cayenne06 MSN, CNM

Reproductive & Public Health

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All Content by cayenne06

  1. cayenne06

    Interview Q. re Post-Op Addiction

    cayenne06 replied to Fancypants09's topic in Medical-Surgical

    I want to echo smf0903. We worry, of course, about our impact on addiction rates as health care providers. We don't want to contribute to the problem. But in an acute pain situation, a patient's...
  2. cayenne06

    Who still works as a floor nurse?

    cayenne06 replied to OCRN3's topic in Nurse Practitioners, NP

    sadNP, so sorry you are having this experience I work FT as a CNM at Planned Parenthood, but moonlight every once in a while at my old LDRP RN job, mostly because 2 special needs kids, a deadbeat...
  3. cayenne06

    Nurses who practice reiki/shamanic healing?

    cayenne06 replied to peacewing's topic in Holistic

    i work full time for Planned Parenthood now, so am not doing births. My changing views have evolved slowly over time, as I have become more scientifically literate and experienced in the field. I...
  4. cayenne06

    What kind of integrative medicine jobs exist for RNs?

    cayenne06 replied to healtheducatorinCA's topic in Holistic

    Ha. This is, indeed, the epitome of quack. Would love to sit in on their course on "quantum weight
  5. cayenne06

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

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

    I do not feel that CPMs should be recognized with licensure at this point. This is coming from a CPM (turned CNM) who used to practice in state where I was licensed and able to receive medicaid and...
  6. cayenne06

    Where are all of the holistic nurses?

    cayenne06 replied to PaleoNurse's topic in Holistic

    A good exercise, not specific to CAM- Identify some of your closely held beliefs, then set out to see if you can find evidence to convince yourself that you are wrong. Seek out opposing viewpoints,...
  7. cayenne06

    Where are all of the holistic nurses?

    cayenne06 replied to PaleoNurse's topic in Holistic

    Functional medicine is a catch all term for science based modalities, liberally peppered and often heavily diluted with "alternative" therapies that vary from maybe helpful to benign to potentially...
  8. cayenne06

    Let's talk semantics

    cayenne06 replied to PG2018's topic in Nurse Practitioners, NP

    I get called doctor at my job constantly, and the official title for all us CNMs/NPs/PAs is "clinician" which is quite vague. So I do make a point to identify myself as a midwife at the start of a...
  9. cayenne06

    Med Error

    cayenne06 replied to xanderfan's topic in Patient Medications

    In this case, the best thing would have been to tell the patient as soon as you identified and reported the incident. If handled correctly, i doubt the patient would be unduly distressed by the...
  10. cayenne06

    IV fluids after C/S, am I wrong???

    cayenne06 replied to knufflebunny's topic in Ob/Gyn

    The order is written to d/c fluid when PO is tolerated- the unit nurses are just interpreting the order to maintain access for 24 hours as an order to keep fluid running the whole
  11. cayenne06

    Nurse/Doctor Friendships

    cayenne06 replied to RVRN2's topic in Patient, Colleague Relations

    Haha, yes you are free to be friends with physicians, techs, dietary aides, and even respiratory therapists. But yes, be careful about romantic relationships at
  12. cayenne06

    It's time to vent!!!

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

    My favorite are the patients who come in "just wanting to make sure everything is okay." No presenting complaint, and they wait till after I do my nice thorough well woman history and targeted...
  13. cayenne06

    IV fluids after C/S, am I wrong???

    cayenne06 replied to knufflebunny's topic in Ob/Gyn

    There's no benefit to keep fluid going that long when mom is hydrating PO, and definitely potential for harm. What is their rationale for keeping fluids running (besides just pointing to an order, I...
  14. cayenne06

    Aspiring CNM with a lotta questions!

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

    I started in midwifery doing home births in 2006. Eventually I realized that it wasn't birth per se that really drew me- it was reproductive and public health in general. I couldn't do the work I...
  15. cayenne06

    Never Have I Ever Done That Before

    cayenne06 replied to JerseyTomatoMDCrab's topic in General Nursing

    I remember the first time I did this I was just a few weeks in to orientation with my job, and had to report a situation that was potentially very bad, but I did not have enough information to be...
  16. cayenne06

    Why Lactated Ringers in Postpartum?

    cayenne06 replied to BKnurse44's topic in Ob/Gyn

    Better than LR or NS is to let moms drink freely and cap those heplocks unless there's a need for fluid. Sorry, off topic but I couldn't resist, especially since there are students reading More and...
  17. cayenne06

    AD RN to CNM

    cayenne06 replied to hpowell12's topic in Certified Nurse-Midwives, CNM

    I did my BSN and MSN online (through WGU), then went to a program that offered a post-masters CNM cert. I did it that way because I was able to get my MSN done very quickly through WGU, while working...
  18. cayenne06

    Is Midwifery/ L&D Nursing for me?

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

    Welcome to Allnurses! I am a former home birth midwife and current CNM. I have posted ad nauseum on this topic, feel free to search my posts :) Long story short, I was very drawn to "alternative"...
  19. cayenne06

    Mid Level practitioner best for surgery.

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

    I'm definitely much more used to seeing PAs in the OR than nurse practitioner- the only APRNs I see in the OR on any sort of regular basis are midwives and of course CRNAs. I disagree with the poster...
  20. cayenne06

    Scribes for nurses. Yeah I like that!

    cayenne06 replied to Cheyenne RN,BSHS's topic in General Nursing

    I would love to have a scribe chart my check box HPI/ROS/PE and procedure notes for me- that would be incredibly amazing. I'd still want to do the narrative components myself, though. Dictating is not...
  21. cayenne06

    How do you deal with being called a "snitch" by your co-workers?

    cayenne06 replied to 1Jessie86's topic in Patient, Colleague Relations

    To me, it's just about workplace ethics and building cohesion within the staff. It's just the right thing to do, to try and resolve problems directly whenever possible. It feels awkward and...
  22. cayenne06

    What kind of integrative medicine jobs exist for RNs?

    cayenne06 replied to healtheducatorinCA's topic in Holistic

    Do some googling on Andrew Weil. Integrative medicine has become synonymous with allowing pseudoscience to infiltrate science based
  23. cayenne06

    Solutions for Drinks at Nursing Station?

    cayenne06 replied to ImNicoEh's topic in General Nursing

    These are the same regulators who recently required us to move all our ammonia salts into the med room, because they require a doctor's order apparently. It is too dangerous to keep them discreetly...
  24. cayenne06

    Solutions for Drinks at Nursing Station?

    cayenne06 replied to ImNicoEh's topic in General Nursing

    I understand the stated reason for not allowing food/drinks at the nurses' station, but it is a silly reason. All surfaces are potentially contaminated, and unless there is blood spatters on the...
  25. cayenne06

    New grade LPN first job dilemma, advice please

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

    Also some units that have trouble holding on to their full time staff will try to lure in per diems with the promise of tons of hours.. only to keep them on the back burner for the inevitable turn...