midwife2b

midwife2b

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All Content by midwife2b

  1. Physical Exam Books

    I personally like Bates better, but my former school uses Mosby. I think things were a little clearer in Bates, so I bought an updated version and used it. I looked at Jarvis; it seems pretty...
  2. Prepared Childbirth Class Info ...

    I worked in a busy Level III L&D; our births have doubled over the past 10 years. We have lots of different childbirth education programs; some are Lamaze-based, Bradley-based, and "doctor based"...
  3. epidural - who has the right to decide?

    Love it! We had a case of undiagnosed twins this summer, OB not CNM, whose pt. respectfully requested no ultrasounds/interventions etc. She complied with a GTT no AFP and her fundal height was within...
  4. Relocating to NC

    If you don't have your heart set on the Raleigh area, try New Hanover Regional Medical center (http://www.nhhn.org) in Wilmington, 2 hrs from Raleigh. A nice NICU that always hires new grads, and a...
  5. Not a CRNA... Just surfing and found this topic... took the abbreviated test and I'm ENFJ (teacher/idealist). I'm a midwife/whnp/labor nurse
  6. CNM vs WHNP

    The job market seems to vary week to week. For example, I am on a listserv and last month received notice of over a dozen job openings in my state. The ACNM website did not list any of these jobs. So...
  7. Caesarians and evolution

    Mary Breckinridge made similar comments about her clients in the mountains of Kentucky. (she started the Frontier Nursing Service, the beginning of American Nurse Midwifery). She thought because her...
  8. epidural - who has the right to decide?

    Yup, the MDA has the final say in anesthesia. And believe me, there have been some heated discussions between the docs and the MDA's about what is "best" in the second
  9. Do you get crude jokes about your field?

  10. Strange Nursing Student

    :angryfire In the '90's I was part time faculty in a BSN program. One year we had a "different" student. She was female, in her late 30's, seemed to have no friends, few social skills and didn't seem...
  11. perineal massage vs. "ironing"

    Check out Penny Simkin and Ruth Ancheta's book, The Labor Progress Handbook. The advice given here blows my mind. They also talk about pushing. I think Penny Simkin also has a book on second stage...
  12. Smoking bans in and around NC hospitals

    I wish other big hospitals in NC would do the same!!! It would make life simpler if we could just tell patients there is NO SMOKING anywhere on campus!!! So much health related research and care seems...
  13. CPR video for parents...what do you use?

    Maybe try the American Academy of Pediatrics
  14. TC Bilirubin checks...how often?

    It is my understanding that there are false positives and negatives with the transutaneous device, and that is being looked at with the study our facility is involved in. Some babies who look yellow...
  15. perineal massage vs. "ironing"

    Sometimes as the tissue stretches, tiny blood vessels pop; not a laceration but they can bleed. If the tissue is healthy you may just get a "skid mark", if it is not a spontaneous lac is very...
  16. "Time out" for epidurals?

    One of our docs changed the time out into a little prayer at the beginning of each C-birth. So we start with something like "Dear Lord, please assist all of us to deliver the best care during the...
  17. "Time out" for epidurals?

    Do any of you do a "time out" (similar to what is done in the OR) when you are placing a labor epidural? We just got notified that we are supposed to do this and IMHO it is neither necessary or what...
  18. Which college in Raleigh/Durahm

    https://www.ncbon.com/LicStat-CATRNWEB.asp This list gives how many attempted the test, how many passed, and the pass
  19. Do you know the reason for this? How
  20. CNM vs WHNP

    In my state only a CNM can offer delivery services. I have both a WHNP education and a CNM education. I REALLY missed L&D after I finished my WHNP but it took several years and a few bonks on the...
  21. TC Bilirubin checks...how often?

    Babies who have more than just facial jaundice by 24 hr. of age... MOST of the breast feeding babies (part of a multicenter study being done) at 24 and 48 hr (if they are still there) Term...
  22. L&D Manager Interview

    Be open to change... show your creative side... give examples of how you have acted as a change agent in the past... Managers are looked upon as leaders, but we all know that not all leaders are (or...
  23. Discharge instructions for routine outpatients

    I agree with Moondancer. Our instructions are all on one page, we can check the boxes depending on what the patient needs. There are also places to write things (call the office in the morning, drink...
  24. skin prep for c-section

    We use DuraPrep... one swipe across the incision site, then up the abdomen to the ribs, then the lower part of the pelvic area. The scrub nurse will make us redo it if it isn't properly done! Used to...
  25. Out of orientation now . . . (this is long)

    Some nurses I work with would have a cow if I did anything to their patients in their absence. "Watching" often means different things to different people. During lunch, for example, I "listen out"...