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...
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"...
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...
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...
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...
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...
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
midwife2b replied to NurseKitty NC's topic in General Nursing
: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...
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...
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...
midwife2b replied to Mythreeangels's topic in Ob/Gyn
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...
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...
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...
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...
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...
midwife2b replied to Mythreeangels's topic in Ob/Gyn
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...
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...
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...
midwife2b replied to newgrad2005's topic in Ob/Gyn
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...
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"...