epiphany

epiphany

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All Content by epiphany

  1. Suctioning after birth

    I agree. That was one of the frustration of taking exams in nursing school - as one of my faculty said, it takes 2 years or more for the textbook to catch up with the real worlk. I would ask the...
  2. You are right the first time. The curriculum has to meet the standards of the American College of Nurse Midwives in order to be an accredited school, and the midwife philosophy of care is what...
  3. Suctioning after birth

    Exams will probably require you to say "suction at perineum", but you may not see that, because latest research shows it no longer changes outcome, and the trend is slowly
  4. perhaps you don't understand the difference between complaining and starting a dialogue, which is quite the opposite.
  5. i wonder if it's even a good idea to group together all or some of the advanced practice forums. I certainly would enjoy learning about other NP experiences, and I'm sure we can learn from each...
  6. Well, I'd be honest, I didn't go into nursing to be a nurse. I was on a tunnel vision towards getting my CNM. In fact, I hated nursing, felt that it was the most thankless job. I was right and I...
  7. Dealing with fear

    Recently I read an article about “the greatest job is the world”. This guy won a generously paid “work” enjoying everything on the islands near the barrier reef. All he had to do was to try...
  8. Dealing with fear

    Hi - I'm a recent CNM. You raise some important issues - but maybe too many important issues in one post. :) I mean, you are talking lifestyle changes, overwhelming responsibilities, emotional...
  9. The Cervix hunt

    I can try to help you, but are you talking about an L&D exam in term labor or a regular
  10. Asking nurses what they find disgusting - that's not something for the
  11. Can anyone answer this for me?

    Cookderosa is right. Being 40 does not put you out of the scope of CNM
  12. Best CNM programs for home birth midwives?

    Based on my experience with attending ACNM conferences and listening to the speakers, I have always been fascinated with OHSU as one of the innovative places for midwifery. They let women labor for...
  13. Best CNM programs for home birth midwives?

    I just want comment that I believe it is rare that a newly graduated CNM is not prepared to perform episiotomy, or have not done one in clinical training. As a previous L&D nurse, I find it hard...
  14. First vaginal exam

    Take a female nurse partner and do it on each other. That's what we do in midwifery school. If you can learn on someone else, you can learn on each other. Not so bad as it
  15. liability

    Off topic, just want to shine the light on a different perspective on you said - women need to advocate for themselves and for midwives, too. Many of us become midwives because we believe in the...
  16. Are you allowed to deliver?

    It's not exactly that they are not allowed to deliver, they are not HIRED to deliver in that hospital. CNM's do see OB/GYN patients, that's part of our scope of practice, and a hospital isn't...
  17. It's okay for us to be handling other people's bare body parts all day long, but we need to be strapped, covered and shapeless? Why's that? Just a philosophical
  18. When is it going to be my time?..

    If it's better to give than to receive why is she miserable? The girl clearly gives too much, and probably can't say no, so it's time for her to put her foot down and start being selfish. Most of us...
  19. A 7 month previa is wheeled in and bethamethasone was ordered. The nurse gave a vial of methergine by accident - which is .200 mg. Toco remains flat, and fetal heart tones hummed along as if nothing...
  20. Starting UPenn this summer

    All I can say is go for that interview. No one really understands the process, but I do know that you can wow them face to face so here's your chance. There is no set time for interviews in...
  21. I'm starting the CNM program in UPenn this summer fulltime, 18 months. It's a dual program for CNM/Women's NP. Wanted to share this info with you all. For those looking to see how the program goes,...
  22. No. :) Seriously though, many people are able to balance life with career. It's about how much you want to kill yourself. You may have to be in a less optimal situation, do some give and take, but...
  23. You'll make a great nurse. Why, cos you're self analytical, set high standards for yourself. Now turn energy into positivity, not self pity and over analysis of inconsequential details that may seem...
  24. Anyone a WHNP and CNM

    Where did you get that info, btw? I wonder if varies according to state and insurance. I know a CNM who is getting 100 percent from medicaid, but she's a rare
  25. Anyone a WHNP and CNM

    The quick answer is no. In most practices CNM's scope covers WHNP, and having a WHNP for a CNM is just a way of making sure that you can have a full scope of practice in all states. I don't mean to...