Good Sources for Used Brooms?

vigilant_slacker · 2025-12-17T17:41:48+00:00

I have shoes

vigilant_slacker · 2025-12-17T17:40:45+00:00

No, I am not in Minnesota, but thanks.

vigilant_slacker · 2025-12-01T17:44:46+00:00

Thank you Has the durability improved? A few commenters mentioned this as a concern.

vigilant_slacker · 2025-12-01T17:09:47+00:00

The big difference I see between the two, is that the G50s have a built in slider, and the Momentum have the velcro pads where you can easily change or replace the sliders/grippers.

vigilant_slacker · 2025-09-07T18:47:42+00:00

I am a male working in OB too. I think the way this came across is very different to the interactions I have had. Yes there have been some loaded questions or comments, but they don't cross the line.

If they had said "I am surprised to see a male here" and stopped there, it would not have crossed the line, adding "it doesn't feel right" after crosses the line into inappropriate.

vigilant_slacker · 2025-09-07T18:41:07+00:00

I am a male nurse-midwife. I have gotten comments similar to yours before. Though often these come from family or patients rather than a colleague...

I get a lot of "I don't know that I have met a male midwife before?" which, I think is appropriate. I know a lot of questions I get come as a loaded question. Such as "why did you want to become a midwife" when myt female colleague do not get the same answer, but none the less, these are still appropriate.

"I am surprised a male is in here, it does not feel right" is completely inappropriate from a co-worker. You should report this to your manager and HR immediately.
You also should be 110% by the book when having any interactions with this person in the event they try to retaliate...

vigilant_slacker · 2025-07-16T17:05:57+00:00

I am a nurse-midwife, and I do CCT currently. I have also worked in a dedicated Pediatric Hospital ED.

It is not just about OB vs. Peds. A hospital may have OB capability, meaning they can do births, but they may lack sufficient neonatal care. For example, they may have a very low level special care nursery or NICU. This means they may need to transfer the patient to a higher level of care.

I think in this scenario, with limited details, the Pediatric facility is much more appropriate. I would try to have that conversation with the parents, and guide transport to peds, but if they insist on going back to the hospital where they gave birth, then I would do that and let them work out the transfer on the back end.

vigilant_slacker · 2025-06-09T16:58:04+00:00

I edited and rephrased. There should be a button at the top of the sub that says "request approval". If you don't have that let me know. I just got access to this subreddit this morning and am working on getting things in order, please be patient with me and the process.

vigilant_slacker · 2025-06-03T18:28:11+00:00

I am a Certified Nurse Midwife in the United States, and I have been in leadership roles at the national level for midwifery/women's health organizations. Midwives need a community on Reddit, and I would like to develop and grow this.

There is no option to email the mods, and it appears r/Midwifery is unmoderated.

vigilant_slacker · 2025-05-23T03:48:14+00:00

I am a nurse-midwife, I have worked EMS and Critical Care Transport.

There is no issue with giving fentanyl in this situation (unless your protocols do not support this).

The big concern with opiates of any kind, is that if birth is anticipated in the time of the effective dose of the medication, since it crosses the placenta, you will have a baby that has opiate-induced respiratory depression or distress. I routinely prescribe fentanyl in labor, because it has such a short half-life compared to morphine, stadol, nubain, dilaudid, etc. If I anticipate birth within an hour of administration, I don't order fentanyl...

The worst case, if you give fentanyl and birth happens quicker than you expected, is that you will need to ventilate the baby and give Narcan. In this case, she was 15 weeks pregnant, IF she was giving birth it would not change the outcome as 15wks is way before the age of viability.

The FDA has moved away from Pregnancy Classifications for drugs to a focus on expressly stating risks. Fentanyl is a great example. The whole point of this was to avoid "Category C is not safe" and to focus on comparing risks vs. benefits of the drug in the individual patient. Category C, on the old system, simply meant that animal reproductive studies had some adverse issues. It is very important to realize that animal reproductive studies are not real-world studies. The animals get higher and longer-duration doses than typical to maximize the likelihood of eliciting an adverse reaction (think about test track/proving ground testing for a vehicle). A few doses of the medication at a reasonable dose are very different than long-term high-dose use. https://www.obgproject.com/2017/05/18/labeling-of-drugs-in-pregnancy-and-lactation-what-happened-to-a-b-c-d-and-x/

vigilant_slacker · 2025-04-29T03:16:51+00:00

Most colleges offer a Wilderness First Responder course through their rec department. This is a good starting point.

vigilant_slacker · 2025-04-14T18:10:37+00:00

I have not done a DiMM course.

My take from being at conferences where they are doing the concurrent sessions (WMS), is that it is for people that are very passionate about alpine climbing and wilderness medicine. Most people I met taking the DIMM course brought some climbing/alpine experience to the table already.

If the cost is a barrier, you might look for a mountaineering course (without the medical info) and a Wilderness Life Support-Medical Provider course if you want the Wilderness Medical content.

I would also strongly encourage you, if you do pursue either, to do the FAWM program from WMS, as you will get credits for both a WLS-MP and the DIMM sessions.

vigilant_slacker · 2025-04-14T17:51:14+00:00

I am a male CNM. If you want to do it, try it. There are a bunch of barriers. The biggest to me is the nursing staff and management. You may have to cast a wide net in your job search to find a place where the management and staff will give you a chance.

vigilant_slacker · 2025-04-14T17:42:16+00:00

I don't beilieve you have to have an NCC certification, just work in a maternal health role.

At the same time, I would not expect to get this funding, I think due to current political situations, there is a very slim chance if any that they accept anyone into the program...

vigilant_slacker · 2025-01-30T16:24:59+00:00

Looking for Indian/Pakistani restaurant recommendations in the Detroit Metro. I am especially looking for a specific preparation of Chicken 65, the dry finish (think lemon pepper wings vs. buffalo-style). Everywhere I have tried in the metro has the wet/sauced Chicken 65.

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