YAY! I started yesterday-three classes online, plus a TA position with a level 4 undergraduate class entitled Clinical Instruction for the Rural and Underserved. I started that class today and was glad to meet all the great men and women who are interested in serving rural populations in New Mexico and around the world. I will be assisting in facilitating their class while the professor takes some of the students to Bolivia for clinical training. I wish we had such a class when I was an undergrad (although I wasn’t in a BSN program) as these students are being given a great opportunity to apply their skills in an international setting. I know that participating in this class will give me the ‘refresher’ that I need (having been out of nursing for five years) and get my brain rolling again. Our professor really seems to have her finger on the pulse of learning opportunities that are available throughout New Mexico and I hope to be able to participate in some of these clinical experiences in the coming months.
As I continue to read through the evidenced-based maternity report, I am more and more convinced that moving towards midwifery based care and free-standing birthing centers could be the answer to many of our country’s healthcare woes. Charges for childbirth vary considerably depending on the type and place of birth. “The average hospital charge in 2005 ranged from about $7,000 for an uncomplicated vaginal birth to about $16,000 for a complicated cesarean section, yet out-of-hospital birth centers were about one-quarter of the charges of uncomplicated vaginal birth in hospitals ($1,624 in 2003, when the national average charge for uncomplicated vaginal birth in hospitals was $6,239) three-quarters of the expense concentrated in the hospital stay.”