cayenne06 MSN, CNM

Reproductive & Public Health

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All Content by cayenne06

  1. cayenne06

    Integrative Medicine - is it legal?

    Which treatments are you interested in specifically? I used to practice naturopathic/alternative health care so I am intimately familiar with this topic. I really encourage you to look at this from...
  2. cayenne06

    Accidental Mistake- UGH

    With these kinds of things, skip the emailing and head straight for the phone. I bet if you speak to someone they can straighten it right out for you with little hassle? I am sure these things come up...
  3. cayenne06

    Case Study: HIPAA violation or not?

    The problem here is not the photo per se. It is how the photo was obtained- by a student, on a personal cell phone. This is just wrong, HIPAA or not. As a student, you don't take pictures of people...
  4. cayenne06

    CNM and WHNP dual program

    hahahahahaha omg so
  5. cayenne06

    CNM and WHNP dual program

    A CNM can do everything a WHNP can do, plus catch babies. I can't think of anything to gain by having both. Is there a specific reason you want both? I would think a better dual cert would be CNM and...
  6. That is just mind boggling to me- I can't bill insurance for transcribing blood pressures or filling out prior auths! Admin wants me to have a solid support team so I can spend my time seeing...
  7. cayenne06

    Did this patient overreact?!

    Troll. This is just beyond the
  8. cayenne06

    Prescribing Far Off Label

    YES. Avoid at all costs. What this person is doing is unethical and
  9. cayenne06

    Feminine Hygiene for 4th Grade?

    Can you imagine if we had to rely on donations to keep up a supply of toilet paper?!?!?! WHY are menstrual products treated differently. Can't the school just, you know, BUY SOME
  10. cayenne06

    Medical/nursing shows/critical thinking shows...

    Hahaha me too. I love seeing the docs draw blood and do their own MRIs, lmao. And has House never heard of working up a DDx?? WHY does he insist on attacking each diagnosis, one by one, with such...
  11. cayenne06

    Vaccine controversy

    YES. This. Anything less is patronizing. They deserve to know the real information, they deserve our expert opinions. It is easy to walk away from the talk- nonvaxxers are on high alert to defend...
  12. cayenne06

    Trans Patient

    WHAT?! Why is this a trans-specific issue? WHY IN THE WORLD would a trans person be more likely to whip out their junk than anyone else?? Patients prone to sexual misconduct should be managed...
  13. cayenne06

    Vaccine controversy

    I *was* that anti-vax mom, I am embarrased to say. It took a looong time for me to realize how wrong I was. My kids' pediatrician never once questioned me on my decision to not vaccinate. I wish they...
  14. cayenne06

    Discipline

    I thought I was clear with my comment re: unfit providers. I was careful to state that I will happily train and guide any new provider, as long as they are equally invested. Unfit means completely...
  15. cayenne06

    Please help!!! New NP Dilemma :(

    JUST SAY NO. Say it nicely but firmly. No no no no. Management should give them a mandatory half day of EHR training, if this minor task is really such a hurdle for them. Or you could offer to walk...
  16. cayenne06

    Discipline

    Discipline a colleague? What?! I am not sure I understand what you mean. Are you in a management role in addition to patient care? My fellow APRNs and I are a team- we support each other and help...
  17. cayenne06

    Trans Patient

    No no, she is a woman. She is not male. She belongs in the female section. There is NO reason for the status of her genitals to even be an issue here. Trans people are at HIGH risk of sexual assault...
  18. cayenne06

    Mom takes forever to pickup

    I worked a short stint as a school nurse for teenagers with mental health and behavioral issues, so I totally get the frustration/annoyance of having a kid hanging out in your work space. But I have...
  19. cayenne06

    Who will do CNS role?

    What is the role of a CNS exactly? What makes CNS scope/training unique enough to merit its own, dedicated APRN certification? I am geniunely asking, I can't find a clear answer. It seems akin to...
  20. New clinicians need to be supported so they can excel at their job (and, you know, not accidentally harm a patient). It speaks *volumes* that they sent you out on your own so quickly. Huge red flag...
  21. cayenne06

    Advice please

    I totally understand the stress! But the previous posters are right- take a step back and look at the big picture. These are things you are *more* than qualified to do. The only real problem is...
  22. cayenne06

    Therapy dogs and Allergies

    I am not sure what you mean by this? Is it that you don't feel we take allergies seriously in this day and age? It doesn't have to be either/or. Therapy animals can have important and measurable...
  23. cayenne06

    Therapy dogs and Allergies

    What is your policy for things like peanut allergies? Obv an allergy to dander is not in any way comparable, but i'd imagine it would be handled similarly, with seating rearrangements and hygeine...
  24. cayenne06

    Homeless working the system, multiple admissions

    Listen. *Nobody* wants to be homeless. *Nobody* wants to be addicted to meth. Literally nobody. Our system is f****** to such an alarming degree; how can we blame people for trying to game it?? Its a...
  25. cayenne06

    I want to quit

    I worked FT or almost FT throughout nursing school, with two young children (one with a serious physical disability), AND was pregnant with twins during the program (a surrogacy, which I actually...