TeamHealth is seeking a full-time CNM to join its team at Antelope Valley.
156 hours per month (covering inpatient and clinic)
Competitive hourly rate + travel allowance
Full Benefits Package
Please send an email to LA.ACNM@GMAIL.COM for more information.
Email received: 03/2023
The 2021 Varney A.C.N.M. Foundation Leadership Award will be made to two student members of ACNM to support their participation in a unique mentored student leadership experience. Award recipients will attend a one-day LEAD (Learn, Engage, Ascend, Deliver) Leadership Development Program (Sept. 30, 2021), followed by two days at the annual Midwifery Works Conference (October 1-2, 2021), both in Memphis, Tennessee. Mentorship will be led by Maria Valentin-Welch, CNM, DNP, MPH, CDP, FACNM, along with past Varney Award winners. The award will cover the cost of travel to the conference and other expenses; registration and accommodations will be complimentary. This student experience is made possible through the generous financial support of Helen Varney Burst, MSN, CNM, DHL (Hon.), FACNM.
AWARD AMOUNT: $1,500.00 (Registrations and hotel accommodation will be provided.)
APPLICATION DEADLINE: July 30, 2021
Download Application: www.midwife.org/acnm/files/cclibraryfiles/filename/...
“Clinical education is essential to midwifery education. Real-world clinical placement under the guidance and supervision of an experienced midwifery preceptor reinforces knowledge and strengthens skills critical for mastery of the Core Competencies for Basic Midwifery Practice. The integration of clinical experiences into the overall midwifery educational curriculum assures that graduates of accredited midwifery education programs are prepared to both take the certification exam to become a Certified Nurse-Midwife (CNM) or Certified Midwife (CM) and to enter the midwifery workforce as safe beginning practitioners.” (ACNM, October 2020)
A comment section is provided below should you have leads in California to help our student nurse-midwives to complete their clinical hours. Your help is greatly appreciated.
American College of Nurse-Midwives [ACNM]. (2020, October). Preceptors for midwifery clinical education: A call to action in this unprecedented time. Retrieved October 11, 2020, from https://www.midwife.org/preceptors-for-midwifery-clinical-education-a-call-to-action-in-this-unprecedented-time
For those of you who have not already heard on Social Media or through your contacts, we are thrilled to announce that SB 1237 has been signed into law by Governor Newsom. We are sorry for the duplication in messaging, but there are likely some CNMs who are not active on social media and we need to ensure this important message gets out to all of you.
We will continue to work tirelessly to ensure the bill is implemented as it was intended. Please join us on 9/26 at 10:00am for our CNMA Annual Meeting and to learn more about the bill and next steps in this process.
This entire process has been a roller coaster with successes and set backs.
We send this now with a mixture of great relief and deep sadness, given the passing of RGB. We also feel a huge sense of gratitude for all the work everyone has put into this. It goes without saying that this is a historic and monumental step forward. Please join us at the Annual meeting as we celebrate this moment!!
Please go to the CNMA Store and grab some T-shirts or other merchandise to commemorate this moment!!
From your CNMA Leadership Team.
Kathleen, Holly, Paris and Liz.
September 16, 2020 - Multiple news sources are reporting allegations of neglectful and harmful treatment of detained immigrant women at an Immigration and Customs Enforcement (ICE) facility in Georgia, including hysterectomies performed that were unwarranted and without consent. The complaint by whistleblower Dawn Wooten, a licensed practical nurse, can be found here.
This news is traumatic for everyone, but especially for Black, Indigenous, and people of color (BIPOC). The United States has a tragic history of enslaved Black women being subjected to forced gynecological experimentation as well as more modern day experiences of reproductive rights abuses, such as forced sterilization in the BIPOC community. These allegations cause new trauma.
The American College of Nurse-Midwives (ACNM) acknowledges the history of forced and coerced sterilizations in the United States and stands in solidarity with the entire BIPOC community recognizing the reproductive injustices they have experienced and continue to experience. As an organization whose members provide the full range of sexual and reproductive health care to people every day, we strongly oppose these shameful and deeply disturbing practices. We urge an immediate and robust investigation of these alleged charges regarding the treatment of ICE detainees.
ACNM. (2020, September 16). Statement from the American College of Nurse-Midwives Regarding Complaints of Unwarranted Hysterectomies Performed Without Consent at ICE Facilities. Retrieved September 16, 2020, from https://www.midwife.org/default.aspx?bid=3163
“TOMORROW, June 9, 2020: The Justice and Equity in Maternity Care Act (#SB1237) will be heard by the Senate Appropriations Committee! Visit CNMA.org/today to take action to #FreeTheMidwives!”
We are excited to announce that the CNMA will be sponsoring SB 1237 to remove physician supervision from the practice of nurse-midwifery in California. Black Women for Wellness Action Project will be co-sponsoring this bill. The bill is authored by Senator Bill Dodd, with principal co-author Assembly Member Autumn Burke.
California is 1 of 4 states that still requires physician permission to practice, which impacts midwives’ ability to practice in parts of our state where women and birthing people need greater access. Nine California counties have NO practicing obstetrician, and many more counties are well below the national average for obstetricians per capita. This obstetrician shortage is projected to be a critical shortage by 2025, particularly affecting Sacramento, Riverside, and Los Angeles counties. Rural areas are already significantly affected. Worse yet, the maternal mortality rate for Black women in California is 3-4 times higher than white women. Babies born to Black women were more than three times as likely to die of a preterm birth-related issue as babies born to white women in 2017
Racial disparities in maternal outcomes and the access gap for many Californians is a complex problem requiring multiple, innovative strategies in order to turn the tide. Greater access to nurse-midwifery care has been named by leading organizations as one of these innovative strategies.
National and international studies show that wherever midwifery is successfully scaled up and integrated into the overall health system, the well-being of birthing people and babies is significantly improved, including decreasing the rates of: cesarean (lowering C/S rates in California alone could save $80-440 million per year, not to mention saving lives and decreasing 'near misses') stillbirth and maternal mortality severe perineal trauma (birth trauma) severe blood loss preterm births newborns with low birthweight newborn admissions to neonatal intensive care units States that have removed physician permission to practice, allowing for autonomous nurse-midwifery practice to expand in their state, also have a greater proportion of rural hospitals with midwives attending births.
~CNMA, February 2020
[Social Media CNMA]. (2020, February 25). Free The Midwives: Midwifery Care in California [Video File]. Retrieved from http://bit.ly/FreeTheMidwives
See links below to the two-part segment by Univision 34 about Eisner Midwives and water immersion in labor at California Hospital:
California is one of only six states to continue to require physician supervision of nurse midwifery practice (the others are Nebraska, Virginia, Florida, North Carolina and South Carolina). But a movement is underway to get California to join the rest of the country.
The bill AB1612 would remove language in the current law requiring physician supervision for Nurse-Midwives to give care.
"97% of Certified Nurse Midwife (CNM) care in California is provided in hospital settings in close collaboration with physicians. In these settings, nurse-midwives often face arbitrary requirements to demonstrate a supervisory relationship with a physician. This results in limiting the ability of CNMs to provide care in a variety of geographic areas and healthcare facilities, as well as limiting their ability to provide full scope of services in under-served communities {when physicians do not wish to supervise Nurse-Midwives}. Providing supervision to fully qualified CNMs places an outdated and unnecessary burden on physicians. Most facilities require physician co-signatures for admission and discharge, even though the physician may not have been present during care and may not have had a personal encounter with the patient. This results in physicians providing record-keeping documentation when they could be providing direct care to patients" (from https://standbyyourmidwife.wordpress.com/nextsteps/).
What will AB1612 accomplish?
Nurse-midwives will continue to practice in collaboration with physicians, but without the barriers imposed by supervisory language. The BRN will receive support on regulatory issues impacting CNMs via a nurse-midwifery advisory council. Home birth and birth center CNMs will have access to medications and resources necessary for safe care. Clarify the inclusion of the home as a location for CNM services. All newly licensed CNMs will have national AMCB certification, in line with national standards. (from http://www.midwivespass1612.com/ab-1306)
For more info, http://www.midwivespass1612.com
Eyelle Sacher, CNM, tells us how Nitrous Oxide helped her patient with labor pain.
http://abc7.com/health/laughing-gas-changing-the-way-women-endure-labor-pain/1429757/
Ayana had been in labor for three days and still the baby refused to come. In her struggle to give him life, she developed a fistula, or hole, between her birth passage and her internal organs. She fortunately survived but her body was broken by childbirth.
Obstetric fistula is a serious problem in the world’s poorest countries, where most mothers give birth without any medical help. In Ethiopia, where Ayana lives, there are at least 100,000 women every year who suffer a similar fate, yet fistulas can be repaired—and lives restored—for relatively little money.
Knowing the profound difference these surgeries can make, three compassionate Nurse-Midwives from the Panorama City Kaiser Permanente—Sandra Wilkinson, Rosemary Occhiygrosso and Virginia Gladwin—decided to raise $5000 for the Fistula Foundation. They tackled their goal with so much heart and gusto that they ended up raising $15000 (that’s 37 surgeries!) helped, in part, by auctioning off a beautiful quilt made by nurse practitioner Ann Allison. They’re now on their way to raising another $30000—that’s 75 more lives changed forever.
Their donations will also be used to train Nurse-Midwives who can help safely deliver babies and prevent future injuries.
“We want women everywhere to live happy, normal lives,” says Sandra. “We’re thrilled to be able to help.”
From left: Ginny Gladwin, CNM; Rosemary Occhiogrosso, CNM; Ann Allison, CRNP; Sandra Wilkinson, CNM/RNP
California is one of only six states to continue to require physician supervision of nurse midwifery practice (the others are Nebraska, Virginia, Florida, North Carolina and South Carolina). But a movement is underway to get California to join the rest of the country.
The bill AB1306 would remove language in the current law requiring physician supervision for Nurse-Midwives to give care.
"97% of Certified Nurse Midwife (CNM) care in California is provided in hospital settings in close collaboration with physicians. In these settings, nurse-midwives often face arbitrary requirements to demonstrate a supervisory relationship with a physician. This results in limiting the ability of CNMs to provide care in a variety of geographic areas and healthcare facilities, as well as limiting their ability to provide full scope of services in under-served communities {when physicians do not wish to supervise Nurse-Midwives}. Providing supervision to fully qualified CNMs places an outdated and unnecessary burden on physicians. Most facilities require physician co-signatures for admission and discharge, even though the physician may not have been present during care and may not have had a personal encounter with the patient. This results in physicians providing record-keeping documentation when they could be providing direct care to patients" (from https://standbyyourmidwife.wordpress.com/nextsteps/).
What will AB1306 accomplish?
Nurse-Midwives will continue to practice in collaboration with physicians, but without the barriers imposed by supervisory language. The Board of Registered Nursing will receive support on regulatory issues impacting CNMs via a nurse-midwifery advisory council. Home birth and birth center CNMs will have access to medications and resources necessary for safe care. The home will be specifically included as a location for the provision of CNM services. All newly licensed CNMs will have national AMCB certification, in line with national standards.
For more info, midwivespass1306.com
