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rac1 BSN, RN

L&D, Trauma, Ortho, Med/Surg
Member Member Expert Nurse
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rac1 is a BSN, RN and specializes in L&D, Trauma, Ortho, Med/Surg.

rac1's Latest Activity

  1. rac1

    A lost nursing student...

    Well, I guess I have a little bit of a different take on this, so here's my thoughts, since ya asked. I think that if YOU think you will be giving them "less than" because of your career - then that is exactly what you're doing. If what you and your partner want for them is memories and traditions of family being together on holidays/birthdays - and you know that you'll be limited by your career choice - then yes, technically, you're giving them "less than." Do I think it's "less than?" Nope, I don't. But it's not my family - it's yours, and we all decide how to shape and raise our own. This is not really a question for the crowd to answer - this is for you and yours to answer. What do you want for your children? Do you think you'll "ruin" their childhood - or just idea of what you want for their childhood? You and your partner need to come to terms with what you want for yourselves and your family life. There was a time in my life where I definitely could say that I was not ready for a career and my children came first. Me being at work and school killed me, and I wanted to be with my children more than I wanted to be in school and at work. So guess what I did? I quit both. Took classes online here and there, and then when eventually I was done having kids and my youngest was school aged I finished school. I was ready. It was what I wanted for my family. I wanted to raise the babies up. It killed me to have them "babysat" all day (and it was family caring for them even). Now, I would never say someone else that continued school and work and put their kids in daycare "ruined" their kids' childhood. Not at all. It's just a personal choice. I was a better mom staying home with them when they were all little. Now that they are all older, I believe I am a better mom to them having my own career. I felt happier to be with them 100% when they were little - and I feel happier and more centered as a person, and mother now that they are older WITH a career. Just dig deep - figure out what is important and just do it.
  2. rac1

    Bethel CNM

    Anyone care to talk about Bethel's CNM program? I have done quite a few searches and do not see any reviews at this point. Thanks in advance.
  3. rac1

    Honor Health Interview

    There are situational assessments - you watch a video and then are given four choices, you must choose which is the best next action and which is the worst. There are behavioral assessments, where you're asked personality sort of questions. And there is a clinical portion - a med/surg and a pharm section - both of which are timed separately. I thought they were both very difficult, but I scored 97% on the med/surg and 93% on the pharm. Thought I was failing the entire time. I didn't study much beforehand, but I did look over labs real quick. They also have a little study guide just prior to the start of each exam, I did look that over and sort of made sure I knew some random things on their (TPN line change info for example). GL!
  4. rac1

    New NCLEX

    Ahh, I deleted my response because I thought the entire thread was super old, but now I see you are currently asking still - I should not have deleted! The current NCLEX plan, exam and passing standard is good through March 21, 2019. So it should not change before then. GL!
  5. rac1

    New NCLEX

    Ooops! Deleted b/c was old thread.
  6. rac1

    Maricopa CEP & GPA

    I didn't do your math, so I don't know if it is right, but the answer to your question is yes, GPA is calculated based on how many credit hours AND grade. They also only calculate credits being transferred in, not classes failed or ones not being counted toward the degree. Hope that helps.
  7. rac1

    Banner New Grad Experience

    WHat unit at BUMC?
  8. rac1

    Maricopa ADN waitlist

    BTW, I did CEP out of pocket - I did not work, but my husband does, and we were able to pay cash. We have an established income and all, but it can be done! Apply for scholarships!
  9. rac1

    Maricopa ADN waitlist

    I know you said you're doing the ADN program because of money reasons. I don't know if I can change your mind, but I wanted to say that there are SO many scholarships available. I did NAU, and had no idea of the amount of scholarship available. NAU gave me (and most classmates) $10,000 our first year just for applying early. Maricopa scholarships go each semester with scholarships not given out. I highly recommend applying. (Scholarship Management System | AcademicWorks and/or Scholarship Management System | AcademicWorks are the scholarship pages). You fill out a main form and then it can automatically select you for some, and you can apply to others. I received several scholarships through maricopa and NAU. One very large one. Even if you don't do CEP (which I recommend, but of course understand your reasoning!) apply through maricopa! It is worth the time you put in - save your paragraphs, and keep them relatively short - you can save them in a word doc and rephrase/reuse them for new scholarship apps.
  10. rac1

    Attending births with a CPM

    You don't have to be sorry for your comments. It's good to hear things like that, I was just looking for your perspective and trying to figure out why you were saying what you were. The thread you referenced doesn't have me saying anything about giving up because of my OB rotation..? So I don't know what you are talking about. I had a wonderful OB rotation, and I have been to countless hospital births as a doula. Again, I did recently see someone else post about the OB rotation in nursing...not sure if that is what you're referring to because I did respond to that one....
  11. rac1

    HonorHealth Interview Process

    I know this is an old thread - but are there any secrets to getting in at Honor? I have applied to so many new grad positions. I have a great resume, and I have applied to every single position (maybe that is my downfall??) that has come available since I graduated and I have yet to receive a call (same for other people in my class). I have no idea here....
  12. Look up some nursing apps for your phone NCLEX-RN is a good one, not expensive, and really worth it. All the "Success" books will provide NCLEX style questions too. So look for "Fundamentals Success," to start. Or just do a simple google search.
  13. rac1

    Attending births with a CPM

    Thanks for the clarification. Your words came across strongly to me, and it's rough hearing such negativity when I do not feel that I embody such negativity in that way. Anyway - I don't remember stating anything about giving up on midwifery because of ob rotation. But I recently did reply to someone else that spoke that way and my response was very positive.
  14. rac1

    Attending births with a CPM

    I'm happy to side step the vaccine stuff, and I wasn't trying to start a debate of any kind at all. I am not against vaccines. Nor for them. They are a tool. I did not mean to imply that I thought CPMs and CNMs were "completely equal in their education" and I do not really think that I did imply that. My point was that their scopes are different entirely. They are trained differently because their scopes are different. CPMs do not require the training that CNMs are required because their scope is not that of a CNMs, similarly, the scope of CNM does not require the hours/education of that of an OB. The message I was trying to put across is that a CPM isn't "less than" because her training is not the training of a CNM. She has a different scope and does not need the training - just like a CNM does not need the training of a OB/GYN. Different scope = different training requirements. Speaking of training requirements. NARM regulates the CPM and the CPM requirements are all the same. If the candidate does not graduate from a MEAC accredited program then the process is different, but is (supposed to be) equal to a MEAC accredited schools education. I wasn't in any way trying to insinuate that CNM programs are not good enough or something. Not sure how I came across that way - possibly because I was trying to say that CPMs are a safe option - everything else was clouded up... I don't know. I felt that the response I was replying to was pretty negative toward CPMs and that is where I was coming from. Doctors and CNMs have poor outcomes too. CPMs aren't the lone ranger there. I believe their training is all adequate (between professions) - it is the responsibility of the patient to hire competent care. We place trust in the licensing bodies to have strict requirements, and we have trust that people that have passed their licensing exams are safe practitioners, but that is not always the case. I have trust in our licensing and accrediting agencies. I have less trust in the people that pass the exams, and that is where education, information and interviewing comes in. Women have the right to choose how they birth and with whom. I also do not have a closed mind about the world of OB - what makes you think I do? I really would like to know, because I can't imagine what lead you to think/say that to me. I do NOT view "anything remotely medicalized as somehow the enemy of women." I do not believe that in any way whatsoever. I have been a doula for a long time. I have seen the most natural birth to the most medicalized. I stated plainly that I believe women most certainly have the right to choose how they birth, whatever that means to them. Do I want them to be informed? Yes, yes, yes. I wish all women could have amazing care providers that give them awesome information and education so they can make truly informed decisions for themselves. If that means in a hospital with an epidural and continuous monitoring, with induction, AROM, and anything else on top - so be it. We all have our own paths and choices to make in life and we do the best we can with what we have, and when we know better we do better.
  15. rac1

    Attending births with a CPM

    Sorry, but you don't want her to "come out thinking that Vit K is not really necessary," or that "routine vaccination is dangerous,"..? It is really sad that nursing school teaches that Vitamin K is 100% necessary and that vaccines are PERFECTLY safe. Both assumptions are false. This is one huge problem with our standard education, and it is a much larger problem of an unthinking population. I am not over here to say no one needs vaccines or Vit K - but please do not ever say they are completely without ill effect because it is not true. Vitamin K and vaccines are choices just like taking any drug is a choice, and parents should be made understood all the implications of the drugs they and their infants/children are prescribed. THAT is what we were taught in nursing school. Do patients refuse medications? Yes they do. Do we as nurses always agree? No we do not. Are we our patients' advocate? Yes, yes we are. We teach them, and explain and educate again. We explain what we know - but yes, we tell them side effects, and there are side effects and poor outcomes for every single drug available. In the end, it is a parent decision. Not a nurses or a CPMs. CPMs do not need "medical experience" because they are experts in normal/healthy pregnancy and birth. Once the norm has left the room, the midwife should leave the room too (i.e.: transfer to hospital). CPMs are trained in "standard science-based care." Not sure why you think they are not. OB/GYNs have a different scope than CNMs, and CNMs have a different scope than CPMs, in that, each expertise is different. Some skills and knowledge overlaps, and some does not. The training of CPMs is widely variable just like the training of a CNM is widely variable, just like the training of a OB/GYN is widely variable. Do all professionals have boxes to check, numbers to meet and hours to accrue? Yes. Do all CPMs have the same boxes to check, numbers to meet? Yes. Do all CNMs? Probably not - there is probably a minimum number of clinical hours for the national examination, but schools all have different requirements here. Same for OB/GYN. BUt all CPMs take the same test and have the same minimum hour requirement and experience requirements. So - maybe their preceptors could be good or bad but that is the same for doctors and CNMs too. Allll that to say.....all medical professionals go through similar processes to learn their expertise, and they all come out with variable education. CPMs are not unique in that. I just graduated nursing school with 29 other people and I am certain that we are not all qualified equally, yet we all went through the same process. I also want to say that it is legal to practice midwifery as a CPM in 33 states (because you said they are unregulated in "most states"). 5 states currently have legislation for legality happening now, and 6 more are in planning stages. So really - in MOST states, CPMs are regulated. Some states "license" CPMs, some do not, but the CPM cert is usually what is used to "license" the midwife anyway (in my state) without other contingencies. So I am curious as to what the difference is to you - that "CPMs are not licensed"? I do not understand why you say they are unregulated - CPMs are regulated - in the states that regulate them. To Original Poster: That being said - I do not disagree that you should be very careful and contact your state board of nursing before you do observe (even if you are ONLY observing). Read your state Nurse Practice Acts. I would also familiarize yourself with all the CPM bylaws for your state. But thats just me and I tend to be very thorough. I also would not want anyone at the birth to know I am a nurse. I also would be careful not to perform any nursing specific skills (IV placement for example). I (obviously) am a CPM sympathetic. I am not against them in any way. I fully believe people can and should choose with whom they give birth and how they give birth. I believe we should all have freedom to choose our way of life - including birth to death - and everything in between. Sometimes that means we hire a crappy midwife - but you know what? Sometimes that means we hire a crappy doctor that spent 10 years in school. Crappy birth professionals are not limited to licensed midwives. Far from it. I have been a doula for 17 years, and I have seen so many really unprofessional doctors and even unprofessional CNMs. I have also seen unprofessional CPMs, but I've seen way more poor ob's. Do your research, cover your tail, be professional, and you'll be good to go. Birth is beautiful and homebirth is an amazing experience.
  16. Honestly, it's unfortunate that you have to get your BSN. Sounds like you have made your decision but I would have to agree with the first responder that said just do the ADN program - it's not a barrier. Why? First, because you already have a bachelor's degree. Colleges know you are smart, and willing to work. Second, because I am a capstone away from finishing my BSN and I think the BSN classes are BS (ha). I am happy I will have my BSN, don't get me wrong, but I also only currently have an associates. But the BSN is honestly not that big of a deal. My core nursing classes are way harder. The BSN coursework is busy work. The BA you already have taught you how to read and write. Maybe you need a statistics course, or an advanced physical examination course, but those are everywhere. You are going to have to do a lot of work that, imo, isn't going to really make you a better nurse. Your bachelor's you have, imo, already shows that you are manager material.