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Three more days in Ballyfeckinfermot. This placement is dragging. Off Wednesday for the granny's surprise birthday lunch, then heading Cake-wards for the weekend. Mmm Cake. Then a week of midwifery nerdery in d'Olier Street. I'm quite liking this being a student lark. And right now I'm very happy. I like being happy.

In professional news, I've finally got my hands on a copy of the Memorandum of Understanding between the HSE and IMWs (I prefer the term independent midwife, to the one used in the MoU which is "self-employed community midwife" but that's probably because IMW is what I'm used to hearing from the few that I know.) Three years post-registration experience in a midwifery setting is required before an IMW can sign an MoU and hence provide care to women in their homes. The good news is that IMWs will have insurance under the State's Clinical Indemnity Scheme and my reading is also that that payment will be made to the IMW by the HSE. Hooray, but still a bit of a qualified hooray.

Once qualified, I'll need to get three years experience under my belt. Most likely this will only happen in a hospital setting, unless I can get an internship of sorts with one of the IMWs working already. I'll need to get my prescribing course done, which in itself is a bit of a joke - IMWs who've taken the prescribing course can legally prescribe pethidine but not the antidote in case of a reaction! Keeping up to date with resus and the like is something I should bloody well have to do anyway, regardless of where I'm working. So it's looking like I'm still 5 years away from getting to where I want to be. That's assuming that I don't do postgrad work. But that's a decision that's two years away anyway.

I've missed the me that thinks about these things. Had a bit of a blip, but I'm back. Rar!

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November 2012

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