beckinben

beckinben CNM

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All Content by beckinben

  1. Refusing "Hospital Protocal"

    beckinben replied to HeartsOpenWide's topic in Ob/Gyn

    My hospital has an 80%+ epidural rate, and a c/s rate between 17-20% (we do VBACs). My secret is to labor down, labor down, labor down until she feels an urge to push. Best thing ever. I'm trying to...

  2. Anyone have Oxhorn-Foote Labor and Birth?, I found a quote

    beckinben replied to agirlandherdogs's topic in General Nursing

    i have a copy. there is also a description of this in a couple of other books i have. what exactly are you needing? and, fyi, oxorn is a classic, and parts are very outdated. the references to fundal...

  3. Refusing "Hospital Protocal"

    beckinben replied to HeartsOpenWide's topic in Ob/Gyn

    The definition of labor in EMTALA is "the process of childbirth beginning with the latent or early phases of labor and continuing through the delivery of the placenta" Also note:"a woman experiencing...

  4. Refusing "Hospital Protocal"

    beckinben replied to HeartsOpenWide's topic in Ob/Gyn

    last i looked, i am a midwife. seems like that's what the m in cnm stands for, at least. and i can legally practice in every single state (were i to get a license in each and every one of those states...

  5. Refusing "Hospital Protocal"

    beckinben replied to HeartsOpenWide's topic in Ob/Gyn

    Or in labor. Hospitals are required to care for women in active labor - it is considered an "emergency" under EMTALA. Read more about it here -

  6. Refusing "Hospital Protocal"

    beckinben replied to HeartsOpenWide's topic in Ob/Gyn

    I have an idea. (Warning, I was up all night at a very lovely, low-intervention hospital birth with intermittent auscultation and no pain medications, so I hope this makes sense). Let's make home...

  7. life of a midwife

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

    Wow I replied to this thread as a student. Now midwife2b's post is sounding all too familiar...:wink2: There are jobs that don't require you to be on call 24/7 (remind me to look for one someday). I...

  8. Delivery meds

    beckinben replied to magz53's topic in Ob/Gyn

    Suggest cytotec to the doc - it's stable at room temperature :nuke: That's what I keep in my rooms with someone who I think might

  9. NICHD and AWHONN fetal monitoring guidelines

    beckinben replied to waterfall99's topic in Ob/Gyn

    The NICHD terminology is being included in AWHONN's Fetal Heart Monitoring class - so if you know one of the instructors for that class, they will have all the information. Or you can take the class...

  10. Nurse Practitioner Speciality And Job Limitations

    beckinben replied to Dbox's topic in Nurse Practitioners, NP

    Sorry, I just have to get on my soapbox for a minute here. CNM's do not just do OB. We also can do gynecologic care and some primary care of women. It is in our scope of practice because it is part of...

  11. Visiting from student nsing board.....

    beckinben replied to DAMomma's topic in Ob/Gyn

    Well, there isn't an "iron deficiency" nursing diagnosis, so don't try too hard to find one. Yes, she's getting iron, but that's not really what she's lacking. Think a little more globally. What did...

  12. Do nurses do it all?

    beckinben replied to babyjen's topic in Ob/Gyn

    I caught one yesterday for one of my doctors - the doc who was supposed to come for delivery didn't make it until about 5 minutes after the baby. Boy, her nurse was glad to see me. I had gone over to...

  13. Dysfunctional Uterine Bleeding, help!!

    beckinben replied to IMustBeCrazy's topic in Ob/Gyn

    Some options you could ask about (trying to avoid offering medical advice here): Treating the headaches with something beyond fluids - they may lessen over time NSAIDs - obviously can help headaches,...

  14. Nurse Midwives

    beckinben replied to ASU '07's topic in Certified Nurse-Midwives, CNM

  15. Midwifery??

    beckinben replied to dare2dream's topic in Ob/Gyn

    Sure, liability is an issue - although my backup doc who pays for my malpractice says mine is actually pretty cheap in his opinion - we don't get sued as much, that is true. Spending time with people,...

  16. Evidence-Based practice re: Pitocin Inductions

    beckinben replied to HazeKomp's topic in Ob/Gyn

    Get the new edition of AWHONN's Perinatal Nursing by Kathleen Rice Simpson and Patricia Creehan. The section on pit inductions has a long list of studies supporting physiologic pitocin dosing. The...

  17. curious about Group B strep and giving antibiotics

    beckinben replied to NurseCard's topic in Ob/Gyn

    Same as in the US - intrapartum fever, gestational age 18 hours, GBS bacteruria. I understand that GBS is a serious cause of neonatal mortality, but I just have concerns about what we will do when GBS...

  18. Delayed cord clamping

    beckinben replied to RaeT,RN's topic in Ob/Gyn

    This was published in March in JAMA. I wish it had been published in a more OB-oriented journal, as most people I show this too never saw it. Late vs Early Clamping of the Umbilical Cord in Full-term...

  19. What is this job like on a day to day basis?

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

    I think you can find as many types of midwifery jobs as there are midwives, to be honest. There are plenty of CNMs who do not labor-sit. Some are too busy, some don't like to. But in my experience, it...

  20. Who consents for the underage where you work?? long

    beckinben replied to crysobrn's topic in Ob/Gyn

    In my state, pregnant minors (and I see quite a few) are NOT emancipated, and their parents must sign for all of their care, including the consent for an epidural. Makes it fun when the parents drop...

  21. curious about Group B strep and giving antibiotics

    beckinben replied to NurseCard's topic in Ob/Gyn

    I see women regularly who tested positive in a previous pregnancy who test negative in their current pregnancy. Which is why we test almost everyone in every pregnancy, as the CDC recommends....

  22. No L&D experience - is CNM unrealistic?

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

    No, it's not unrealistic. But if there is any way you could get some experience - even a year - it would help. Just my honest opinion. In my class, we had two graduate entry students with no nursing...

  23. sterile or clean

    beckinben replied to happyrn10's topic in Ob/Gyn

    :yeahthat: Although I guess I don't think it's all that strange to change gloves. I usually do before I do a repair. Not that I think it helps things stay more sterile, but it's just nicer to have...

  24. Just curious...Do nurses hate Birth Plans?

    beckinben replied to chnc1024's topic in Ob/Gyn

    This is why I encourage birth plans. There is no legal homebirth where I am. There are no birth centers (hoping to change these someday). There is one hospital that offers full-scope obstetrics within...

  25. Bradley method?

    beckinben replied to mer_RN's topic in Ob/Gyn

    The "horrible" things that I have heard about Bradley usually revolve around the bent that the Bradley method has against the modern obstetrical model of "induction - IV - pitocin - epidural",...