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To become a certified nurse midwife in any state, students must graduate from an ACME-accredited nurse midwife program. The BLS estimates that the number of CNMs will grow by 31% nationwide between 2012 and 2022. An increase in the midwifery workforce will bring the United States more in line with the rest of the world where midwives already play a central role in providing maternity and newborn care. The mission of ICE is to promote excellence in credentialing for practitioners in all occupations and professions. Most institutions require students to participate in clinical rotations in a number of different settings as a way to provide students with a well-rounded education. Upon graduation, students are then eligible to take the Women’s Health Nurse Practitioner Board Certification Exam in addition to the Certified Nurse-Midwife (CNM) Exam. To become a nurse midwife in Ohio or elsewhere, one typically needs a master's degree in nursing, according to the BLS. If you live in a state without laws regarding midwifery, you may consider becoming a nurse-midwife. Nurse-midwives have become fixtures in hospitals, according to The Columbus Dispatch, delivering babies and influencing policy. In Ohio, nurse-midwife students may complete part of their clinical requirements at one of these facilities: After graduation from a nurse-midwifery program, RNs in Ohio must take and pass the Certified Nurse-Midwife (CNM) exam through the American Midwifery Certification Board. Just a few of the locations where nurse-midwives in Ohio may start or advance their nurse-midwifery career include: Nurse-midwives in Ohio must renew their APRN certificate of authority by providing the Board with proof that they have maintained their CNM certification. A midwife is a healthcare provider who gives care to women during the childbirth process. Like any other healthcare related field, there are strict requirements to become certified to work in this field. Individuals who want to become a Midwife will need to fulfill the requirements of an advanced practice registered nurse in order to seek specialization as a midwife. The core of a nurse-midwife program contains coursework in pharmacotherapeutics, health assessment, pathophysiology, and research, among others, as well as a number of courses aimed specifically at nurse-midwifery, such as: The clinical requirements of a nurse-midwife program in Ohio may consist of up to 1,000 hours of practice in a number of clinical settings. The amount of time it takes to become a CPM depends on one’s program. This degree generally takes two to three years of full-time study to complete and includes foundational classes such as advanced pathophysiology, pharmacology, and physiology. If you would like to become a midwife, you must possess a number of qualities: good communication skills, healthcare training, and a compassionate nature. While all tasks are not medical in nature, midwifery assistants must be comfortable with blood and other bodily fluids. Factors in growth include more individuals having access to healthcare services and insurance coverage under the Affordable Care Act, as well as APRNs, such as nurse midwives, being given more practice authority. Northwest Ohio had a much higher percentage of APRNs with CNM certification than other regions of the state. Become a Certified Nurse Midwife. Not all RNs in Ohio entering a graduate degree program in nurse-midwifery do so with the same level of education. According to U.S. Bureau of Labor Statistics (BLS), Ohio is home to approximately 170 professional nurse midwives. Become a Midwife’s Assistant! One of the most pressing issues among Ohio’s nurse-midwives is House Bill 216, more commonly referred to as the APRN Modernization Bill. The Ohio Action Coalition which is co-led by the Ohio Hospital Association and the Ohio League for Nursing produced a 2015 report entitled The RN & APRN Workforce in Ohio: An Overview of 2013 Licensure Renewal Data. According to the Bureau of Labor Statistics, all APRNs need a master's degree, but must also first become licensed as a registered nurse before they pursue the master's. The number of jobs for certified nurse-midwives is increasing dramatically throughout the country as the demand grows for gentler, less invasive antepartum, intrapartum, and postpartum care. Individuals interested in becoming a midwife typically need to have a nursing background, and then be accepted into a master's degree program in the field to be able to become a licensed, certified nurse midwife. Graduates of these programs are eligible to become nationally certified and state licensed as both a Certified Nurse-Midwife (CNM) and a Women’s Health Nurse Practitioner, Board Certified (WHNP-BC). What does a midwife earn? The Certified Professional Midwife credential, issued by NARM, is accredited by the National Commission for Certifying Agencies (NCCA), the accrediting body of the Institute for Credentialing Excellence (ICE, formerly NOCA). Birth Arts International Midwife’s Assistant Certification program is an extensive and exploratory training program. In Ohio, there are ACME-accredited nurse-midwifery programs located in Cleveland, Columbus, and Cincinnati. This degree generally takes two to three years of full-time study to complete and includes foundational classes such as advanced pathophysiology, pharmacology, and physiology. Their focus often centers on listening to the patient and understanding and respecting their input when it comes to decisions about their health care. If you’re already a registered adult nurse, you can undertake a shorter course instead, which takes 18 months. If you choose to become a registered nurse first, you can transition into midwifery by doing some further training, so you would not need to start from scratch after a general nursing degree pathway. Earn a Qualifying Degree in Nurse Midwifery, Take and Pass the National Certification Examinations, Apply for APRN Certificate of Authority as a Nurse-Midwife through the State of Ohio Board of Nursing, Exploring Career Opportunities as a Nurse-Midwife in Ohio and Maintaining Credentials, American Commission for Midwifery Education (ACME), Applied Measurement Professional (APM) test centers, Advanced Practice Registered Nurse (APRN) Application Certificate of Authority (COA), a Certificate to Prescribe Externship Application, Independent Practice and Collaborative Agreement States, Dual Focus Nurse Midwife Women’s Health NP Programs, Understanding Midwifery Roles: CNM, CPM, CM, Intrapartum, postpartum, and newborn care, Integration and professional issues for nurse-midwifery, Suma Health System, Women’s Center, Wadsworth, Ohio State Center for Women’s Health, Columbus, $100 application fee (made payable to Treasurer, State of Ohio), Verification of CNM designation (verification should be sent directly to the Board), Verification of graduation from a nurse-midwifery program (institution must send a signed and sealed transcript directly to the Board), Center for Humane Options in Childbirth Experiences, Columbus, Women’s Health & Birth Center, Steubenville, Ann Burba Crane Center for Women and Babies, Columbus, Option 1: Complete at least 3 AMCB Certificate Maintenance Modules during each five-year certification cycle and at least 20 contact hours of approved continuing education units; pay annual fees, Option 2: Retake the AMCB Certification Examination and pay the $500 examination fee in lieu of annual fees. The report provided data on the percentage of APRNs who were located in different regions of the state. All ACME-accredited nurse-midwife programs include two components: a didactic component and a clinical component. The SCA must be signed by both the CNM and the collaborating physician and be retained and available upon request at each practice site. To become a midwife you’ll need a degree in midwifery, which takes three years to complete. Routes of Entry into Midwifery . Nurse-midwives in Ohio have a wide array of choices when it comes to practice settings. Finally, any APRN who has been granted a Certificate to Prescribe (CTP) must renew this as well. However, even RNs not living near these Ohio cities can complete a graduate degree in nurse-midwifery, thanks to the many online programs now available. Applicants for the COA must already: Once an APRN has been granted permission to work in the midwife field, they will then have to renew both their RN license and COA to continue employment in Ohio. The US Bureau of Labor Statistics provides a detailed analysis of the salaries for nurse-midwives in the Cleveland-Elyria-Mentor area and Columbus as of 2014. A traditional MSN or MS in Nurse-Midwifery is about two years in length. Comparison of the APRN Consensus Model and the Ohio Nurse Practice Act and Administrative Rules, Ohio Board of Nursing, http://www.nursing.ohio.gov/PDFS/AdvPractice/OH_APRN_Comparison.pdf, Community Health Workers and Medication Aides in Ohio, Ohio Board of Nursing, March 2015, http://www.nursing.ohio.gov/PDFS/Licensure/CE_FAQ_3_15.pdf, FAQS for Prospective Midwifery Students, American College of Nurse-Midwives, http://www.midwife.org/FAQs-for-Prospective-Students, May 2014 State Occupational Employment and Wage Estimates Ohio, Bureau of Labor Statistics, Occupational Employment Statistics, May 2014, http://www.bls.gov/oes/current/oes_oh.htm, May 2014 National Occupational Employment and Wage Estimates United States, Bureau of Labor Statistics, Occupational Employment Statistics, May 2014, http://www.bls.gov/oes/current/oes_nat.htm#00-0000, Nurse Anesthetists, Nurse Midwives, and Nurse Practitioners, Bureau of Labor Statistics, Occupational Outlook Handbook, Jan. 8, 2014, http://www.bls.gov/ooh/healthcare/nurse-anesthetists-nurse-midwives-and-nurse-practitioners.htm#tab-6, Nurse Midwifery, Case Western Reserve University, http://fpb.case.edu/msn/midwifery_curriculum.shtm, Nurse Midwifery, University of Cincinnati, http://nursing.uc.edu/academic_programs/msn/nurse-midwifery-online.html, Nurse Midwives, Bureau of Labor Statistics, Occupational Employment Statistics, May 2014, http://www.bls.gov/oes/current/oes291161.htm, Conceptual Frameworks for Nurse Midwifery, Integration and Professional Issues for Nurse Midwifery, Have a graduate degree or post-graduate certificate. Both examinations consist of 175 multiple-choice questions, and candidates must take both exams through one of the Applied Measurement Professionals (AMP) testing centers located throughout the U.S. Once candidates have applied for their CNM and/or WHNP exam through the appropriate certification agency and received approval to test, they must schedule their exam through Applied Measurement Professional (APM) test centers. An independent accrediting agency run by ACNM, ACME evaluates in-person and online nurse midwife programs. These APRNs may practice in hospitals, women’s health clinics, OB/GYN practices, and birthing centers, just to name a few.

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