cayenne06 MSN, CNM

Reproductive & Public Health

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All Content by cayenne06

  1. cayenne06

    Unsure if this is right for me...

    cayenne06 replied to hannahkathy123's topic in Nursing Career

    Paragraphs and spacing are *critical* whether it is a message board, an email, whatever. I also re-read before I submit and try to pare it down as much as possible; I tend to be a bit logorrheic if I...
  2. cayenne06

    "My pain is about an eight and a half"

    cayenne06 replied to Emergent's topic in General Nursing

    THIS. Pain is hard to quantify. A stated pain score needs to be placed in context. Some people under-report for various reasons, others over-report either because they've never really experienced...
  3. cayenne06

    "My pain is about an eight and a half"

    cayenne06 replied to Emergent's topic in General Nursing

    I dutifully ask my patients to quantify from 0-10 (when i remember), but if you asked me to rate *my* pain, i'd be one of those annoying patients saying "it's not really pain, its just achy and sore,"...
  4. cayenne06

    Attending births with a CPM

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

    And here's the problem. We as health care providers might have the know-how to research a potential CPM and determine if she is qualified and experienced. The lay public may not know how to vet a...
  5. cayenne06

    What's the biggest mistake you've ever made as a nurse? What did you learn from it?

    cayenne06 replied to Mini-Murse's topic in General Nursing

    I once inserted an IV cath facing distally :/ And the patient's husband was a medic, watching me do this. I cannot even believe it, to this day. My very first error as a nurse was while I was working...
  6. cayenne06

    Patients & Pet Peeves

    cayenne06 replied to SisterofMary's topic in General Nursing

    I nicely tell them that my front desk staff handles those issues, and I also remind them that I am seeing patients all day and they will probably get a quicker response if they tell us what they are...
  7. cayenne06

    Supervised smoking in LTC

    cayenne06 replied to Jerez's topic in General Nursing

    Are you serious? We all know cigarettes are terrible for us. But it is an enjoyable, relaxing, and social activity. And it is addicting as heck, which means stopping is physically and emotionally...
  8. cayenne06

    Not sure how to handle this situation with recent interview

    cayenne06 replied to Southpawdown's topic in General Nursing

    I once received a rejection letter after I had already started at the job! It was kind of terrifying at the time but hilarious in retrospect. I had applied through their career portal originally,...
  9. cayenne06

    RNs Told They are Equal to MAs

    cayenne06 replied to Nurse Beth's topic in Career Advice Column

    Of *course* I can do these things. And I often do, if they are busy and I am not. You know that is true, so I am not sure why you made the comment. I said that I don't *want* to do these things. I...
  10. cayenne06

    RNs Told They are Equal to MAs

    cayenne06 replied to Nurse Beth's topic in Career Advice Column

    Just because people have different skill sets and levels of responsibility does NOT mean they aren't equal. My clinic cannot run without skilled medical assistants, a well oiled front desk, and...
  11. cayenne06

    RNs Told They are Equal to MAs

    cayenne06 replied to Nurse Beth's topic in Career Advice Column

    I actively seek out feedback from my MAs, and wish we had a formal process for 360 reviews here. Constructive advice from my team has helped me become a more effective leader AND team player. We are...
  12. cayenne06

    L&D nurses who became CNMs

    cayenne06 replied to TarheelGirlx3's topic in Certified Nurse-Midwives, CNM

    I love women's health and I LOVE being a CNM. I didn't really like working as an RN in any capacity. The sheer volume of tasks that need to be completed and charted on, ugh it makes me tired just...
  13. cayenne06

    Anyone not have an MA?

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

    I have two MAs assigned to me personally. I cannot imagine seeing my patient load with ONE MA, let alone none. No
  14. cayenne06

    Functional Medicine/Trigger point injections

    cayenne06 replied to Cindy-20's topic in Nurse Practitioners, NP

    Functional medicine: The ultimate misnomer in the world of integrative medicine – Science-Based
  15. cayenne06

    Patients & Pet Peeves

    cayenne06 replied to SisterofMary's topic in General Nursing

    My favorite is when a patient calls with a question and insists they can only talk about it with me- and then when I get them on the phone they want to reschedule their appointment or find out how...
  16. cayenne06

    Giving OTC medications to your aides/coworkers?

    cayenne06 replied to knotizer12's topic in LPN, LVN Corner

    Most places just buy a big bottle from Costco and keep it in the break room, problem solved. More convenient for everyone involved. I have zero qualms about sharing my personal OTC meds with...
  17. cayenne06

    You COBs Were Right After All

    cayenne06 replied to evastone's topic in General Nursing

    Ah, the wisdom of experience. Don't work off the clock, accept help and offer it freely in return, USE YOUR PTO, own your role in the caregiver-patient relationship. Never fool yourself into thinking...
  18. cayenne06

    Ocd over needles

    cayenne06 replied to Allybee23's topic in United Kingdom

    I've never had a dirty needle stick, but i've poked myself a few times and it does hurt, plus you will almost invariable see some blood at the site. And overall the risk of contracting a blood born...
  19. cayenne06

    To Drop or Not to Drop....

    cayenne06 replied to annabananaof8's topic in Pre-Nursing Students

    Sooo... you are saying that if a pregnant woman came to you to discuss options, you wouldnt volunteer information about abortion? What would you do if your patient came to you specifically for help...
  20. cayenne06

    How do you change a diaper without waking a baby up?

    cayenne06 replied to wingingit's topic in PICU, Pediatric

    The first step with an unclear or dubious order, is always to ask the provider for clarification on the exact wording. If you don't understand why it was ordered for your patienty, politely ask them...
  21. cayenne06

    I can't figure out this calculation!

    cayenne06 replied to direw0lf's topic in General Students

    The first step when doing dose calculations for liquid meds is to figure out how much drug is in each mL of solution. It should make a lot more sense once you do that. If you already did that and are...
  22. cayenne06

    Fall risk

    cayenne06 replied to dbnurse99's topic in Ob/Gyn

    Doing away with the nursery in the name of being Baby Friendly really gets my britches in a bunch. The default should be that baby stays in the room with their parent. We should absolutely tailor...
  23. cayenne06

    Tips for counting neonate's RR and HR?

    cayenne06 replied to MyAimIsTrue's topic in Ob/Gyn

    Don't forget that newborns naturally have a variable RR, so you really need to do a full minute. I agree that a hand on the chest can be easier than trying to watch for a rise. I will use my steth to...
  24. cayenne06

    What to expect during L&D???

    cayenne06 replied to Destin293's topic in Ob/Gyn

    Agree with everyone above. You don't need special care in early labor and it tends to progress faster when you are at home, where you can eat and drink and rest and go outside. It can be hard to...
  25. cayenne06

    New L&D RN- New Grad

    cayenne06 replied to lmc0403's topic in Ob/Gyn

    I've only ever done women's health for my entire career, and my only RN experience was in LDRP. It's a learning curve, very different than other types of nursing. My biggest advice is to take as much...