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Old 09-25-2005, 09:03 AM   #1
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Unhappy Venting - Childproofing/Grandparent Classes

Okay, so this has been stewing inside of me for almost a month. I had tried very hard to keep my mouth shut on it, but now I am not so happy about doing that. Anyhow, here is what happened (I am hoping that by venting here you ladies can help me process my upset and then I can move on).

Earlier this year one of my past doula clients (it was a volunteer client) - her mother called me and kept insisting that I should apply for a childbirth education job at the hospital she works at. I checked out the requirements and it said the applicant must be lamaze certified. Well, I am not - I am CAPPA certified, so I didn't apply. The same woman kept calling and asking me if I applied. I told her I didn't because I didn't "qualify" and she told me to apply anyhow. Well, I got the job! I then spoke with another doula who also eaches within this system (she is Lamaze certified as well) and she told me that the nurses do not like the doulas teaching and to be careful as it will cause problems. I followed a series taught by one of the nurses, and then was allowed to start subbing in classes. I taught a few all day classes that were only mine, but ended up subbing a lot. Some weeks during the summer I was subbing three times a week. When I taught my classes I taught them "as a doula" and apparently the nurses didn't like that.

I had my three month review and got rave reviews. My supervisor even gave me the highest ranking in one area of a 5, which she told me she NEVER has given anyone a 5 before. So I left feeling really good, but then came the next schedule and I was hardly working and was no longer working at the hospital, but instead was switched to the outpatient center, which hardly had any classes. I was now given the grandparents class to teach, which really bummed me out because that isn't what I came into the program to teach. I was so sad by it and then my supervisor requested a meeting with me. Apparently the nurses don't like the fact that I am teaching comfort measures that aren't medicated along with teaching about medications. i believe that expectant parents should hear both sides, and therefore teach both sides. I practice comfort measures with them as well, but the nurses don't like that. They want complient patients!!!!

I was then told by my supervisor that next year I will start getting a series at the outpatient center and that she will see how those work out there. She first told me January and now she told me March. I am getting the feeling that she hired me to get through the huge load of summer vacations that people were taking and because she wanted to offer the happiest baby on the block class - so that she could say they are the only hospital in the area to offer it.

I have tried very hard to be okay with this, but am not happy that I am teaching the grandparents class. I do not want to. These aren't the people I want to teach. I do not want to teach childproofing your home, and how to be a good grandparent. I wanted to teach about labor and delivery and comfort options. My supervisor keeps insisting that if I just teach the class I will love it, but I just don't know about that! I looked at the curriculum and it doesn't look appealing to me. Plus now I have to create another powerpoint presentation (not get paid for my time) and that bothers me. I typically teach by powerpoint so when I was first hired I created powerpoints for all the classes I taught. Now I have to create another one. The other thing I hate is that my supervisor had me e-mail them to her for her approval, but I think she did it so that other people can use them too. How heartbreaking to know that others might use my work (modified of course to remove the comfort measures they don't approve of), and I didn't get paid extra for that.

So that's my vent for today (sorry but this has been stewing for about a month, and I am about to burst). No advice is needed, I just wanted to get this out.
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Old 09-25-2005, 12:12 PM   #2
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I wish i knew what to tell you, this seems to run the gamut with all hospital based childbirth classes tho, at least around here. its not to actually teach you about birth, its to teach you what to expect from your hospital.
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Old 09-25-2005, 03:37 PM   #3
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I totally agree - they are teaching you what to expect in the hospital and how to be a good patient!!!! That just drives me insane.
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Old 09-25-2005, 06:34 PM   #4
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Oh Michelle that sucks plain and simple. I agree with your assessments of them using you to get over the summer hump and using your PPP. I would let them know that they are copyrighted materiel and would actually PUT that on the presentations and re-email them, not to be used without express written permission. I know you didn't ask for advice, but you know, we all want to make things better for each othter. How about offering your own classes not associated with the hospital? Give them some competition and the women in town some options? Good luck.
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Old 09-25-2005, 09:32 PM   #5
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Actually I just opened my office and will be offering classes there, but I really will not be their competition because I live pretty far away from the hospital. The only nice thing is that I will be able to teach the way that I want to!!! That is the big bonus.

I like the idea of re-emailing them, but the problem with that is that they already saved them on their computer so even if I resent them they could just use the ones they already have. So far none of the nurses want to use my powerpoint, but I know my supervisor wants everyone to use them. I think that is part of the problem too with them not liking me. I created the powerpoint because my supervisor said she would love to have them on powerpoint, but she didn't say that once one person did them that she would try to force everyone to do it.

I know the nurses are used to teaching the way they always have and they weren't happy that I came in and taught like a doula and created the powerpoint stuff.
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Old 09-25-2005, 11:54 PM   #6
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Hi Michelle

Just got in and read your e-mail. Thank you. I know it is hard to go through this but I too had to walk away from a CBE position at the hospital I used to work at as a nurse.

I was fighting on the inside with all the medical interventions and I thought maybe I was just being stinky. As a nurse, that's what your supposed to do right? Shove IV's in peoples arms and just give whatever the doctor prescribes right? I almost felt brainless at times.

After I left, I decided to teach Lamaze out of my house and WOW! It was so freeing. I loved my class and most were delivering at the hosp. I had worked at. Well they got wind that I was teaching and they were on the phone. They begged me to come back and teach for them and I explained that I was teaching the REAL Lamaze and that I would teach it that way. Well they didn't like that at all so as much as I wanted to teach I just couldn't go back and feel,like i did the right thing ya know?

Now look, I've finished my Doula cert and I'm working with teens. o.k. the money isn't as good but thats NOT why I became a Nurse to begin with.
y next stop will probably be midwifery so I can really make some noise!!!

Hang in there.... you'll do the right thing
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Old 09-26-2005, 09:10 AM   #7
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Thanks for sharing that. It makes me feel a lot better knowing that I wasn't the only one this has happened to. Although I wish it didn't happen to someone else, I am hearing more and more that this stuff happens!!!!

Unfortunately as long as the consumer continues utilizing these classes this is what they will get, and sadly they don't even know any better in most cases.
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Old 09-26-2005, 03:31 PM   #8
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Why thank you April!!
I think all nurses should have to be certified Doulas too....then they can see what it feels like to be with their mom with no worry of meds. Even if they volunteered on just 1 delivery a year it would probably help the burnout rate and boost morale.
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Old 09-26-2005, 03:51 PM   #9
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Most nurses are wonderful, especially OB nurses. I shouldn't make it sound like I'm slamming them but I wish they could all experience being a Doula too. Since I have "converted" lol I feel like I can really make a difference
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Old 09-26-2005, 07:08 PM   #10
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I agree with you and wish they could experience a non medicated birth just once as a doula. To see how powerful it is for the mom to realize she can do it, and to see the transformation from being one to being two. I also think they should see the dyad in the postpartum period and be able to spend some time with them seeing how the meds affect the mom and baby or seeing how a nonmedicated bith affects them. Often times they see what is in front of them at the time and don't look ahead to the long term.

Of course, not all nurses are like this, but I can tell you the ones I teach with are and it breaks my heart.
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Old 09-28-2005, 05:33 PM   #11
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no advice that hasn't already been suggested, so i'll just offer a
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