cayenne06 MSN, CNM

Reproductive & Public Health

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All Content by cayenne06

  1. cayenne06

    Independent CNM practice?

    Thankfully, birth goes well most of the time, even when there are underlying risk factors. But if the **** really hits the fan and mom starts bleeding out and baby is in secondary apnea, you are going...
  2. cayenne06

    Independent CNM practice?

    OMG, hopefully all the homebirth midwives you know have an assistant! I can't imagine attending a birth alone, mostly to have enough hands for two patients in case of emergency, and also because of...
  3. cayenne06

    Is LTC experience helpful for L&D?

    Also, a job is a job, and it's best to avoid gaps on your resume. You can always keep looking for something better. eta- I see that I misread, and this is not a nursing job. I would only do it if you...
  4. cayenne06

    Is LTC experience helpful for L&D?

    I haven't worked in LTC beyond a brief stint teaching CNA students on the floor. I agree that L&D is very different from LTC (and most other specialties!). However, providing comfort and guiding a...
  5. cayenne06

    NANDA for healthy newborn

    Think about the things you were taught to carefully monitor in newborns- feeding, voids, vital signs, environmental safety, parental attachment and skill/comfort level with their newborn... why do...
  6. cayenne06

    The Dangers of Ignoring "Conventional" Treatment

    Grown adults are free to do whatever they want with their health. But I am CERTAIN that pseudoscientific "health care" providers helped guide this woman through her "treatment." Makes me red with...
  7. cayenne06

    Nurses who practice reiki/shamanic healing?

    This is a good opportunity to set aside your personal beliefs about things like reiki/spiritual healing and approach the topic with a skeptical eye. Actively seek out references that do not align with...
  8. cayenne06

    Is a CNM worth it?

    No way would I take that on if I didn't want to practice midwifery. It is unlikely that a CNM cert will help you on your path to becoming a NNP, and it is a very challenging and time consuming degree...
  9. cayenne06

    What kind of integrative medicine jobs exist for RNs?

    Be careful- integrative medicine is often a code word for "alternative" medical treatments that have not stood up to scientific scrutiny. The integrative medicine practices that I know of sprinkle a...
  10. cayenne06

    Day in the life of a Holistic Nurse?

    Thank you for the warm
  11. cayenne06

    How can I educate fellow nurses?

    It's all about culture change. I would meet with the unit manager and discuss how to implement this as standard protocol. Figure out what changes need to be made to make it as easy as humanly possibly...
  12. cayenne06

    Earning Ceiling

    I could NOT agree more. Midwifery is a terrible job, unless you love it. Then, of course, it is the best thing ever. But you really have to love it, or else it is very easy to burn out. It's not just...
  13. cayenne06

    Yale CNM Program

    I went to Baystate up in Massachusetts (a longer drive for you, but worth it in my opinion ) but have lots of friends and colleagues from the Yale Program. From everything I hear, it's pretty great....
  14. cayenne06

    Day in the life of a Holistic Nurse?

    I think the answer really depends on what you mean by holistic. If you mean treating the patient as a person, addressing not just their symptoms but the underlying medical, psychosocial, cultural, and...
  15. cayenne06

    Independent CNM practice?

    I know a ton of former home birth midwives who were quickly burnt out by the neverending call. Being *on* 24/7 is haaaard, even with only a few births a months. It takes a toll on you. I was much...
  16. cayenne06

    Nursing is a passion?

    And I think we have helped dig ourselves into this hole of unsafe patient ratios and terrible work environments by accepting the idea that nursing is a calling. Of course, the problem is much wider...
  17. I am not a NICU nurse so I have no constructive advice. I just wanted to add that you clearly care deeply for your patients and take responsibility for your nursing practice. We all make mistakes,...
  18. cayenne06

    Tube Feeding on Hold

    Agreed. I am not in critical care, but you could be pausing and restarting that pump all day if you are doing it any time a patient looks a little green around the gills. A bolus feeding? Sure. But...
  19. Did you really hear that somewhere? I need a
  20. cayenne06

    The Fifth Vital Sign

    I apologize for posting on a thread I haven't fully read, and hopefully this has been said already- but I really hope you were just venting and did not mean to insinuate that police officers and first...
  21. cayenne06

    whiff test

    I had a patient today who came in for BV. After the exam, she told me that 15 years ago, she went to see someone for the same issue, and mid-exam, speculum wide open and patient flat on her back, the...
  22. cayenne06

    Myths About Midwifery

    My sister is a Marine and sees a CNM on base for gyn care :) Not sure if she is a civilian or not
  23. cayenne06

    Vaccines

    Doesn't come up often nowadays, as most women are getting tdap during the 3rd trimester. But yes, we give them both at the same time when needed, postpartum AND during pregnancy. The risk of a...
  24. cayenne06

    Nursing is a passion?

    I'm a midwife, and it is central to my identity. I could never do anything else. The problem with calling it a "passion" or a "calling," is that it makes it easier to justify lower wages or crappy...
  25. cayenne06

    The sloppy image of nurses today

    And with this, you have earned my respect, young nursling :) Well done. You are going to be a great