cayenne06 MSN, CNM

Reproductive & Public Health

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All Content by cayenne06

  1. cayenne06

    Home births gone wrong

    cayenne06 replied to MNNICU, RN's topic in NICU, Neonatal

    Sorry, I thought I made it clear in my post that I think it is unethical and immoral for HB midwives to knowingly take on women who are not healthy and low risk. That was like, the entire point of my...
  2. cayenne06

    Home births gone wrong

    cayenne06 replied to MNNICU, RN's topic in NICU, Neonatal

    I can't say this enough. Adults have the right to decline any and all medical care, and they have the right to use any "alternative" methods of care that they deem appropriate, even if it is a bunch...
  3. cayenne06

    Anyone catch HIV from patients as a Nurse or Nursing student? My biggest fear!

    cayenne06 replied to FutureLPNNursing's topic in Patient Safety Issues

    Seriously, nothing gives me the willies like
  4. cayenne06

    Moral character

    cayenne06 replied to beckiand's topic in Nursing Professionalism

    Hmmm. So someone with major depressive disorder, well controlled, should be compelled to alert their employer, in case they suffer a severe relapse that affects their patient care? Someone with a...
  5. cayenne06

    Mr. Harry the Excessive Hair Patient

    cayenne06 replied to Barbie8808's topic in General Nursing

    Silly. I'd take the aide with years of IV experience over the new grad RN who barely got any IV exposure in school. They are way more likely to miss. Experience trumps (for me). Seriously. I can...
  6. cayenne06

    Dual specialty

    cayenne06 replied to turnforthenurse's topic in Nurse Practitioners, NP

    i know plenty of APRNs with dual certifications. I have toyed with the idea of someday going back for psych or family practice myself, but idk. I'm not going to leave my specialty OR my organization,...
  7. cayenne06

    How can I make Rocephin I'm hurt less???

    cayenne06 replied to nurse_tnb's topic in Geriatric, LTC

    I give rocephin a LOT (for gonorrhea though, which I assume is not a huge problem in LTC, but what do I know). It hurts, and I feel bad too. I do mix with lidocaine but am not convinced it helps....
  8. cayenne06

    "Rant"HOMELESS,sober,working RN. or "Can serenity feed you when your hungry?"

    cayenne06 replied to ofsmit's topic in Nurses Recovery

    We are doing nurses (and MDs) a disservice by making the monitoring/recovery process so expensive and time consuming. There has got to be a better way- a program that both protects the public AND is...
  9. cayenne06

    I'm 16 with a GED

    cayenne06 replied to greateggs's topic in Pre-Nursing Students

    I'd encourage you to consider going for your RN, because you are young and have plenty of time. LPNs are awesome, but an associate's or bachelor's degree in nursing will make it easier for you to...
  10. cayenne06

    Help with Pharmacology

    cayenne06 replied to 2bMurseTheNurse's topic in General Nursing

    A sliding scale is simply an order for insulin with parameters for dosing based on the pt's glucose level- the actual orders may vary patient to patient, depending on individual factors. Hopefully...
  11. cayenne06

    Reasons for not getting into a for profit school?

    cayenne06 replied to Tashbun's topic in General Nursing

    Also, it is probably a blessing in disguise that your friend of a friend (lol) did not get in. For-profit schools are a risky and expensive
  12. cayenne06

    Unit Manager Demands I Cut My Hair

    cayenne06 replied to Nurse Cookie Swirl's topic in Patient, Colleague Relations

    Grrr, this reminds me of when the military put out new policies for what was considered "professional" hairstyles. Pretty much every women's natural black hairstyle was on the banned list. Properly...
  13. cayenne06

    Floating all staff when census is zero

    cayenne06 replied to jenhen82's topic in Ob/Gyn

    I work prn as an RN at a small hospital that does about 250 births a year. We only staff 2 RNs on the unit. If we have no patients, we will take turns floating. We NEVER leave the unit completely...
  14. cayenne06

    Post Partum pain management

    cayenne06 replied to ragingmomster's topic in Ob/Gyn

    I don't usually put in an order for narcotics after an NSVB unless there is an indication (significant lacs etc). Motrin and tylenol is usually enough. I am always happy to throw in some oxycodone...
  15. cayenne06

    Eliminating Physicians/Medical Schools

    cayenne06 replied to AAC.271's topic in Nurse Practitioners, NP

    You win the
  16. cayenne06

    Positive Test on Probation

    cayenne06 replied to DaisyRN2003's topic in Nurses Recovery

    I have nothing constructive to add, but all the positivity and support in this thread made me so happy. Good luck,
  17. cayenne06

    Delegation question

    cayenne06 replied to blueskyy's topic in Patient Safety Issues

    Are you being written up for having a coworker help with your patient, or is the problem in how you communicated with the other RN? It sounds to me like it MUST be the latter, or else your management...
  18. cayenne06

    Anyone catch HIV from patients as a Nurse or Nursing student? My biggest fear!

    cayenne06 replied to FutureLPNNursing's topic in Patient Safety Issues

    I take care of a lot of HIV pos patients, as well as active IVDU, people who trade sex for money/drugs, and patients with hepatitis. My job entails close contact with all sorts of body fluids. I...
  19. cayenne06

    when do you chart?

    cayenne06 replied to amzyRN's topic in Emergency

    Yes. We have to think of charting as an essential component of our care, not something that can be set aside for later. Even at your busiest, you would be sure to clean up all the supplies from your...
  20. cayenne06

    Are You Where You Thought You'd Be?

    cayenne06 replied to Fancychicken's topic in General Nursing

    I started my career as a CPM ("direct entry" midwife) and I went to nursing school expressly to be a CNM, so I had a pretty clear idea of my path when I started. By my second year of RN school, I had...
  21. cayenne06

    Bioidentical hormones and acute NP

    cayenne06 replied to Rocknurse's topic in Nurse Practitioners, NP

    There's no data to support the idea that "bioidentical hormones" are any safer than synthetic ones- nor are they actually more "identical" than synthetically produced hormones. I don't see a problem...
  22. cayenne06

    Standardized Procedures

    cayenne06 replied to MeechiesRNBSN's topic in Nurse Practitioners, NP

    I had to get signed off or credentialed for every type of service when I started my job- ranging from just being followed by a preceptor for a few simple GYN visits, having be supervised for x number...
  23. cayenne06

    Calling in for no sleep

    cayenne06 replied to Nurse131382's topic in General Nursing

    I have to say, as a single mom with two special needs kids and a long history of working rotating shifts and 60-70+ hours a week... I am having a hard time understanding the problem with working till...
  24. cayenne06

    Private practice as a CRNA

    cayenne06 replied to oobray's topic in Certified Registered Nurse Anesthetist, CRNA

    I tried to fact check that statement and didn't find any useful information in my super rushed check. So, I will take it at face value for the purposes of conversation. I honestly had no idea that...
  25. cayenne06

    First job - HIV unit

    cayenne06 replied to Adonai Adonai's topic in Infectious Disease

    Yes, yes, yes. And if you care for patients who are in a higher risk group for HIV, talk to them about Prep and get them set up with a provider if they are interested. We can turn this thing around in...