CEG

An old thread reborn.... but to be fair to the birth plan, the soaps used in hospitals are some of the crappiest stuff out there. Johnson's baby soap for instance is full of chemicals considered unhealthy. Johnson & Johnson Baby Shampoo Has Can...

The non compete clause says I can't perform my same specialty for any other private employer within a 45 mile radius for a year following termination of my employment there. I think it is fairly common as I signed one at my last job as well. I gues...

I have a written offer letter but no contract at my job. In my case it's because they don't consider NP's to be on par with the physician staff so it doesn't occur to them. I asked for one and was told no. I did have to sign a noncompete clause, t...

Consider doing a lactation educator or doula (depending on the types of facilities), NRP, childbirth educator or other similar type of course. It will give you a good background of knowledge as well as some practical experience. It will also show ...

There's really no way for anyone to do this. How would a patient go about finding out if intermittent monitoring is possible or if iv fluids are required? Especially considering that a patient has the right to refuse anything, even if we coerce the...

Some states require collaboration and some don't. It seems safer to require this but it really doesn't accomplish a lot other than restrict practice. My state law requires a physician in the state, so they could be 4-5 hours away and still meet the...

As far as where you serve, you would be assigned to a particular unit at a particular location, so you would have to plan on going back each month to that locations for your drill. With regard to deployment, my understanding (I am previous Army going...

Emory is your only regular option. Very pricy but seems to be a great program. Otherwise the distance programs- Frontier, Case Western, maybe some others. I don't know if it is still there, but I used the website allnursingschools.com to look for...

There are plenty of reasons not to bathe- temperature regulation (leading to blood sugar problems, etc), bonding, breastfeeding, leaving vernix on the skin, and more. Reason to bathe-- so the staff does not have to glove and gown. Seriously-- I ver...

Our hospital tends to run in whatever is left in the ubiquitous labor augmentation bag and one more bag. I am a CNM and most of my patients decline routine pitocin :) I recommend it in the case of risk factors, but since most of my patients avoid o...

The parents!

Nurse midwives are a type of midwife, there are several other flavors as well. Probably less likely to perform abortions or work in abortion services than nurse midwives are as the other types of midwives will typically practice in out of hospital/i...

It does depend on the state- some states including the one where I practice, prohibit anyone but physicians from providing abortion services. Other states, like where I was previously, allow midwives to perform certain types of abortions. To clarify...

I like the FNP/CNM model (which was not offered at my school, I am CNM only). I'm not sure about the usefulness of the CNM/PNP model though. I am sure there are some places it would work well or the program wouldn't exist! It is within the scope o...

Go to the website and read the info, it will answer all of your questions, it is very informative and easy to navigate. Your site must be located within a HPSA (health professional shortage area). Based on the location it is assigned a score. The ...

I am working to try to get the loan repayment now. First I have to get my site approved, but the actual loan repayment application looks pretty straightforward. I have had some friends use the program and seems to be a great deal. Let me know if y...

You could, in theory, work there, but I doubt many people go to midwifery school with that aim. Most midwives want to deliver babies or at least work in the OB field. It is within the scope of practice to provide women's health and primary care. T...

As far as baby not going to the nursery- that is consistent with evidence and is best practice. Going to a nursery is not good for anyone- detrimental to breastfeeding, bonding, increases infection risk and security risk, etc. It is recommended how...

But why would it matter if the birth log were used in court? It contains statistical information that is already in the record. A journal where you describe the delivery with or without the minutae (stats, etc) would be far more troublesome if it d...

I am a CNM and I keep a birth log. Pretty much Same info as you listed. It's important for a provider to know/track their stats. It isn't a HIPAA violation, you aren't divulging the information to anyone else, it is information you have as part of...

Look a little closer... for that organization to certify a doula it is the hours of instruction, attendance at childbirth classes, completion of a reading list, attendance at births with evaluations filled out by the provider, and a test. The healt...

I love them but as a nurse midwife they generally make my life easier so why wouldn't I :) At my facility they are few and far between but I encourage my patients who desire a natural delivery to have one. I think it is a control issue for most.

Not to split hairs, but the introduction of fetal monitors was not evidence-based. There was no evidence in support of their use, they were simply marketed and sold. They were originally intended for high risk women and somehow evolved to near unive...

I was thinking the same thing about retained products and milk supply. The only other thing I would add would be a manual exploration of the uterus might be necessary if you were remote from being able to do a D & C. If nothing else you could e...

It is not evidence-based to have patient NPO. Both ACOG and the Anesthesiology professional organization have policy statements supporting clear liquid intake in labor. D5 is also not evidence based- tends to result in hypoglycemic babies. I have don...