cayenne06 MSN, CNM

Reproductive & Public Health

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All Content by cayenne06

  1. cayenne06

    preceptor and i disagree on a case.

    cayenne06 replied to Jassynurse's topic in General Students

    You can disagree with a preceptor without making it a hill to die on. I've done it on more than a few occasions. If we still disagree after a discussion about the rationale/pathophys/whatever, I...
  2. cayenne06

    What would you have done? Episiotomy

    cayenne06 replied to AspiringNurseMW's topic in Ob/Gyn

    But the bigger issue is the complete dismissal of this woman's right to bodily autonomy- it doesn't matter if her baby is crashing on the perineum and an epis could save the kid's life. If mom...
  3. cayenne06

    Acupuncture and Nursing?

    cayenne06 replied to dlcj's topic in Holistic

    This is an honest question and I don't mean any offense . As an NP or RN, how do you square the data/evidence regarding acupuncture's efficacy (or lack thereof) with your obligation to provide...
  4. cayenne06

    Failed, nclex rn 5 times! Help?!?!

    cayenne06 replied to lystacy's topic in NCLEX Exam, Programs

    Does your school offer a refresher program? How do you do on practice exams? I agree that it sounds like you need some remediation in order to develop competency with this entry -level information....
  5. cayenne06

    Working while getting my NP

    cayenne06 replied to newbiepnp's topic in Post Graduate Students

    I worked PRN during CNM school, so was able to work as much or as little as I wanted, which was great. Some months I'd work 10 shifts, others one or two, depending on my clinic schedule. I'd pick up...
  6. cayenne06

    my worst fear.

    cayenne06 replied to Kwidner's topic in Medical Assistant, CNA/MA

    Haha I like the term phlegm sucked better than suction canister!!! I too have a thing about phlegm. Suctioning trachs and doing oral/vent care leaves me queasy and lightheaded. Give me c-diff...
  7. cayenne06

    preceptor and i disagree on a case.

    cayenne06 replied to Jassynurse's topic in General Students

    I am not a pediatric nurse but I can't imagine there wouldn't be bowel sounds if the patient had a functioning GI tract. But I could be wrong. I've definitely worked with preceptors who...
  8. cayenne06

    WGU RN to BSN online

    cayenne06 replied to NMorales26's topic in Western Governors University

    My BSN is from WGU and I would highly recommend their program. I had no trouble getting into grad school or finding a good
  9. cayenne06

    Cervical Exams- locating the cervix

    cayenne06 replied to AvaRN22's topic in Ob/Gyn

    For difficult exams I put the head of the bed alllll the way down and have your patient place her fists under her hips (if possible). Help her relax and breathe slowly, and reaaaaaaach. Sometimes it...
  10. cayenne06

    What would you have done? Episiotomy

    cayenne06 replied to AspiringNurseMW's topic in Ob/Gyn

    I also want to echo previous posters that not all LDRP units are bad. Some are incredible, evidence based and truly family focused. An example is the Birthplace at Baystate Franklin Medical Center in...
  11. cayenne06

    What would you have done? Episiotomy

    cayenne06 replied to AspiringNurseMW's topic in Ob/Gyn

    I've actually never seen an episiotomy cut in my 13 years working in L&D (granted, much of that was at a birth center!). I have, however, cut one myself due to fetal distress (i've caught about...
  12. cayenne06

    resume/job change

    cayenne06 replied to misdmnr's topic in General Nursing

    What if your boyfriend relocated first, and you stayed at your current job while he got settled and you searched for employment? I would NOT leave a job after such a short time unless I had something...
  13. cayenne06

    Vital signs on labor checks

    cayenne06 replied to MCmgr's topic in Ob/Gyn

    q hour here. Well, temp is q 2 hours unless ruptured. If a mom is admitted in early labor I will ask for an order for less frequent vitals though, especially if it is at night and she is trying to...
  14. cayenne06

    Curious about formula marketing practices in your hospital

    cayenne06 replied to LibraSunCNM's topic in Ob/Gyn

    Our formula reps takes us to dinner and brings us branded "breastfeeding support" bags (with formula samples of course) to give out to all our moms. I hate it and think it is
  15. cayenne06

    Private office

    cayenne06 replied to Kmrn11's topic in Ob/Gyn

    I was paid 26/h when i started at an OBGYN
  16. cayenne06

    About Pitocin

    cayenne06 replied to zje123's topic in Ob/Gyn

    The provider must have talked to the patient about it though, right? If not, well then. Wow. I definitely know providers who just say "we're going to give you some pitocin to speed things along," and...
  17. cayenne06

    CNM vs. Med School

    cayenne06 replied to DreamerCNM2b's topic in Certified Nurse-Midwives, CNM

    Baystate Midwifery Education Program in Massachusetts. LOVED
  18. cayenne06

    CNM vs. Med School

    cayenne06 replied to DreamerCNM2b's topic in Certified Nurse-Midwives, CNM

    Significantly less money, for one- and that is definitely a consideration. But on the flip side, you have significantly less student loans, and having an RN license makes it easier to make ends meet...
  19. cayenne06

    CNM vs. Med School

    cayenne06 replied to DreamerCNM2b's topic in Certified Nurse-Midwives, CNM

    I think it is important to remember that being a CNM is not "settling." Or at least, it shouldn't be. Midwives are not mini-OBs. They are two distinct (yet collaborating) professions. When you...
  20. cayenne06

    Positive alcohol test

    cayenne06 replied to Omaapecm's topic in Nurses Recovery

    Just wanted to say, I am seriously impressed with the amount of personal responsibility you are showing. I wish you the best of luck, both with your recovery and your nursing
  21. cayenne06

    About Pitocin

    cayenne06 replied to zje123's topic in Ob/Gyn

    I'm a graduate nurse midwife (haven't sat for boards yet) and an LDRP RN. From a midwife perspective, I'll admit that when I ask for pit PP I don't usually give a risk/benefit/alternatives run down to...
  22. cayenne06

    Working PRN outside hospital?

    cayenne06 replied to nyc2011's topic in General Nursing

    how about prn private duty care? flexible and usually pretty low stress. I did PD nights while doing my BSN online, and was able to get tons of schoolwork done in between caring for my little
  23. cayenne06

    CPM to CNM

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

    Woohoo olive&pimento! Glad to hear your story, and you sound like you are going to make an amazing CNM. And CNMMidwife2be, I did indeed take the planned parenthood job and I am THRILLED! It is...
  24. cayenne06

    New Nurse, New Job in Postpartum...Worse Than I Could Have Imagined

    cayenne06 replied to Holdsteady11's topic in Ob/Gyn

    I'm just going to echo the previous posters. That is an insane ratio, hardly doable even if all your patients are stable and the kids are all breastfeeding well. And I cannot believe your manager...
  25. cayenne06

    Offered a position, worried about drug test and legitimately prescribed ADD meds

    cayenne06 replied to NYtoFLRN's topic in Job Search, Interview, Resume

    Yes, you will absolutely be fine.