leanne.roberts

I just graduated from South College Asheville in March. Our class had a 100% first time NCLEX pass rate and 100% job placement. The next ADN program starts in January, BSN is set to begin soon too I believe. When I was researching schools, everywhere else had a 2+ year waiting list and a few of the schools nursing programs were on probation. I was really impressed with their program and now that I'm in practice I can say I feel better prepared than other new grads I've worked with... don't get me wrong I'm still very green, but many say they didn't feel as prepared transitioning into practice. South College: 828-398-2535, Michael is one of the admissions reps, have him make an appointment for you to talk to Wendy the head of the nursing department.

We use 20units in 1l, bolused immediately following birth and then set to 125ml/hr x 1 additional bag.

This is great, thank you for sharing!

Yay, make sure to come back on and tell us how it went

That's how I feel, we have one of the few states that seems to be stuck in the dark about homebirth. It's not illegal to have a homebirth, it is illegal to have anyone other than a doctor or a CNM (with a collaborating physician and affiliation with a hospital) attend the birth... which doesn't sound like a big deal but with only a handful of homebirth CNM's in our state (we did have 1 homebirth OB in Asheville but I think he stopped attending homebirths recently) it really is a problem. We have plenty of CPM's but they risk being arrested each time they attend a birth. Several of our lawmakers and the North Carolina Medical Society have made it nearly impossible to license CPM's in this state. The good news... the CDC continues to report a national rise in homebirths which will prompt change everywhere and in NC we have a huge grassroots network of support working to change the law, our CPM bill was filed this spring

Exactly, it's as normal as sneezing... we've been doing that since the beginning of time too and very rarely have trouble doing so. So why are 1/3 of babies born surgically? Unfortunately, in today's society care providers are sued far too often for not doing a cesarean when something isn't perfect .... the caveat is that we create the not-so-perfect scenarios by: not being healthy before pregnancy, not getting optimal prenatal care, utilizing surgeons for primary care for low-risk pregnancies when midwifery care is proven safe, relying (in my opinion) too heavily on technology to guide us, intervening when unnecessary.... the list goes on and on. The US doesn't support our pregnant women or postpartum families the way other countries do. In '06 our country was reported to have the 2nd worst newborn mortality rate in the world, Latvia was the only country that had more deaths. So, we are definitely not saving more babies by doing cesarean sections. Around that same time the maternal mortality rate, specifically for cesarean sections, was 4x higher than in lady partsl birth. We desperately need a change.

To my knowledge we only had 5 homebirth CNM's (APN's) here in NC, I've been out of the homebirth loop since going back to school and this may have changed. We do have several CPM's and LM's active in our state but they unfortunately have to be very careful due to the state's anti-homebirth laws

Locally we are seeing this, it's my understanding that the increase is driven by lawsuits. As one care provider here explained, 'you can't sue for doing a cesarean but you can sue for not doing one'. I don't agree with that, but that's the mentality behind it.

Wow, really? I thought all CNM's had to have a collaborating physician. That's awesome!

I don't have any advice just wanted to add to the support that you're definitely not alone :) Also being new I can imagine the anxiety that comes with it but I suppose we also need to give ourselves credit realizing we are learning and one of the many ways to learn something is through a mistake.

I'm in the same boat, new grad and hired into L&D. I sought out this position though. I have several years experience working with families as a doula/educator, but none, other than clinical rotation, as a nurse. I'm going to be working with a preceptor which makes me feel better. I'm hoping it's someone who will be supportive and kind... even if it's not, this is my dream and I'll make the best of it to learn and grow. When do you begin orienting?

Hi all, I'm LeAnne a recent ADN grad and BSN student in WNC. I sat for and passed boards in May and begin working *gulp* as an RN in Labor and Delivery next month!

This was an area I didn't feel well prepared for in school. We heard about nursing shortages... cover letters, resumes, interviewing... all of that was covered in our professional issues course. What was glossed over was how difficult it is to get anyone to even look at your resume. Like another poster mentioned above, here there is a system. HR gets your application 1st they then pick what they consider 'qualified' and send to the department hiring manager who also goes through a stack and chooses who they feel are 'qualified' and the select few make it to the supervisors desk. This was a nightmare for me. I understand the reasoning behind having 1yr of med/surg experience and agree that it's an excellent foundation to build skill but I never plan to work in any other field, why not train me, building those foundations in the area I will work? It's frustrating but I do know several from my graduating class who were persistent and patient and got what they wanted. Best wishes to you :)