cayenne06 MSN, CNM

Reproductive & Public Health

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All Content by cayenne06

  1. cayenne06

    Would YOU have reported it?

    cayenne06 replied to Annie Wilkes RN's topic in Long Term Acute Care

    I agree that this warrants an incident report, but I too would be hesitant if I was concerned about the repercussions for my coworker. However, she deserves to be made aware of the mistake so she can...
  2. cayenne06

    Best way to avoid bedside care?

    cayenne06 replied to Lemon Bars's topic in General Nursing

    Scribing seems like a GREAT way to get your feet wet in medicine. I would have jumped on that when I was starting out in the health care
  3. cayenne06

    First job - HIV unit

    cayenne06 replied to Adonai Adonai's topic in Infectious Disease

    You absolutely do not have to put on gloves to help an HIV + patient with their clothes or whatever. The only exception would be if you have open wounds on your hand, and in that case you'd wear...
  4. cayenne06

    Pregnant nurse around a 27 year old patient who had CMV virus when he was 7 y.o...

    cayenne06 replied to Nursing2102's topic in Infectious Disease

    That seems like quite the leap, based on the limited information presented in the
  5. cayenne06

    Pregnant nurse around a 27 year old patient who had CMV virus when he was 7 y.o...

    cayenne06 replied to Nursing2102's topic in Infectious Disease

    I imagine the patient's immune status is a primary factor in determining the risk of CMV reactivation, and obviously I don't know your patient's viral load or clinical status. If the patient's HIV is...
  6. cayenne06

    Public Schools and transgender bathrooms.

    cayenne06 replied to imintrouble's topic in School

    The exact same argument of "protecting our women and children" was used to justify discrimination against gay men. So glad to see the overwhelming majority of posts are in support of equal civil...
  7. cayenne06

    APRNs should only be DNPs!

    cayenne06 replied to Lovanurse's topic in Doctoral Nursing Degrees

    Judging by the widespread acceptance of prescientific and pseudoscientific ideas within the nursing profession, I'd have to agree with you here, psychguy. I am all for shoring up the education of...
  8. cayenne06

    Cervical Ripening

    cayenne06 replied to LibraSunCNM's topic in Ob/Gyn

    I have never seen someone do pit on an unripe cervix without at least ATTEMPTING to ripen first. Even with severe pre-e, if she is stable enough for a TOL I am having trouble seeing why you wouldn't...
  9. cayenne06

    Patient f/u frustration

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

    Quoted for truthiness. I am still a new CNM, just a year in, and I struggled with follow up for a long time, becoming waaay too invested in ensuring my patients followed up with my recommendations....
  10. cayenne06

    Terminated. Pursue a Lawsuit?

    cayenne06 replied to ERgirlynurse's topic in General Nursing

    Haha, well I appreciate your input, despite your limited
  11. cayenne06

    Eliminating Physicians/Medical Schools

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

    NPs can become competent in pretty much any specialty I can think of. But I agree that going straight from NP school into a narrow specialty absolutely REQUIRES extended and close preceptorship. That...
  12. cayenne06

    Eliminating Physicians/Medical Schools

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

    I agree so so strongly. We don't prepare our new APRNs with a residency, and so that stage of learning must be done on the job, with close supervision. I friend of mine graduated from FNP school a few...
  13. cayenne06

    All the degrees, no job

    cayenne06 replied to DNPFNP15's topic in Doctoral Nursing Degrees

    Really? I can prescribe whatever I need to, as long as I have the training to do it safely and it is not outside of my facilities' protocols. But I would guess MHNP aren't working in a field where...
  14. cayenne06

    Terminated. Pursue a Lawsuit?

    cayenne06 replied to ERgirlynurse's topic in General Nursing

    Did you take it upon yourself to get an outside drug test, if your employer refused to test you? Obviously it's not the same but at least it shows due diligence. And what was their rationale for not...
  15. cayenne06

    Terminated. Pursue a Lawsuit?

    cayenne06 replied to ERgirlynurse's topic in General Nursing

    Agreed. There is no way to know what happened with the missing benadyrl and narcotics. Unless I missed it, the OP declined to specify what she actually did with those medications. But whether or not...
  16. cayenne06

    no reply from nurse manager

    cayenne06 replied to tinybbynurse's topic in Job Search, Interview, Resume

    Yep. I totally sympathize with knowing what you want and remaining focused on your goal. But the reality is, many (most?) nurses are not able to get into their chosen field quickly, especially if you...
  17. cayenne06

    Natural Caesareans...anyone seen this?

    cayenne06 replied to quazar's topic in Ob/Gyn

    Well, I for one would jump at the chance to watch my own surgery. But I admit I might be in the minority on that. I liked parts of both the videos and a article. I have to admit that I didn't watch...
  18. cayenne06

    NG insertion Doctors VS nurses

    cayenne06 replied to BendyEm's topic in Critical Care

    Only slightly off topic, but speaking to your frustration about seeing a patient wait and wait for needed care, knowing you are well qualified to do it but cannot. So I am trained and experienced in...
  19. cayenne06

    Policy on No Reliever.

    cayenne06 replied to Adele_Michal7's topic in Geriatric, LTC

    Yep, on our tiny L&D unti (only 2 nurses on shift, 200 births a month) we get call outs allll the time. At least once week. They call down the list and will even offer critical shift pay, but if...
  20. cayenne06

    Nurses smoking weed?

    cayenne06 replied to bunnynurse's topic in General Nursing

    OMG this conversation just feels like it is going around in circles. Of course marijuana has risks, both professionally and to your health. It is dumb to smoke pot if it might cost you your...
  21. cayenne06

    Eliminating Physicians/Medical Schools

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

    Good lord. As a CNM, I can attest that my training and expertise, however extensive, is just a small fraction of the training and expertise of the amazing physicians I work with. I am a damn good...
  22. cayenne06

    Best way to avoid bedside care?

    cayenne06 replied to Lemon Bars's topic in General Nursing

    I am a CNM who is full time in a clinic setting, and I moonlight as an RN in LDRP as well. I agree that there is no shame in not wanting to do floor nursing. I have only ever worked in reproductive...
  23. cayenne06

    Terminated. Pursue a Lawsuit?

    cayenne06 replied to ERgirlynurse's topic in General Nursing

    I have not seen this in the 3 hospitals I have worked at. In theory it sounds like a GREAT idea, but when I think of some of the crazy busy LDRP shifts I've had at my small community hospital, having...
  24. cayenne06

    Patient hygiene

    cayenne06 replied to Wondersnevercease's topic in General Nursing

    What does she say, when you ask her why she doesn't want to bathe? Is there any staff member she is particularly amenable to, who could help her verbalize her rationale for not wanting to clean up?...
  25. cayenne06

    Someone in my charts....

    cayenne06 replied to Maevish's topic in General Nursing

    I am sure I am not the only one who thinks HIPAA, while obviously a good idea in theory, is full of frustrating red tape that does little to actually protect patient privacy. HIPAA wasn't really...