cayenne06 MSN, CNM

Reproductive & Public Health

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All Content by cayenne06

  1. cayenne06

    Lumpy abdomen following vag delivery?

    cayenne06 replied to counterpoints's topic in Ob/Gyn

    I'd guess you are feeling loops of gassy bowel through a diastasis? Not at all far fetched to feel gas bubbles- I've felt them many times
  2. cayenne06

    Charting on my free time

    cayenne06 replied to Bonosgrrl's topic in Advanced Practice

    I do want to add that being able to chart in real time is crucial. As a general rule, i ALWAYS do my ROS and HPI in real time. And whenever possible, I finish my chart (or at least chart my exam and...
  3. cayenne06

    Charting on my free time

    cayenne06 replied to Bonosgrrl's topic in Advanced Practice

    I am salary, but have admin time built into my schedule (not a lot, but enough). My regular day is 8:30-4:30, which means I have patients starting at 8:45, with the last appt at 3:30. And a half hour...
  4. cayenne06

    NP VS PA

    cayenne06 replied to TicTok411's topic in Student Nurse Practitioner

    I work with PAs, NPs, other CNMs, and MDs. Of course there are widely differing personalities, with some of us more touchy feely and others not so much, but I don't think you could pick out any "type"...
  5. cayenne06

    Integrative Medicine for Nurse Practitioner

    cayenne06 replied to momrn5's topic in Nurse Practitioners, NP

    Of course pharmaceuticals have potential for harm, as do pharmacologically active plants. That is why we standardize doses through purification, and insist on controlled clinical trials that show...
  6. cayenne06

    Integrative Medicine for Nurse Practitioner

    cayenne06 replied to momrn5's topic in Nurse Practitioners, NP

    Diet and exercise are not alternative, though. No cardiologist would disagree that lifestyle modification is of the utmost importance in promoting heart health. The placebo effect (better called...
  7. cayenne06

    Article NY Times! Spot on...I think so!!

    cayenne06 replied to NurseLRW's topic in Activism, Healthcare

    My pet peeve- If I am logged on to my EMR, and open a patient's family history, clearly I have reviewed it. Why do I need to check the darn box to prove it?! Ugh. And what happened to charting by...
  8. cayenne06

    Do you think the Associate degree is obsolete in CT?

    cayenne06 replied to WCSU1987's topic in Connecticut Nursing

    I think it is hard for new grads with any degree to get a hospital job. I think the glut of for-profit schools, and the public perception of nursing being a job with endless opportunity and earning...
  9. cayenne06

    Stupid question alert

    cayenne06 replied to LM NY's topic in Western Governors University

    I got my BSN and MSN from WGU, and only did the pre-assessments if it was a topic I did not feel comfortable with. As a general rule, I just went straight to the assessments. If I was confused by the...
  10. cayenne06

    Advice for nursing student interested in women's health

    cayenne06 replied to lee0112's topic in Ob/Gyn

    If you are interested in LDRP maybe get some doula training and attend some births? I also recommend shadowing at a Planned Parenthood clinic- it's a great place to learn the ins and outs of...
  11. cayenne06

    PCA/tech OB

    cayenne06 replied to BeachsideRN's topic in Ob/Gyn

    There's no reason a properly trained tech can't do these things. I'd rather an experienced tech draw blood on my baby than have ME, a seasoned LDRP RN, former CPM x 10 years, and now CNM, try to make...
  12. cayenne06

    Any ASN nurses working in hospitals?

    cayenne06 replied to RN_SummerSeas's topic in Massachusetts Nursing

    I was offered a job in LDRP at Cooley Dickinson as a new ASN grad (but I was a CPM before becoming an RN, so there's that). I also worked at Mercy's outpatient prenatal clinics in my first year as an...
  13. cayenne06

    Pt.s Ordering Food from Outside Hospital?

    cayenne06 replied to annie.rn's topic in General Nursing

    And yeah, gallbladder dude needs to be discharged (assuming he is stable) if he won't consent to the necessary interventions for a safe
  14. cayenne06

    Pt.s Ordering Food from Outside Hospital?

    cayenne06 replied to annie.rn's topic in General Nursing

    I disagree. Patients can choose to accept or decline any medical intervention, up to and including dietary orders (the student thing though- that's crazy! Unless I guess during lunch? Even then i...
  15. cayenne06

    Integrative Medicine for Nurse Practitioner

    cayenne06 replied to momrn5's topic in Nurse Practitioners, NP

    Believing in homeopathy requires a suspension of the basic laws of physics. It cannot be reconciled with science based medicine. Acupuncture has been shown, time and again, to work only insofar as...
  16. cayenne06

    Integrative Medicine for Nurse Practitioner

    cayenne06 replied to momrn5's topic in Nurse Practitioners, NP

    I am wary of any training provided by a company that wants me to use/promote their products. I don't understand why so many "alternative" practitioners have a problem with Big pHARMa, but seem to have...
  17. cayenne06

    Can NP's perform surgery legally?

    cayenne06 replied to jdc6773's topic in Advanced Practice

    Agree with previous posters. As a CNM I was doing laceration repair and first assist at c/s. I know CNMs who do circs and 3rd degree repairs as well- you just need to be trained. I work outpatient now...
  18. cayenne06

    NP working as an RN - advice needed

    cayenne06 replied to MassRN2008's topic in Nurse Practitioners, NP

    I am a CNM and moonlight as an RN in LDRP. It is a balance, because if the **** hits the fan, you are held to the level of an APRN in terms of your ability to evaluate the patient, BUT you also cannot...
  19. cayenne06

    OBGYN NPs ?

    cayenne06 replied to cali31's topic in Nurse Practitioners, NP

    Congratulations!!!! Will you be doing both OB and GYN? I imagine you will be overseeing the normal pregnancies, providing education and surveillance for GDM patients, working with OBs for higher risk...
  20. cayenne06

    Article NY Times! Spot on...I think so!!

    cayenne06 replied to NurseLRW's topic in Activism, Healthcare

    There was a great kevinmd article about how we are so concerned about distracted driving but don't seem to give a thought to "distracted doctoring." Such a good point. It's crazy how many admin tasks...
  21. cayenne06

    Care plans

    cayenne06 replied to Fly_Nurse's topic in LPN, LVN Students

    Yep, that is exactly what I write for my muscoloskeletal assessment. Lol. Actually what I really do is click off the appropriate check boxes, which is what you will likely do in real life too....
  22. cayenne06

    Education and career

    cayenne06 replied to PediatricRN73's topic in Connecticut Nursing

    ASN from Goodwin, BSN and MSN from WGU, post-masters CNM from Baystate Midwifery in Springfield. Had 3 amazing job offers before I finished CNM school and settled on a full time position for Planned...
  23. cayenne06

    Goodwin College???

    cayenne06 replied to miss_xtine's topic in Connecticut Nursing

    I got my ASN at Goodwin. I found my pre-reqs there to be childishly easy (my final practical exam for chem was, I kid you not, volume displacement- yes, just like you did in 6th grade science) but the...
  24. cayenne06

    do schools do random drug tests?

    cayenne06 replied to alinkastar's topic in Pre-Nursing Students

    Alinkastar, actually you are not under any obligation to tell your school you are taking this medication. What happens in a situation like this is you contact the lab performing the drug screen and...
  25. cayenne06

    SIlly question

    cayenne06 replied to muirite's topic in Operating Room

    There is definitely an element of bladder training involved, but yes- relief is provided for long