cayenne06 MSN, CNM

Reproductive & Public Health

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All Content by cayenne06

  1. cayenne06

    Initial Drug Test

    cayenne06 replied to Damiapa's topic in General Nursing

    Okay.... I do have sympathy for those who make mistakes, because I've made many dumb choices in my life, including both legal and illegal activity that could have potentially made it much more...
  2. cayenne06

    I need a little guidance

    cayenne06 replied to Gems0607's topic in School

    This is probably obvious, but assessing lung sounds prior to inhaler use is fine, as long as it doesn't play a part in whether or not you give the med. PRN inhalers should be given on request to any...
  3. cayenne06

    Home births gone wrong

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

    The reality is that home birth is not integrated into the medical system in the US, and that does, indeed, increase the risk. Even for healthy, low risk mothers. I had my kids at home, and practiced...
  4. cayenne06

    Tips for Ultrasounds

    cayenne06 replied to NurseDuggan's topic in LPN, LVN Corner

    Well if you are just doing limited office ultrasounds, it makes more sense to hire someone who can do all the other stuff a nurse can do, rather than *just* ultrasounds. Techs are able to do more...
  5. cayenne06

    Nurses smoking weed?

    cayenne06 replied to bunnynurse's topic in General Nursing

    Yeah, I think there is general agreement that the whole thing is eye-roll worthy, but it is what it is. Right now we live in a country that routinely employs drug testing for nurses, and you never...
  6. cayenne06

    I failed my school drug test. Am I finished forever?

    cayenne06 replied to Breatholife's topic in General Students

    Yes...it is true that all and sundry can view and post, but that doesn't mean we can't try to offer helpful advice. OP, I don't have much to add except I applaud you for a) taking responsibility for...
  7. cayenne06

    Tips for Ultrasounds

    cayenne06 replied to NurseDuggan's topic in LPN, LVN Corner

    Measuring straightforward GSDs and CRLs are well within an LPNs scope with proper training; however in most cases it still has to be "interpreted" by a provider. I do my own ultrasounds and so do...
  8. cayenne06

    All the degrees, no job

    cayenne06 replied to DNPFNP15's topic in Doctoral Nursing Degrees

    I've always wanted a terminal degree, and plan to start pursing one as soon as I get my feet back under me (just became a CNM a year ago). I will be going for a PhD, planning on epidemiology and...
  9. cayenne06

    Why or why not CRNA?

    cayenne06 replied to AlrightMike's topic in Student Registered Nurse Anesthetist

    CRNA programs are extremely, extremely competitive, and I believe most require critical care nursing experience. So it might take longer than 8 years in reality. That being said, it is a good career...
  10. cayenne06

    Question ladies...

    cayenne06 replied to zacofalltrades's topic in General Nursing

    I am very comfortable in my own skin and have no qualms about nudity (mine or others). I still don't want to be coerced into undressing in front of a room full of people. I will get naked on my own...
  11. cayenne06

    What offends you (nursing related)?

    cayenne06 replied to milesims's topic in General Nursing

    I am a clinician in a GYN office, and I know all too well what happens when patients are late. Or when the patient scheduled for a quick infection check discloses that she has been sexually assaulted....
  12. cayenne06

    Question ladies...

    cayenne06 replied to zacofalltrades's topic in General Nursing

    That sort of thing is ONLY acceptable in a truly voluntary situation, and where there is no other reasonable option to learn the skill. Often in a classroom setting there is an unspoken pressure to...
  13. cayenne06

    Delaying the newborn bath

    cayenne06 replied to PinkNBlue's topic in Ob/Gyn

    You hit the nail on the head with the comment "this is what we've always done." The only way to implement a change like this is to get staff buy-in, and make it EASY. So, education sessions regarding...
  14. cayenne06

    IL looking to "Legalize" Midwives - what do you think?

    cayenne06 replied to traumaRUs's topic in Certified Nurse-Midwives, CNM

    Agreed. The lack of integration within the mainstream health system decreases the safety of US homebirth dramatically, compared with countries that have seamless transfer/collaboration from the home...
  15. cayenne06

    Be sure to know your call schedule!

    cayenne06 replied to Rose_Queen's topic in Operating Room

    No mind altering substances (besides coffee!) when on call. That's a pretty hard and fast rule, IMO. I've been known to have a sip of wine or whatever for a toast, but that's it. And if you have a...
  16. cayenne06

    Unprofessional charting

    cayenne06 replied to Nurse131382's topic in Nursing Professionalism

    If PCTs are charting narrative notes, they should be given the training to do so correctly, just like any other skill. Most of my CAs (clinic assistants) are good charters, but I had one that would...
  17. cayenne06

    NPs working with chiropractors

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

    I take issue with any profession that bills itself as a legit health care provider, but is built upon prescientific ideas. Clearly manipulative therapy has valid uses. I am sure the coursework is...
  18. cayenne06

    It's time to vent!!!

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

    Curious what labs you thought might have been indicated? To me, this sounds more like you had a provider with a bad bedside manner. If a patient feels heard, and the rationale for treatment is...
  19. cayenne06

    New NP Blues

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

    Does your practice have a protocol book? I relied on mine constantly for the first 6 months, and still keep it up on my desktop most days. What kind of peer review or chart review do you get? I'd...
  20. cayenne06

    New Grad FNP job hunting

    cayenne06 replied to EDNURSE4LIFE's topic in Nurse Practitioners, NP

    And OP, maybe try applying at Planned Parenthood :) I can't speak for the rest of the country, but my affiliate has robust training and mentoring for new graduates, and we hire them fairly
  21. cayenne06

    New Grad FNP job hunting

    cayenne06 replied to EDNURSE4LIFE's topic in Nurse Practitioners, NP

    Huh. Psychguy, it's not very nice to roundly disparage an entire profession, especially on their own board. I am sure you are very intelligent, and I am glad you have a job you love and are well...
  22. cayenne06

    What is charting?

    cayenne06 replied to Kariambs's topic in General Nursing

    Nurses Now Required to Chart When and What They Are Charting |
  23. cayenne06

    What class in nursing school do they teach you surgical procedures?

    cayenne06 replied to xmilkncookiesx's topic in General Students

    Or become a CNM :) Nothing as satisfying as a good perineal repair, I'm telling you. (except, perhaps, an intact perineum :) ). And I died and went to heaven the first time I scrubbed in as first...
  24. cayenne06

    Nursing instructor doesn't allow open textbooks during lecture !??!

    cayenne06 replied to LVNlivin's topic in General Students

    I found the majority of my lecture periods to be wasted time, and always had my laptop and books on hand so I could make full use of my time. I would have been in AGONY if I had been forced to go to...
  25. cayenne06

    Can a nurse cut patient's hair without consent?

    cayenne06 replied to runslikeanose's topic in General Students

    ....yes, of course. If a patient had pubic hair that was unruly to the extent that it was interfering with maintaining her foley, then why wouldn't you trim it? I do agree that OF COURSE consent...