cayenne06 MSN, CNM

Reproductive & Public Health

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All Content by cayenne06

  1. Working at planned parenthood, i feel the same way. Just had a 15yo come in with her mom to get started on birth control. When i brought the mom into the exam room after speaking privately with her...
  2. cayenne06

    I have no idea what kind of nurse i should be

    Luckily your RN degree will give you a decent general foundation, so there is no rush to pick a speciality! Most students find themselves drawn to certain areas during their clinical rotations, and...
  3. cayenne06

    Best Midwifery School programs

    I went to Baystate Midwifery, and what i loved was the wealth of clinical opportunity, the fact that your preceptors are also your didactic instructors, and the fact that it is integrated into (and...
  4. cayenne06

    Give inhaler w/o doctor's consent?

    Inhalers are very unlikely to cause harm if used incorrectly- even if, worst case scenario, another child got their hands on it and decided to try it out. The risk of confiscating the inhaler are...
  5. cayenne06

    3rd Grader Pooping Pants to go Home

    I'd be cautious in assuming that this kind of behavior is necessarily manipulative or a result of being "babied." You should not be angry at a 3rd grader for soiling their pants. It's possible that...
  6. cayenne06

    Go into a specialty area right after nursing school?

    I went right into OB after graduating. I was a CPM and went back to nursing school specifically to be a CNM, so that made sense for me. I still work per diem as an RN in LDRP, and when I float to...
  7. cayenne06

    CNM as First Assist in C-Sections

    When I was doing my integration I first assisted and I LOVED IT. I work strictly outpatient now that I've graduated and I miss that probably more than anything... and I am a former home birth
  8. cayenne06

    The role of CNMs in abortion care

    I am a CNM at planned parenthood and I do medical abortions. I could also do suction aspiration for missed abortions or failed medical abortions (if I worked at a clinic that did aspiration, which I...
  9. cayenne06

    What are Nursing Implications?

    How will you have to alter your practice to accommodate this? Assessments, VS, managing complications, etc. Interdisciplinary issues like working with NICU, unit education, staff/patient/provider...
  10. cayenne06

    Medical Decisions

    As an RN and CNM, I adore uptodate. I missed it so much that I got myself a subscription when I stopped working at a facility with an institutional subscription. I also belong to ACOG and ACNM and use...
  11. cayenne06

    Opinions please!

    There's nowhere else in your charting where you might have referenced med admin? We use a paper MAR at the place where I work as an RN, but any meds that require an assessment or are prn are also...
  12. cayenne06

    Clinic staff ask pt how to find injection site?

    Yikes. Id call the clinic manager and speak to them directly about
  13. cayenne06

    Mandatory flu vaccines

    Agree, nurseactivist. I support compuslory vaccination for HCWs but i do roll my eyes at the mask. Its a scarlet
  14. cayenne06

    Mandatory flu vaccines

    I kind of disagree. I don't think it is meant as an outright punishment, but I do think it is more of a scarlet letter than an actual protective measure. that said, I do support compulsory vaccination...
  15. cayenne06

    The Controversy: Mandatory Flu Vaccines

    As I already mentioned, the reason we do not do such studies is simple. CLINICAL EQUIPOISE. It would be
  16. cayenne06

    Blown vein in blood draw

    It happens. I blew someone's vein the other day, but at least I got the blood-she was a very difficult
  17. cayenne06

    The Controversy: Mandatory Flu Vaccines

    being less than 100% effective is NOT the same as being ineffective. I am also anti-vaccines that don't work- namely so-called homeopathic
  18. cayenne06

    The Controversy: Mandatory Flu Vaccines

    Primary prevention is a main focus of nursing/medical research, and nurses spend a ton of time educating their patients on these measures. Vaccination is one aspect of primary prevention; hardly the...
  19. cayenne06

    Triage Gems

    "I've been really itchy for the past few weeks and I think I have a yeast infection." -the patient was a tech who worked at the LTC facility associated with my hospital, and she left work to come to...
  20. cayenne06

    Infection Control Issue

    but in my experience, the vast amount of gloves that I use do not belong in biohazard. I'm curious about the answer
  21. cayenne06

    The Controversy: Mandatory Flu Vaccines

    Clinical
  22. cayenne06

    The Controversy: Mandatory Flu Vaccines

    The flu virus is in circulation all the time. Infections peak during flu season, likely due to a combination of environmental and individual/lifestyle factors. And its not like we have one type of...
  23. cayenne06

    The Controversy: Mandatory Flu Vaccines

    Deceptively, some "homeopathic" remedies are not homeopathic at all. 10x arnica gel is an herbal preparation, not homeopathic. Zycam and Quit Nits are other
  24. cayenne06

    The Controversy: Mandatory Flu Vaccines

    Right. Because medicine readily adopts treatment modalities that work. Biological sources have always been a main focus of pharmacological research. You know what they call alternative medicine that...
  25. cayenne06

    The Controversy: Mandatory Flu Vaccines

    No. Arnica, when used as an herbal remedy, definitely has anti-inflammatory and blood thinning properties. In fact it can be toxic. But homeopathic preparations contain no active ingredient and there...