cayenne06 MSN, CNM

Reproductive & Public Health

Member
  • Content

    1,394
  • Visitors

    21,407
  • Followers

    0
  • Likes

    149

All Content by cayenne06

  1. cayenne06

    totally missed vaginal exam

    Oh yes. And thinking she is fully when she is really 1cm, fully effaced, and very posterior. It happens to everyone. As an aside, however- someone can go from 3-4cm to fully dilated in literally...
  2. I am a single mom with 2 kids (8 and 11), both with very significant special needs. I finish CNM school in less than a MONTH!!!! I am completing my integration right now, which means 50+ hours a week...
  3. cayenne06

    bedside resuscitation?

    Hello NICU nurses! I am a student CNM (6 weeks left till I am done!) and an LDRP RN. A year or so ago the busy tertiary hospital I was rotating at instituted delayed cord clamping (and uninterrupted...
  4. cayenne06

    Evolution and Nursing

    No, gravity is a scientific theory. The existence of bacteria, the speed of light- these are examples of directly observable things that can be called facts. Scientific theory is a higher level...
  5. cayenne06

    Breast milk pumping at school student

    No, i totally get it. Keep the milk on the bottom shelf where it won't get on anything if it spills. Of course, if the fridge is a designated "med fridge," then she should store it in the staff fridge...
  6. Just the other day we had a direct admit from the ED for a woman with abdominal pain who was found to be pregnant (by a urine dip in the ED). When she came up to the unit she looked to be about 20-25...
  7. cayenne06

    Length of Nursing Shifts

    Well personally I prefer 12s, but I guess the data is showing that 8s are safer for patients. I haven't looked it up myself though so I can't really comment on the quality of that
  8. cayenne06

    Up the Pit or stop it?

    I do not subscribe to the "pit to distress" school of practice, but if I am concerned about a baby's tracing, then that generally means I am thinking about how to most safely get that kid born, and...
  9. cayenne06

    Breast milk pumping at school student

    Handling Expressed Milk | womenshealth.gov National Business Group on Health (NBGH): Resources - Employer Toolkits: Investing in Workplace Breastfeeding Programs and Policies Yes, breastmilk will...
  10. cayenne06

    Silly handwashing question.

    I make it a point to wash my hands in my patient's room, where they can see
  11. cayenne06

    Pregnancy in nursing school

    I was pregnant in nursing school, and the babies very thoughtfully decided to be born right at the beginning of a month-long semester break. I missed a little school due to complications at the end,...
  12. cayenne06

    Nurses forced to work as aides

    I float to other floors when our census is low and do "cna" type work and patient sitting. Patient sitting is often PAINFULLY boring. I have no problem admitting that I groan internally when I get...
  13. cayenne06

    Breast milk pumping at school student

    Good for her! I hope she is getting the support she needs from the school so she can keep pumping as long as she wants to. I would go out of my way to make sure she felt welcome in my office and had a...
  14. cayenne06

    Nursing Pay Question?

    Ha. Tell that to my CNM preceptors. The 1.0FT position I will be starting when I graduate is 20 hours of clinic a week and 5 24 hour shifts of call each month (18hrs paid for each 24 on call, despite...
  15. cayenne06

    Future CNM

    I think working as a doula is valuable experience because it gives you a sense of the lifestyle of a midwife. The hours are long and unpredictable. Labors can be very, very long and while I adore...
  16. cayenne06

    Up the Pit or stop it?

    It's hard to comment without knowing more and seeing the actual strip- you mentioned minimal variability, but I wasn't clear whether that was just a normal sleep period or a larger trend. Min...
  17. cayenne06

    To tell or not to tell!

    OMG.
  18. cayenne06

    3am bloopers

    haha, yes! "Hey, where's the tubey thing? Or charting a full assessment... on the wrong
  19. cayenne06

    Would you start anti-seizure meds?

    Can you consult with the neuro for a recommendation, or get ahold of whoever used to prescribe for the
  20. There's really no clear "line" as far as what is too complicated for CNMs to manage. It all depends on your training, your facility, your practice, and your back up. At the practice I work at as a...
  21. cayenne06

    Evolution and Nursing

    The laws of physics allow for the creation of "something" out of "nothing." There is plenty of room for a creator if you choose to believe in one, but it is NOT necessary to explain the existence of...
  22. cayenne06

    Evolution and Nursing

    The reason I am an atheist is because if God (in the Biblical, bearded guy in the sky sense) did exist, I honestly kind of think he's a jerk. I find the idea of an omnipotent creator to be troubling....
  23. What was the indication for c/s? That might give you some useful clues for a fetal care
  24. cayenne06

    Calling an MD during night shift

    also remember- the providers who bite your head off for calling at 3am are the same ones who will bite your head off at morning rounds when they find out you didn't call! If you think something...
  25. cayenne06

    Calling an MD during night shift

    Many, if not MOST, providers are actually not directly compensated for time on call, because call is a money suck and most small practices cannot afford to pay. Yes, their overall salary is high, but...