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blackbird singing:u confused me..before in the previous blog "Which profession is higher?nurse or midwife?" u said that CNM, CM, CPM, LM are higher than RN in terms of profession. then ur above post states that none of CM, CPM, LM are higher than RN..

how do a Certified Midwife differ from certified professional midwife, direct entry midwife, licensed midwife? In US how many yrs do they do schooling that makes them higher than RN?

Coz in some instances if we in the ward won't do wound care for a surgical patient, our surgeon would get mad but in some cases we have touched the wound,i mean do dressing then he would comment why we did dressing?

Does wound dressing requires a doctor's order? like ordinary wound and surgical wound..

TYVIN:I haven't asked my friend regarding the age of the patient since I'm on leave,she just told me the story. All she mentioned was the adult obese patient complained of bladder fullness even with catheter.The second time the patient was catheterized by the Specialist, no hematuria was seen no bleeding thereafter.nothing really serious happened to the patient.He was just catheterized due to the fact of distended bladder.I guess the issue was on documentation because the resident denies that he ordered the insertion. But I just wondered why the Specialist wrote in his notes that it was urethral rupture where in fact he didn't do any scanning,no profuse bleeding,no patient's complaints at all.. Independent nursing roles are duties that is initialized by the nurse base on her nursing findings,dependent roles are responsibilities that should be done as per doctors' order..

I just want to impart a situation where in a nurse inserted a foley catheter to her patient with verbal order from the resident doctor due to his busy situation in ER. After insertion, urine was noted clear yellow on the tubing but was not drained till the bag though the bladder was distended. After 30 minutes still patient complained of fullness and urine bag still empty. Catheter was removed and noted clot on the catheter tip and minimal bleeding noted on the orifice. When the doctor saw it he consulted to the Specialist surgeon and the specialist inserted. Presently the resident denied his verbal order to the nurse. The Specialist also was about to document his insertion but found out that the resident didn't make any notes. They argued and read my friend's notes that there was a verbal order of foley catheter. Do insertion of foley cath is an independent or dependent role of the nurse?My friend is so worried that the case will be investigated. Need your opinion guys. thanks

Hi, I'm a new member of this org. I got interested to join because I'm so disgusted with how we (in my workplace)are being treated in terms of our job description. I'm working in middle east country. This is my second employment abroad,unfortunately I was assigned in this hospital,during my first 2 yrs,the management was fine but when we got a new Nursing Manager,the nursing environment was totally changed. Although he has a good impression on me but I care for my other colleagues who don't have the voice to open up any concerns. Although, I have vented on him about his attitude towards a certain Charge Midwife whom he is putting into a shift supervisory position. They are of same nationality and obviously He is in favor of those staff of his same nationality. Although til now they don't have anything against me so far but I feel so frustrating to be supervised by a midwife..!!! She is so bossy and sees herself as if someone excellent. She will visit the ward to check our checklist if updated or not,expired meds,proper waste disposal but she will not bother to see the condition and case of the patients. If she sees something like IVF without label,improper waste disposal or an undated item checklist she would report everything to the NM without warning the concerned staff on duty. In this way she is being liked by our NM, hence she is being kept in the post but she doesn't deserve actually the post because she is so rude.She wants to get informed if the staff will go to the bathroom,pharmacy or take our meal.I haven't had any encounter with her yet because she's not coming to visit the ward if I'm on duty because she told me that she trust and believe in my work but I still don't like her.She even argued with most of our Specialist doctors. Our NM liked her because according to him that's how supervisor work in Jordan. Isn't it a nursing profession is higher than a midwifery job?Unless you got a nurse-midwife title..I tried to find reference that would help me with my question but I failed to find,would you guys share your opinion or reference to me? Thanks..looking forward for more replies..God bless