor- you don't have the same support system that you do with a hospital birth (ie nurses to assess and admit your pt, monitor them PP etc). If you have a busy practice it can be very grueling, especially if you have young children. In Florida (where I originally got my license and practiced), LMs were eligible to receive medicaid reimbursemt and were able to practice independently in a home birth settings. Birth center midwives needed a physician to sign their protocols. My practice did BC and HB, so we had a formalized relationship with an OB- which was generally a great thing. The other thing to remember is that a CPM is virtually USELESS for anything outside OOH midwifery. When I went back to nursing school, virtually none of my credits transferred despite the fact that I went to a MEAC accredited school and have attended hundreds of births in all sorts of settings. You are also generally not allowed to do 'well woman" care under your own license.
  8. cayenne06

    Anyone a CNM and a CPM?

    I am currently in nursing school with the long term goal of obtaining my CNM. I received my CPM and LM in 2006 but unfortunately had to stop working as a midwife because my daughter was diagnosed with a very serious disorder (ataxia telangiectasia) that essentially ripped my family apart. Anyway, I just could not go back to the constant, never ending on call hours that home birth/ birth center midwifery requires. So I decided to go back to school for my CNM. Right now my CPM license is inactive. I do want to maintain this license just in case I want to go back to independant midwifery one day, but I am worried about the legalities of maintaining a CNM and a CPM. I am guessing I would be held to the CNM license and I would not be able to use my CPM at the same time? My hope is to get a nice hospital based CNM job with nicely defined on call hours (unlike the constant call I was on as a CPM!), and maybe take on a home birth or BC job when my kids are older. I like my CPM because it allows me to practice (in certain states and in certain situations) without a physician signing my protocols. But I probably won't use it again for another 15 years or so! I worked SO hard for it, I would hate to just let it go. I just worry that when I am someday ready to go back to homebirth, I won't be able to find a doctor to back me up and I will be SOL.
  9. cayenne06

    Prereq's grades vs nursing school grades

    I had a 4.0 before I entered the program, averaging about 98% on all my tests.I got an A- my first semester in nursing and just barely made an A last semester. I haven't had a test yet this semester (so many snow days!!) so I have no idea how things will go, especially considering that I am a surrogate and pregnant with twins!
  10. cayenne06

    Grieving a perinatal loss

    I just wanted to say that I have attended almost 200 births. I lost a baby (20 weeks gestation), almost lost a baby (prolonged shoulder dystocia) and lost a mom (renal failure, crash c/s- I was present as a friend). I worked for a year at a women's clinic and assisted women during their terminations. I am also a gestational surrogate, and the mother of the babies I am carrying has lost 6 babies. Perinatal loss is never easy, regardless of the circumstances. As care providers, it is an honor to be present with families through these difficult circumstances. Despite that, it sucks royally.
  11. cayenne06

    BFing/pumping while in nursing school

    Yes it is absolutely possible, and any good nursing instructor should be very supportive since breastfeeding is so important in maintaining and supporting health.
  12. cayenne06

    Two Sciences in the spring?

    Absolutely! I took AP1 and AP2 at the same time, and it was doable- I got an A in both classes. I took Micro with my first semester of nursing, and it was a PITA but totally doable. I have two small kids and I work too! You can do it!
  13. cayenne06

    Why is there a nurse when you have a midwife with hospital birth?

    A midwife alone cannot provide all the care a women needs during labor- it is pretty much universal that a midwife has an assistant- either an RN in the hospital or a birth assistant (or RN) in a home or birth center setting. It is truly not safe to deliver a baby without two professionals present. As far as labor support, it is perfectly acceptable to ask for privacy, or for one or both professionals to leave you alone except when they need to check on you. Think about how long a woman can be in labor for- it is unrealistic to expect a MW to be fully present and provide all the care for such an extended period of time. Plus, it is not uncommon for a MW to have more than one patient laboring at the same time- she needs to provide care to all her patients! To me, the benefit of a midwife is a more natural-minded approach and more personalized care, not necessarily 1:1 care all the time. Fromthesea- there is no hospital that I know of that allows non-nurse midwives to have hospital privileges- I am a direct entry midwife (not practicing) and I have never been allowed to deliver when my patients have to transfer, and that is true across the country. This is why I am back in school for my CNM license!
  14. cayenne06

    Herzing College- Medical Assistant

    Well, medical assistants don't get paid much above minimum wage, and you technically don't even need a degree or license to function as a medical assistant. I would hesitate to put any money into a degree that is going to only allow you to make 12 dollars an hour. As far as the Health Information Bachelors- what would you do with that degree? If you only want to get it because you think it will help you get into nursing school, I wouldn't do it. Too much money.
  15. I go online (or use the cd) and take the chapter review tests. My scores dictate how long I spend reviewing a chapter. My main study technique is to take all the quizzes and tests available to me, open book style. FWIW I am only in my first semester so my study habits might change!