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James75

James75

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  1. James75

    CNM Job Prospects?

    Hello, I’m currently an L&D nurse planning to attend midwifery school in the next few years. Luckily I will have plenty of L&D experience by the time I graduate (Hopefully also some postpartum and ideally an IBCLC). I should be able to work full time through most of the program then drop to per Diem towards the end as I do clinical. However, it does concern me how few midwife positions I see advertised in my area (currently three I can find at the moment, two are per Diem and two require at least a year of full scope midwifery practice, leaving one potentially new grad friendly per Diem position, where experience is still preferred). I live in a large metropolitan area with several hospital systems and a thriving midwifery culture, both in and out of the hospital. Due to custody arrangements I’m not particularly geographically mobile, nor able to open my own practice. Obviously I could still work as an RN after graduation, but also obviously I want to attend midwifery school in order to work as a midwife. Is it common to be hired out of clinical placements without a job being advertised? Did it take y’all a long time (>6 months) to find a job after graduation? Did you need to relocate? Anything you did before/during/after school they helped you get hired? Thanks!
  2. James75

    OHSU

    Most floors at OHSU give you a pattern, so your schedule is the same over two weeks. Some are self scheduled. It’s rare not to have to work some Fridays and Saturdays.
  3. James75

    OR vs WA

    Oregon has income tax, Washington has sales tax. Some people live in Vancouver Wa and shop in Portland OR to circumvent this.
  4. James75

    Portland Job Market

    I’ve heard great things about Legacy. People seem to like Kaiser as well. Providence is doing interesting things in Women’s Health (hospital supplied doulas, and they seem to have a huge focus on lactation). There’re so many options that you might as well travel between them for a while. One of my L&D coworkers did that for a couple years as she found it was so lucrative and eventually settled at her favorite hospital.
  5. James75

    OHSU Non-Resident New Grad

    A lot of my nursing classmates were hired there for their first jobs. They got good orientations. The one hired onto Ortho is still there and loving it. There was one particular floor desperate for nurses that hired 5 of my classmates. 2 ended up quitting pretty quickly, and I haven’t heard recently how the other 3 are doing. But otherwise people seem to feel well supported and do well.
  6. James75

    Salem vs. Eugene

    I agree with boywithacoin. I work at Salem Hospital and am very impressed with it as an organization. It’s a lot better run and safer than places I was a student in Portland. A lot of the nurses I work with did student rotations or worked in the Eugene and Springfield hospitals and prefer Salem. Some even commute from most of the way down there because they like working at Salem Hospital (I commute from Portland for similar reasons). And the hospital has lots of perks because they have to retain staff who don’t want to live in Salem. Great night shift differentials, lots of day shift positions available, LEAN, Magnet, etc. That said, Salem is not where I would want to live. It’s the state capital and has the big prison. Lots of crime and homelessness (though better in those senses than Portland). Not a ton of “culture.” But decent cost of living and a more rural ethos, more conservative than most cities in Oregon. Not a *bad* place to live, and a 45 minute drive to Portland if you want concerts, sports games, etc. Eugene is a college town, known for a liberal feel, hippy vibe, lots of culture, lots to do. Farther from Portland, more expensive than Salem but not insane. And again, I haven’t heard the hospitals there are horrible (nor have I personally worked in them), Salem is just exceptionally good. I don’t think you’d go wrong either way.
  7. James75

    L&D/CNM: tell me everything!!

    I finished my ABSN in December, and started as an L&D nurse in February, came off orientation in the last few weeks. Like you, I was planning on specializing in women's Health. I had been a doula and a childbirth educator and had almost gone to get a doctorate in medical anthropology with a focus on childbirth practices. I was still so grateful to get a broad exposure to health. I was quite surprised to find how much I enjoyed trauma and emergency nursing, especially. I think I could be quite happily working on those floors. And through it all labor and postpartum remained my passion. So while I'm happy to have broader nursing knowledge, because it does come up, I'm also so so happy to be working with laboring moms every day. I was actually "better" at med surg, but the worst day on Mom Baby or L&D was better than the best day on Neuro or Ortho. I was really afraid I'd have to put in some time on a Med Surg floor before specialty, but I applied to a hospital about an hour outside of the major city I live in (2 hours in some traffic) and was hired onto a great unit. The commute sucks, but to me it was worth it to start out where my passion truly lies. It can be hard watching some of the non evidence based practices, like valsalva pushing (especially when we didn't do them where I was a student - an even more high risk facility), but I plan to join our practice council to push for more evidence based practice and from everything I've seen so far management is very open to improving. Still, I wonder how long I can last before I go back for my CNM. Mom Baby Nursing isn't enough excitement for me, but I do miss all the education and the chance to walk a little farther with the family on their journey. I also want the chance to meet them prenatally, know them better and direct their care (so my choices can be respectful of their goals and wishes as well as evidence based). But for now I'm just getting my feet under me as a baby nurse. I got my first shoutout from a patient the other day and it was so amazing to read how I was able to keep her feeling calm and safe in an emergency situation. I love my job! So - is that "everything" enough for you?
  8. James75

    OHSU ER job prospects

    You could try travel contracts for a while around the area. Catch up on scuttlebutt and get to scout hospitals before committing.
  9. OHSU doesn't require TEAS for entry. In fact, I'm not aware of any Oregon schools that do.
  10. James75

    Asante New Grad RN

    Anyone else apply for this current round of Asante new grad RN positions? Have you heard anything? I got asked for my references immediately, then much later a video interview, and haven't heard anything for weeks.
  11. James75

    2017 Salem Health New Grad Program

    I just did a job shadow with one of their nurses as a final "interview" - should hear back next week about whether or not I have an offer.
  12. James75

    Legacy Health Feb 2018 Residency Program

    Congratulations!
  13. James75

    Legacy Health Feb 2018 Residency Program

    For what it's worth, I have also heard nothing back, though I don't really expect to get a second interview.
  14. James75

    Single Parenthood and CNM...

    I used to live with a single mom who worked nights in the ER and was on call very occasionally as well. She would rent out a room in her house at below market rate to reliable college students (that was me, back when I lived with her) in exchange for them being physically in the house with her children at night. Not really babysitting, just around in case something was needed. Of course, you could get someone and pay them or give them room and board in exchange for a certain amount of babysitting as well. Hers were older than 2 and 7, but by the time you were a CNM, yours would be too. Of course this depends on the kid, but my three-year-old is now totally able to be put to bed by any of her grandparents, as well as our next door neighbors, for nights we're not around.
  15. James75

    CNM School with no L&D Experience?

    Still a nursing student, but when I look up CNM jobs in my area, a great majority say "one year experience required. Will consider two years experience in L & D as meeting this requirement." So it seems to me like getting those magic two years would put you way ahead in the job market. I am certain you can get into CNM school without it, though.
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