cayenne06 MSN, CNM

Reproductive & Public Health

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All Content by cayenne06

  1. cayenne06

    Myths About Midwifery

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

    As a CPM and now CNM, I also bristle internally when I get comments like "You're a midwife? I thought nobody did that anymore!" I found my CPM education to be woefully insufficient, and am very proud...
  2. cayenne06

    The sloppy image of nurses today

    cayenne06 replied to RNdynamic's topic in Nursing Professionalism

    Yeah, I dipped my long, flowing hair into a puddle of amniotic fluid and blood when one of my moms precip'd. Hardly got my gloves on, no time to pull back my hair. Super sexy and
  3. cayenne06

    Myths About Midwifery

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

    Awesome, LaborLove! I turned down two really great full scope CNM jobs (one birth center, one hospital based, both much more $$ overall than this job but of course with crazy hours to match) when I...
  4. cayenne06

    Refusal of treatment in nursing journals

    cayenne06 replied to hajordan's topic in General Nursing

    It is haaard to watch the patients we care about decline treatments that could seriously benefit them. poke around on sciencebasedmedicine.org. Some really good discussions about the ethics involved...
  5. cayenne06

    Myths About Midwifery

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

    It is true that you can pick up some baaad habits in L&D. I don't quite understand why you would steer people away from considering midwifery care, though. I agree that the type of care you get...
  6. cayenne06

    Your monitoring program allow whipits?

    cayenne06 replied to RNdynamic's topic in Nurses Recovery

    Right. I have worked with drug dependent patients for long enough to have an idea of the issue, although I have been fortunate not to struggle with addiction myself. Vigilant sobriety is important...
  7. cayenne06

    Initial assessment while in Kangaroo Care

    cayenne06 replied to Kldrn9963's topic in NICU, Neonatal

    Are you talking about routine skin to skin for stable couplets? I usually hear the term kangaroo care reserved for babies in the NICU. It is very easy to do an initial, comprehensive assessment on...
  8. cayenne06

    Myths About Midwifery

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

    I am truly sorry you've had that experience. One of the problems with CNM education is a lack of opportunity for students to learn and experience low-intervention midwifery. Maternity care, whether...
  9. cayenne06

    Myths About Midwifery

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

    Aw, I feel famous now! But yeah, anyone interested in the CPM vs CNM thing should search my posts on this topic. I've detailed it at length, lol. I practice as a CNM (I work at Planned Parenthood,...
  10. cayenne06

    Wanting to go into women's health; how to deal with the bad

    cayenne06 replied to Courtney Nurse Writer's topic in Ob/Gyn

    The bad in women's health can be hard to handle. The unexpected death of a baby, trying desperately to save a kid only to never have them take a breath on their own- that stays with you forever....
  11. cayenne06

    Administering Tylenol to a friend

    cayenne06 replied to Em31200's topic in General Nursing

    One time in CNM school, I had a terrible pounding headache at 2am. One of the nurses gave me 600mg ibuprofen, left over from a patient's bedside stock after she'd been transferred to postpartum. My...
  12. cayenne06

    OB opportunities outside hospital

    cayenne06 replied to ColleenS401's topic in General Nursing

    I work at PP. We do have a few nurses but not many. Most of them work at the surgical centers, so you have to be ok with doing direct abortion care (which is wonderful, satisfying work- but not for...
  13. cayenne06

    Electonic documentation,how much time does it take from the bedside?

    cayenne06 replied to Been there,done that's topic in General Nursing

    I agree. On the balance, EMR wins hands down, but that does not negate the problems it has. Lack of interoperability being the main one, of course. I started on paper charts way back in 2001, and...
  14. cayenne06

    Night shifts

    cayenne06 replied to Curious on Nursing's topic in General Nursing

    I would take the kids out for breakfast and bring them to school late every once in a while, or let them stay up with me and cuddle in front of a movie before I left for work. Mostly I just tried to...
  15. cayenne06

    lost license, now what

    cayenne06 replied to rnnolonger's topic in Nurses Recovery

    Yeah, unless the OP told the therapist she was drinking at work, I don't see how they could legally report you to the board. What a way to discourage people from reaching out for help before things...
  16. cayenne06

    Scanning in the supply room

    cayenne06 replied to elizabeast7's topic in General Nursing

    The facility I work at as an RN has stickers on all the chargeable items, which are supposed to be placed on the charge sheet after using the item. I would frequently come home with charge stickers on...
  17. cayenne06

    Pregnant and starting new job

    cayenne06 replied to Xojessicaox549's topic in General Nursing

    I'm so sorry you are going through this I would hesitate to disclose a pregnancy prior to a signed and sealed job offer. Plenty of people don't find out they are pregnant until 12+ weeks, and many...
  18. cayenne06

    Your monitoring program allow whipits?

    cayenne06 replied to RNdynamic's topic in Nurses Recovery

    Well I disagree. There's a very good reason that pretty much every culture has it's preferred mind-altering substances. Getting high feels good and presses our "reward" button. It also helps ease the...
  19. cayenne06

    Advanced Degrees in Obstetrics

    cayenne06 replied to Daiseymay's topic in Ob/Gyn

    I am clearly biased, but I would go for your CNM, even if your long term goal is not so focused on patient care. It's a great credential to have, there are tons of things you can do with it, and like...
  20. cayenne06

    Integrative Health & Healing DNP--is it worth it?

    cayenne06 replied to LilRNonthePrairie's topic in Doctoral Nursing Degrees

    How are they being suckers?Because "alternative medicine" is, by definition, ineffective or has a negative risk/benefit profile (that is why we prefer giving penicillin to handing out slices of moldy...
  21. cayenne06

    Forgot to put narcotic back in Pyxis

    cayenne06 replied to Shimbo's topic in Patient Medications

    Not too long ago, we had a crazy shift on L&D and I ended up going home with half a vial of dilaudid in my pocket. Didn't notice it until I got home, almost an hour from the hospital. I almost...
  22. cayenne06

    What you wished other nurses knew

    cayenne06 replied to l1234567's topic in General Nursing

    CNM and LDRP RN here- I get that non-OB folk are nervous around pregnant/laboring patients. Never hesitate to consult us about a pregnant patient. Just please don't tell the patient who is 24 weeks...
  23. cayenne06

    Question about missing for urgent dental work during 90 days probation

    cayenne06 replied to Oedgar's topic in General Nursing

    Be upfront and honest. I can't imagine it being a problem, and if it is, that's a red flag, and you should feel grateful you saw it before you signed the
  24. cayenne06

    Your monitoring program allow whipits?

    cayenne06 replied to RNdynamic's topic in Nurses Recovery

    Oh yes, nitrous is lovely lol. If I ever have another kid, I will travel as far as I need to to give birth in a hospital with nitrous. OP, maybe ask your program if whipits are allowed. I am sure...
  25. cayenne06

    Where are all of the holistic nurses?

    cayenne06 replied to PaleoNurse's topic in Holistic

    There is definitely a tendency to rebrand "alternative" healthcare as holistic. I agree that holistic medicine is the cornerstone of nursing practice- and any good clinician, regardless of their...