Wednesday, November 17, 2010

Homebirth in the news again.......negative press: when will it stop?


Homebirth is never long out of the news: strangely enough it is usually in the negative; When will doctors learn that it is not an issue of HOMEBIRTH it is an issue of CHOICE; Choice for women not doctors;

The Weekend West's headline was "Ban pleas on 'risky homebirths' now it is hard to openly discuss the leaked draft report - yesterdays front page of the West "Two quit as row over homebirths escalates" relating to the same leaked report, now calling for the Government Funded Programme supporting homebirth for low risk women:

I can not tell you how many midwives have quit due to lack of choice for women and lack of autonomy in the work place.....it never makes the front page of the newspaper this is doctor driven against the choice for women to have midwifery led care;

It is time again for women to stand up and be counted even if you would not choose a homebirth....this is far more than having a baby at home it is about how you as a woman make choices about your body..... most women will choose what is best for their babies....and do not have to be dictated to by the medical profession about how to do it...it is our bodies, our choice our life...... this is paternalism at its best... there is no grantee in life... and unfortunately babies do die....Babies also die in hospital.....there are many iatrogenic injuries that are caused in hospitals.... women are and have been traumatised in hospitals by the health professional... so don't try to say that having a baby in hospital is any better, in fact for the low risk women it can be devastating and equally for the high risk situations,.......

I cannot respond to the draft report because it is published yet, this is scaremongering at its best; Now midwives have the right to Medicare and can provide more options for women...the doctors are playing dirty........I wonder who leaked this information?

Things you can do...is write to your local Member of Parliment... with your concerns about lack of choice.....

Remember this is about choice for place of birth....not just homebirth...making the issue about homebirth is scaremongering.....watch this space.... for the release of the report.

Picture from Bring Birth Home: http://bringbirthhome.com/about/ have a look at this website... and read her story:

Saturday, November 13, 2010

My feet are not touching the ground:


This is usually a busy time of year....semester finishing, marking, getting ready for Christmas etc, etc, etc; However for me this is a particularly busy time.... semester is finishing and I have my usual marking....thankfully I love this assessment so it is easier to mark and the students also enjoy it and usually do it well, this makes marking so much easier...and as a teacher it is rewarding to read so many good papers;

I am taking on a new challenge...GLOBAL HEALTH ALLIANCE next Saturday i leave with 20 students from 5 universities (4 students from my university) in an inaugural project to Tanzania...to broaden their healthcare skills, provide care to people in the developing world, and to expand their cultural awareness.
“The placements are unique in that it is the first time the five WA universities have collaborated, as part of the GHAWA program, in sending a combined student and supervisor cohort to a developing country,”

“The trip will expose students to a unique healthcare environment which will improve their ability to work in challenging settings and help them to adapt to new cultural scenarios.”

The student nurses will travel with expert clinicians and will commence placements at Hubert Kairuki Memorial Hospital and Amana Hospital in the Tanzanian former capital of Dar Es Salaam.

We will also travel to two rural community health centres, Masaki and Masangaya Health Centres, where the students will undertake supervised clinical practice.

We are hoping that the international placements will allow the students to develop skills and knowledge in dealing with transcultural healthcare issues.



I am so excited...but as you can imagine this has increased my work load... preparing for this trip has been interesting and I don't know how I am going to fit all the protective equipment in my suitcase, together with the text books I want to donate as well as some other essentials...so watch this space for how the trip goes....but that is next Saturday....before then...I should be studying instead of writing this blog...but its called a break....

I am sitting two exams next week...Tuesday and Thursday.... finish my marking... have a couple of meetings....did I leave anything out.... ah yes there is still the surprise to announce which I anticipate to be middle next week....see the family and get on the plane..I think I also have a performance review......its called effective time keeping: or insanity:

I return after two weeks have two days to get Board of Examiners and supplementary papers out and then go to Singapore for three days of intensive teaching.... for trimester three..and two days shopping of course...can't forget that.... home for several hours then off to Canberra for another meeting... no wonder my husband and family think I have too much on my plate... but you know I have done all the Christmas shopping the grandchildren have their presents... if I get time I will wrap them before I go :)..... I will be home for the 17th December.... YEAH: enough time to sort out the Christmas dinner:

My mantra is " I have enough time in the day to get all I need to do done"
ok back to cramming now......

Thursday, November 11, 2010

WE ARE FREE


Today we are free
but it is a day of mixed emotions
a day of celebration and mourning
a day of smiles and tears
a day of joy and sorrow.
On this day in 1945
We overcame the enemy
our land became ours once more
but the victory was not free
we paid dearly for our freedom
we paid with lives
the lives of our brothers in arms
So today we celebrate our freedom
with joy and smiles
but also with sorrow and tears
for those we loved and lost
Today we are free.
We wear our uniforms with pride
as we parade for our Prince
our wives, children and grandchild
but in our hearts and minds
we are still captive
captives of the memories of that time
so today we celebrate and mourn
and remember.


TODAY WE ARE FREE


Written by Maria Sutherland 1998
http://msbeliever.tripod.com/WWIIremember.html

Wednesday, November 10, 2010

Update for eligibility: still waiting!

Update on my application; I thought that I was very meticulous with my application but alas this was not the case; there is particular certified list of people that are required and I used a university academic which is not allowed;
the Certified List for AHPRA

Justice of the Peace, Bail Justice, Registrar or Deputy Registrar
 Commissioner for Declarations, Commissioner for Oaths, Commissioner for Affidavits (dependent on jurisdictions)
 Lawyer
 Accountant (member of the ICA, ASA, NIA or CPA)
 Registered members of the teaching profession
 Member of the police force
 Sheriff or Deputy Sheriff
 Public Notary
 Permanent staff member of AHPRA (I think it would be easier to take your certificates and copies into your local office to be certified)

Second I have written a two page letter to the Chair of the NMBA to ask why they are asking for the last 5yrs of experience (Statement of Service) instead of the 3 yrs required by the Registration Standards; I did send a letter from a manager who did deem me competent, however did not address the ANMC competencies, this was rejected for that reason. Finally why when we have successfully completed the Midwifery Practice Review (MPR) do you require a letter from a manger addressing the ANMC competencies? the goal posts keep moving;

Anyway I have resent my documents certified in the correct manner by a commissioner of declarations (a pharmacist) together with the letter asking for clarification and I have had no response to date. I have also forwarded this information onto the National ACM as evidence of issues relating to applying for eligibility; Really this process is cumbersome and unacceptable. I guess these issues will come up at the next Board meeting which I think is the 18th November; just as well I am not in a hurry, I feel for those midwives who do need this urgently;

A bottle of Red......frustration of midwifery;


I had a bottle of red...with my husband, I am trusting him to proof read this blog as I feel positively tipsy ; I have had a bad day....a meeting from hell ego’s present in the room; I feel disempowered in my current position... people not being honest with their intentions.... all it takes is open honest discussion; and a colleague received some bad news that is really unfair.... why does life have to be so unfair; I really feel that we as a profession get the rough end of the stick.....I pride myself on integrity and honesty... I get so frustrated with women who do not stand up for women’s rights (but I guess this is dependent on your point of view) and maybe everyone thinks their point of view is correct...it truly is a man’s world and when we get women in power they seem to think the most important thing is to be accepted by men...that means playing by the man’s rule..... I am really feeling for a colleague of mine who I have grown to know on a intimate basis and trust her judgement and skill as a midwife I am really saddened that situation has not worked out for her as I had hoped and with my knowledge and expertise I have not been able to help her and for that I am truly sorry. All I have to say is as long as midwives are not protected by law we are open to the rules of nurses and we are very different.

Midwives need legislation to protect them to truly ‘be with woman’. Managers who are managing midwives need to be a midwife to really understand the issues that midwives face.... ideally they also need to understand what homebirth is about and the reality of choices women make at a homebirth; this problem highlights that nurses do not understand the autonomy and bond midwives have with women....... I guess a bottle of red will allow you to say almost anything I am distressed for my colleague that life has turned out this way... and even after a bottle of red it doesn’t stop the pain of what she is feeling... and there for the Grace of God go I..... here I am about to embark on a huge adventure for women and midwifery and I wonder if it is all worthwhile, because in one instant it can all be gone...we work so hard as a midwife to advocate for women.....to facilitate their choice.... but alas in Australia there is no protection for the midwife if things go wrong...and yes babies do die.. ..often despite our best efforts and for reasons beyond our control...errors are made because we are human but they are made every day in a hospital and babies die in hospital .....that is the process of life... we do our best to reduce the errors or mistakes;

We know that we are medically dominated that it is really unacceptable....however for this to change...it needs women to stand up and be counted... if you want the birth you want then you need to say so.... stand up and tell the medical profession this is what you want.... it is only in women’s voices will you be heard and midwives can then facilitate what you want; women have the power......you only have to say....


As for my colleague I am sorry.... you have to fight to the end degree... ..For what you believe in.... as for me...I will strive to be the best I can... I am thankful for my family that supports me...even though it takes so much time away from them and to my friends...thank you for keeping me on the straight and narrow... I have to learn to stop wearing my heart on my sleeve...feeling the pain of others: Also take more time out from all these pressures;

....I will continue to do the greater good for women and midwifery.... the end result is a Midwives Act to support the choice of women and protect the midwife.....well the bottle of red is finished my husband my lovely husband has stopped me from the second bottle.... wow he is wondering what has hit him........ I have to say drinking does not solve any problems but hell, I sure felt good for a short while;

It is the next day; I have substantially edited this blog... and am very thankful I did not post it last night.....surprisingly I did not sleep well, my liver was objecting to the alcoholic abuse it received; Today I have drunk a litre of water with two paracetamol. I have to say that this is a rare occurrence drinking a bottle of wine, usually it is only a glass or two on the weekend.

I am reflective and still wondering how to take this issue further; and my husband cannot stop laughing at me:

A new day begins and the journey continues;

Monday, November 1, 2010

How to apply for eligibility:


Today I sent in my application for an eligible midwife; like anything new the process is TIME consuming and there will be teething problems: I am hoping that I have completed everything as required; You do not need insurance to apply for eligibility; I have to say that I have had to send my application to Sydney as WA is not ready for this process: Here is my step by step process:

Step 1; Go to the AHPRA website and download on the first page fourth heading ‘Registration’ on drop down menu second one down click ‘Registration Process’; left hand side blue box; fifth one down; click common registration forms; Standard Format for Curriculum Vitae:print and save this form.

Step 2; While on the AHPRA website go to the Nursing and Midwifery site and download the Registration Standards for the Eligible Midwife third from the bottom; then on the left hand side fifth from the bottom click on forms; a third of the way down the page look for the heading Notations; click on Application for addition of notation as an eligible Midwife; print and save this form.

Step 3: Now you need to read and complete the forms; to make sure you meet these requirements before you apply; I have heard that there has been a problem with Independent Midwives who do not have Midwifery Managers.... so watch this space.... I would think that maybe one way around that might be that they could sign a statutory deceleration..... as this is legally binding.... but that will be for the Board to decide....lets hope they will work it out soon...

a. Current general registration as a midwife in Australia with no restrictions
on practice; You need to add your registration number with AHPRA:

b. Midwifery experience that constitutes the equivalent of 3 years full time
post initial registration as a midwife; Here you need a letter from your current Midwifery Manager outlining that you have worked across the continuum of midwifery care, antenatal, intrapartum and postnatal this letter is dated and signed;
You also need a statement of service; this is obtained from your HR department; I rang Health Corporate Network and gave them the years I work at the government institution and they sent me a very detailed statement of service;

c. Current competence to provide pregnancy, labour, birth and post natal
care to women and their infants; this can be proven by completing the Midwifery Practice Review (ACM) or some other accredited program(I don't know of any other one apart from the ACM one.

d. Successful completion of an approved professional practice review
program for midwives working across the continuum of midwifery care; as above

e. 20 additional hours per year of continuing professional development
relating to the continuum of midwifery care; if you have MidPLUS this will be easy you will just print out your summary; If you do not have MidPLUS you will have to produce evidence of attaining these points; copy your certificates and get them certified copies; I did not send any originals of certificates they were all certified copies.

f. Formal undertaking to complete within 18 months of recognition as a
eligible midwife; or the successful completion of: I wrote a letter using this wording saying that i will formerly undertake the course when it is ready.

i. An accredited and approved program of study determined by the
Board to develop midwives’ knowledge and skills in prescribing, or
ii. A program that is substantially equivalent to such an approved
program of study. As above.

Step 4: Follow the Standard format for CV; as it is slightly different to your current one; I just cut and pasted from my regular CV. One thing that is very different is the request for clinical / procedural skills - with this one I made up a table that gave the dates of my general clinical competences such as Obstetric emergencies; suturing, IV cannulation, neonatal resuscitation etc; and added certified copies of the certificates; You must make a declaration that your CV is true and correct and sign it. The CV has to be an original not a copy;

Step 5; add payment for your application; $90.00

Step 6: you also need someone to witness your signature when you have completed the application form

Step 7; Make sure you go through the checklist it is helpful to ensure you have completed everything; although the checklist does not ask for a letter from the manager and this is a requirement; Not sure why when you provide a statement of service;

Step 8; Take a copy of what you have prepared, I find this always good practice; double check it again and then post it to the AHPRA office in your capital city; if in WA post to Sydney NSW for the interim until the office is more settled in WA, as we only came on board middle of October.

I found this process tedious especially having to photocopy and get 16 copies certified of my qualifications and certificates; the CV was not problematic but had to be changed from my usual format; the letter from the employer was not difficult nor was obtaining the statement of service you just need to allow for the time to prepare for this application; I am hoping now that I have all this information that hospitals who require credentially will not want any more than this and when you have prepared it once it is then done.... life should be easy now....NEXT STEP MEDICARE PROVIDER NUMBER:

Lets hope I have not forgotten anything and have completed the application as required... will let you know how I get on......go on be daring take the step and apply for eligibility;

For more information visit the AHPRA website;

Ref: picture; http://www.clipartof.com/details/clipart/46255.html

Friday, October 29, 2010

Being a student again: a humbling experience:


As a lecturer myself I consider that I am a considerate fair and equitable person when I am dealing with students, in fact it applies to all aspects of my life ; one thing I really don’t appreciate is being taken for a ride.... in other words when students “take the piss” then I come down like a ton of bricks;
As some of you are aware I have commenced another course reaching for new heights..... My aim is still woman and birthing focused..... equality, autonomy and right to refuse treatment; the right for women to choose where to birth and with a midwife.
Being a student in a completely new discipline has been daunting....going from experienced to something completely different, a whole new style and way of thinking....it really is letting go and learning new ways of being....I still have not mastered this... I guess it will take some time; patience is the lesson I need to master;
As I reach the end of the semester (13 weeks) and start to cram for exams, which incidentally I think is the worst way to learn anything.....I really appreciate the way that I interact with the students whom I have been privileged to teach. Most of the lecturers I have encountered over the past 13 weeks have all been inspiring, articulate and passionate, exactly how it should be; however there is always one.....that is challenging. This one is a male.... he takes a tutorial group... he walked into the class.... or I should say he strutted in and said “hello I am Fred and I Fucking swear.... and if you fucking don’t like, there is the fucking door” well I was flabbergasted my jaw hit the floor.... there were students squirming in their seats...myself included. Here is a man who is presumably highly intelligent.... or so I thought, holds down a very important job and I am sure he would not swear in a court room...so I wonder why he would do so in class.....Our assignment was a case study that we would work on and discuss in a tutorial group, this is nothing new similar way of teaching that I have adopted.... I did notice that I used to say to my students “now this is easy, just follow the model as I go through it” of course it seemed so easy to me, as I teach it week in and week out.... with enthusiasm I might add.....when my tutor went through the case study at 100 miles an hour, telling me how easy it was..... the penny dropped for me.... this is exactly what I said to my students.... “I felt like saying of course its “Fucking” easy you teach it week in and week out and you know it, but alas I did not, I sat quietly and decided I would never tell my students how easy something was.... because it’s not me doing it” lesson learned;
The other valuable lesson I have learned is how vulnerable you can feel as a student: I mean I know that this is possible but as a student you want to pass, so therefore you do not want to be to argumentative as marking is so subjective a terrible way to feel and you don’t want a personality clash; if your tutor does not like you, would it affect your mark, theoretically no.... I felt several times when I questioned the tutor’s methods I was quickly reminded who was the student and who was the teacher....how could I forget this? I decided it would be best to grin and bear it.... until the unit was over... then I could have my say! Now we are at week 14 he has become nicer....more considerate for the first year students.... even thoughtful.... it must be the semester is nearly over..... and all I can say is thank God for both of us; this experience has made me reflect more on my own teaching methods and I am ensuring that I am always fair and equitable.

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