queenanneslace

queenanneslace ADN, MSN, APRN, CNM

Nurse-Midwife

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All Content by queenanneslace

  1. Thinking of applying for Mom/Baby unit...basically as a new grad? Advice?

    queenanneslace replied to x28y31's topic in Ob/Gyn

    Bolster your resume: NRP Childbirth Education Lactation Labor support Anything you can do - certification or CEUs or conferences or whatever - to show that you are actively gaining knowledge related...

  2. What would you have done? Episiotomy

    queenanneslace replied to AspiringNurseMW's topic in Ob/Gyn

    Influence of definition based versus pragmatic birth registration on international comparisons of perinatal and infant mortality: population based retrospective study | The BMJ "In summary, we...

  3. Assessing Station

    queenanneslace replied to nancynance's topic in Ob/Gyn

    I do feel for ischial spines. Since I am right handed, I can more easily reach the patient's right ischial spine which feels like a firm pad of tissue - I would not describe it as 'boney' - but there...

  4. Death of infant born at freestanding birth center deemed a homicide

    queenanneslace posted a topic in Certified Nurse-Midwives, CNM

    Jury: Death of baby at Fort Mill birthing center was homicide | The State The State It Could Have Been Me - honest midwifeA newborn died after birth at a freestanding birth center. The coroner held a...

  5. CNM Salaries

    queenanneslace replied to DreamerCNM2b's topic in Certified Nurse-Midwives, CNM

    Median salaries for CNMs are listed by state in this document.

  6. Death of infant born at freestanding birth center deemed a homicide

    queenanneslace replied to queenanneslace's topic in Certified Nurse-Midwives, CNM

    There also appears to have been multiple problems with this birth center. Here's a news story from late 2013 where a baby died at this same birth center. You know, as much as I want to support OOH...

  7. Death of infant born at freestanding birth center deemed a homicide

    queenanneslace replied to queenanneslace's topic in Certified Nurse-Midwives, CNM

    At the time of spontaneous rupture of membranes, the fluid was clear, but at birth, when baby was halfway out (after the shoulders) a larger gush of fluid revealed meconium in the amniotic fluid. The...

  8. Death of infant born at freestanding birth center deemed a homicide

    queenanneslace replied to queenanneslace's topic in Certified Nurse-Midwives, CNM

    This source states that approximately 10% of infants born with meconium stained fluid develop meconium aspiration syndrome. Medscape: Medscape Access ACOG reports similar numbers: "Meconium-stained...

  9. nurse midwife assistant?

    queenanneslace replied to notnursezelda's topic in Certified Nurse-Midwives, CNM

    I was a 'midwife assistant' for a midwife with a birth center practice prior to becoming a nurse. I was also an apprentice in the practice - so I wasn't getting paid - much. And I was on call...

  10. What would you have done? Episiotomy

    queenanneslace replied to AspiringNurseMW's topic in Ob/Gyn

    http://jama.jamanetwork.com/data/Journals/JAMA/4974/JCR50003.pdf ACOG Recommends Restricted Use of Episiotomies - ACOG There are really a couple of different issues being discussed here, right? -...

  11. What would you have done? Episiotomy

    queenanneslace replied to AspiringNurseMW's topic in Ob/Gyn

    Unfortunately - I've witnessed physicians doing things to their patients that they explicitly do not consent to, not get consent at all, and not explain what they are doing - as well as things that...

  12. Augmenting Labor (particularly before 39 weeks)

    queenanneslace replied to wilma30RN's topic in Ob/Gyn

    This is absolutely true. There are a lot of factors that come into play when figuring out if a patient is in labor or not - and the rules get slushy depending on if there's a unit teeming with...

  13. Frontier WHNP

    queenanneslace replied to carlygh's topic in Student Nurse Practitioner

    I was not impressed with the admissions process at FNU. Lots of hinky stuff like Jory describes. Hard to figure out who got in and why - and a few students got in who don't seem ready - in the...

  14. Augmenting Labor (particularly before 39 weeks)

    queenanneslace replied to wilma30RN's topic in Ob/Gyn

    If a patient is admitted for *labor* then they are in labor, and oxytocin would be used for augmentation. If the patient was observed as an outpatient, and there was no change in cervical dilatation,...

  15. L & D Experience

    queenanneslace replied to hopefulfnp's topic in Certified Nurse-Midwives, CNM

    The bottom line is working in L&D won't hurt you. It will give you valuable experience working with laboring women. It will strengthen your admission to midwifery programs. It is paid learning....

  16. So 39 weeks is the full term cut off now?

    queenanneslace replied to perfexion's topic in Ob/Gyn

    Just curious - what are you currently telling these patients trying home induction methods at 37

  17. L & D Experience

    queenanneslace replied to hopefulfnp's topic in Certified Nurse-Midwives, CNM

    Have you tried searching these the posts here on AN? Many discussions and good input here:...

  18. CNM Salaries

    queenanneslace replied to DreamerCNM2b's topic in Certified Nurse-Midwives, CNM

    $99-100K/year is national average - that sounds about right. There are states where the average CNM salary is higher, and states where it is lower. There are many experienced L&D nurses who would...

  19. About Pitocin

    queenanneslace replied to zje123's topic in Ob/Gyn

    Are you asking about administering Pitocin during labor or postpartum? I see that you're asking about oxytocin augmentation of labor. I struggled with this as well when I started because Pit was...

  20. To work or not. That is the question.

    queenanneslace replied to mommy2anangel's topic in Certified Nurse-Midwives, CNM

    Here's what I did - my situation is different than yours, though. I enrolled part-time in school and took a job in L&D part time. Working while I'm in school is allowing me to pay tuition as I go...

  21. Nurse-Midwifery, NP, and DNP possibilities...

    queenanneslace replied to ChristsInstrument's topic in Certified Nurse-Midwives, CNM

    Usually when someone selects an advanced practice nursing role - they only choose one speciality - though I have seen that some nurse-midwives are also FNPs. Reasons for doing this are to take care of...

  22. Which states are CNMs permitted to do homebirths?

    queenanneslace replied to moonredlife's topic in Ob/Gyn

    Oh my, the article was... amusing... to put it mildly. Let's see - she trots out the statement that "homebirths are as safe as, if not safer than hospitals," which has no evidence to support it. Not...

  23. Which states are CNMs permitted to do homebirths?

    queenanneslace replied to moonredlife's topic in Ob/Gyn

    Well then I misunderstood that the statement that VBAC was safer at home than in a hospital was just an unfounded opinion. By all means, everyone is entitled to their opinion. Lets just make sure...

  24. CPM to CNM

    queenanneslace replied to SwtRainbowbrite's topic in Certified Nurse-Midwives, CNM

    I can identify with some of the things that you are saying - but it really depends on the individual. I have met new grad CNMs who feel quite a bit of trepidation over assuming full responsibility as...

  25. Which states are CNMs permitted to do homebirths?

    queenanneslace replied to moonredlife's topic in Ob/Gyn

    Midwifery Today? Really? There is really nothing academic, rigorous or evidence-based that comes from Midwifery Today. The author's description of how to assess maternal/fetal well being in labor is...