cayenne06 MSN, CNM

Reproductive & Public Health

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All Content by cayenne06

  1. I have always, always dreamed of working with MSF someday. My hope is to apply with them in 10-15 years, after my youngest is grown. I stopped doing deliveries last year, and now work full time for...
  2. cayenne06

    Home births gone wrong

    Yes yes, you are right. I didn't see her byline until I posted this. I am 100% not a fan of Dr. Amy, and hate-read her blog on a regular basis. But even a stopped clock is right twice a day, and this...
  3. cayenne06

    3 Big Issues?

    1. Stupid insurance rules that create a barrier to my patients getting the care they need. 2. Alt health practitioners who think they have some special knowledge about health that us mainstream...
  4. All of us would be better served if the cost of health care was more transparent. As it stands, even the billing office is not able to give a price quote for services rendered due to the different...
  5. cayenne06

    Why do nurses.....

    Generally I am Cayenne06, CNM. If I am being fancy, it might be Cayenne06, MSN CPM CNM. I dropped my lesser degrees as soon as I got a higher one and don't even include RN in my title, except for when...
  6. cayenne06

    Home births gone wrong

    Just saw this article-"Why is American Home Birth so Dangerous?
  7. cayenne06

    What kind of integrative medicine jobs exist for RNs?

    I started my health care career as a home birth midwife. I was trained extensively in herbalism and homeopathy, and utilized it all the time in practice. My mom owns her own health food store. I grew...
  8. cayenne06

    Best practices: Controlled substance handling

    I always try to waste while I'm drawing up in the med room, but on a busy shift in L&D sometimes that is NOT an option, no way no how. In those situations I have taped the vial to the inside of my...
  9. The Joint Commission sure knows how to ruin our fun. In all my years of OR campfires, I can count on one hand the number of patients who have caught on fire, and have only gotten marshmallow goo...
  10. cayenne06

    That dreaded question...

    I totally empathize with the ethical dilemma, and I also feel it is wrong for employees to ask those kind of questions.
  11. cayenne06

    male nurses

    I know, right? All I can do is bake a tray of cookies in between chest compressions Why should women be payed as much, when we need to rely on men to lift our patients, not to mention double...
  12. cayenne06

    LGBTQA health

    We see trangendered patients in all of our offices (I work as part of an affiliate) for routine care, and anything trans-specific is handled by our dedicated NP. She sees patients at her clinic and...
  13. I'd sent a polite email thanking them for the opportunity to interview, and ask when you can expect to hear their
  14. cayenne06

    Home births gone wrong

    Those of us who work in LDRP are. I was also certified in NRP as a CPM. But being certified every 2 years is pretty meaningless when you almost never have to use those skills. CPMs generally only do a...
  15. cayenne06

    1st time Travel Nursing/Housing???

    I totally read this as "Time Travel Nursing," hahahaha! If only. Nothing constructive to add, but I will sign up if that ever becomes a specialty
  16. cayenne06

    Which EHR do you use at your practice

    The community hospital where I worked as an RN was 90% paper (only my unit and ICU were mostly EHR based, but we still used paper MARs, progress notes etc) until last
  17. cayenne06

    Which EHR do you use at your practice

    Last fall we switched from nextgen to a cloud-based service called Athena, and I really love it. Mostly because they let US tweak the user interface to fit our needs, so it has just gotten more and...
  18. cayenne06

    Planned Parenthood NP

    TWENTY ABORTIONS?! Good lord. That poor woman. I will never understand how one can be anti-abortion and also anti-birth control. Well, actually I DO understand- it's because they are't really...
  19. cayenne06

    Home births gone wrong

    Yes, it is criminal and morally WRONG to attend a home birth without the appropriate training, supplies, and support staff. I know plenty of home birth midwives who practice solo, without even an...
  20. cayenne06

    Planned Parenthood NP

    Hehe. I am a full time CNM at planned parenthood. I turned down 2 full scope OBGYN positions in order to take this job, and I have never been so happy. I love my work, and I love the organization. We...
  21. cayenne06

    Collaborating physician questions!

    I was hired before I was licensed, and my employer payed for my DEA and provided my back up physician (although my state doesn't require supervision, it's still pretty routine, and in my situation...
  22. cayenne06

    Nitrous Oxide

    YES. Staff exposure has to be a top
  23. cayenne06

    Nitrous Oxide

    I've had women with epidurals deliver in hands and knees, side lying, and squatting. If they have good mobility they can do whatever they want :) I had the opportunity to work in a hospital that used...
  24. cayenne06

    when you feel creeped out

    Except that one guy...Omg, like the patient I had who REQUESTED a prostate exam, "just to be sure everything is okay."
  25. cayenne06

    when you feel creeped out

    My first major creep out was as a newly minted CNM, and I walked in to see my male patient furiously jerking. He looks up and tells me he thought he should "work up a stiffy" so I could see the bumps...