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LD nurses are quite similar to nurse-midwives, as they are both registered nurses, but a nurse-midwife has more advanced training and certification. Nurse-midwives often also work with expectant mothers throughout pregnancy and can act as supervisors to LD nurses.
A Modern Nightingale Pledge I will endeavor to maintain and elevate the standard of nursing, both as a science and as an art. I wholeheartedly recognize the importance of high standards of care and of personal accountability. I devote myself to the healing, protection, and welfare of those committed to my care.
In 1893, Lystra Gretter, at the Farrand Training School in Detroit, wrote a nursing pledge and named it in Nightingales honor. This sworn mission statement became a ritual performed by many graduating nurses during the 20th century, and updated versions are still used in some schools today.
I solemnly pledge myself to the service of humanity and will endeavour to practise my profession with conscience and with dignity. I will maintain, by all the means in my power, the honour and noble tradition of my profession. The total health of my patients will be my first consideration.
I will hold in confidence all personal matters coming to my knowledge. I will not permit considerations of religion, nationality, race or social standing to intervene between my duty and my patient. I will maintain the utmost respect for human life. I make these promises, solemnly, freely and upon my honour.

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Registered nurses (RNs) provide and coordinate patient care, educate patients and the public about various health conditions, and provide advice and emotional support to patients and their families.
The Nightingale Pledge, though over a century old, remains a relevant part of the nursing profession. Its principles of patient care, ethical practice, and professional development are timeless.
US nurses have recited the pledge at pinning ceremonies for decades. In recent years, many US nursing schools have made changes to the original or 1935 versions, often removing the loyalty to physicians phrasing to promote a more independent nursing profession, with its own particular ethical standards.

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