cayenne06 MSN, CNM

Reproductive & Public Health

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All Content by cayenne06

  1. cayenne06

    L&D RN Role

    cayenne06 replied to traceychan's topic in Ob/Gyn

    Whew, that is a big question! Basically, we are monitoring the mom's vital signs at regular intervals, monitoring her contraction pattern, watching for the many physiologic signs that signal labor...
  2. cayenne06

    Possibly Odd Question

    cayenne06 replied to want2b3's topic in General Students

    This is quite possibly the best description I've ever read of the relationship between nursing and medicine. I also agree with you about using the term "orders." It's a very misleading and...
  3. cayenne06

    Home-Birth/ Doula Friendly CNM Program

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

    The school I am attending (Baystate Midwifery Education Program) does the same thing- student dual enroll with Phil U to get a master's in midwifery, and all the clinicals and core didactic stuff is...
  4. cayenne06

    What specialty/job would this be?

    cayenne06 replied to catelynjo16's topic in Ob/Gyn

    Depending on where you live, it is very possible to get a job in labor and delivery. Postpartum is often easier to get into though, it's true. Other options to keep in mind is working in a prenatal...
  5. cayenne06

    Possibly Odd Question

    cayenne06 replied to want2b3's topic in General Students

    If my patient was bleeding, I would use my skills and education to control it as best I can, working collaboratively with the provider if they are there. Nursing and medicine are quite intertwined....
  6. cayenne06

    iPhone usage allowed

    cayenne06 replied to allirobettu's topic in LPN, LVN Students

    Depends on the unit. The place where I work as a student CNM has a policy that says something like "use of personal devices for work related duties only." The hospital where I work as an RN has a...
  7. cayenne06

    NP Scope of Practice - alternative medicine?

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

    SUCH an important
  8. cayenne06

    Estimating Lochia

    cayenne06 replied to blossom856's topic in Ob/Gyn

    This is a VERY subjective measurement. There's just no way around it. EBL after birth is so subjective, it is almost laughable. Do you think she had a PPH? Was it a pretty decent bleed? Then her EBL...
  9. cayenne06

    How do I become a Midwife or Doula?

    cayenne06 replied to iebybrittany's topic in Ob/Gyn

    I want to caution anyone considering the CPM route to remember that the legality of direct-entry midwifery varies state to state, and in almost all cases, none of your CPM coursework will transfer if...
  10. cayenne06

    NC State BON RN regulations and position statements??

    cayenne06 replied to jodyangel's topic in Ob/Gyn

    Scope of practice is intentionally vague, because there are very few things that nurses are *prohibited* from doing. Generally your scope is limited by your expertise and your facility protocols....
  11. cayenne06

    NP Scope of Practice - alternative medicine?

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

    I read this very interesting article that explained why most "alternative" modalities tend to be harmless. The effective treatments are incorporated into mainstream medicine, and the stuff that kills...
  12. cayenne06

    How's your nursery work?

    cayenne06 replied to Kelseycrawford's topic in Ob/Gyn

    I second that
  13. cayenne06

    Nurse-Midwife vs. Psych. NP

    cayenne06 replied to Anony12's topic in Certified Nurse-Midwives, CNM

    Well, as a CPM and a student CNM, I can say that midwifery is a terrible job. The pay is not commensurate with how much you work, you're up at all hours, constantly sleep deprived, and when stuff goes...
  14. cayenne06

    Missed clinical! :(

    cayenne06 replied to tbear1206's topic in General Students

    It happens to the best of us. Don't sweat
  15. cayenne06

    School and a baby

    cayenne06 replied to sunshinesusu's topic in Diploma, ADN, BSN

    haha, yes that is why I coslept too! But lordy, i was still sleep deprived for those first few
  16. cayenne06

    How's your nursery work?

    cayenne06 replied to Kelseycrawford's topic in Ob/Gyn

    We also have an informal "crib chart" that stays in the bassinet. Feeds, changes, vitals/weights etc are all written here (at least in theory) so that the info is easily
  17. cayenne06

    How's your nursery work?

    cayenne06 replied to Kelseycrawford's topic in Ob/Gyn

    Yes, our pedis assess at the bedside. It's a good opportunity for parents to ask questions and for the pedi to assess bonding, parental knowledge, etc. We do an annoying combo of paper and EHR...
  18. cayenne06

    Baby Friendly

    cayenne06 replied to l/dmom's topic in Ob/Gyn

    THIS IS SO TRUE. Drives me bananas. I've found that many nurses are resistant to an hour of uninterrupted skin to skin, delayed baths, etc, because of the HUGE push to get all our nursey stuff done....
  19. cayenne06

    NP Scope of Practice - alternative medicine?

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

    ???? I am not confused. Maybe my opinion differs from yours but that doesn't mean I haven't thought about this issue and arrived to my conclusions based on the available
  20. cayenne06

    Ondansetron.... iv or im ..... doctor's prescription....

    cayenne06 replied to 2bNurse_kinjal's topic in Patient Medications

    Yes, you can do this, but you still need an order to change the
  21. cayenne06

    Vag exams=super lost. Help!!!

    cayenne06 replied to Brittanyrn89's topic in Ob/Gyn

    Have you ever tried to locate your own cervix? Obviously it feels different in labor/late pregnancy, but at least it will give you an idea of the anatomy. And yes, this is a skill that is developed...
  22. cayenne06

    School and a baby

    cayenne06 replied to sunshinesusu's topic in Diploma, ADN, BSN

    I had both my kids while I was in CPM school. It's hard... babies require a tremendous amount of work, and the sleep deprivation can make it hard to keep up with everything. However, it is completely,...
  23. cayenne06

    NP Scope of Practice - alternative medicine?

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

    I'd caution anyone interested in "alternative" medicine to do their research before recommending or performing these types of remedies. Some are relatively harmless and have potential for good...
  24. cayenne06

    Discussing abnormal lab results

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

    I agree with emphasizing the "NOT CANCER" part. Especially with higher grade lesions, I've had patients end up with the idea that they had/have cervical
  25. cayenne06

    Does everyone feel like they bomb nclex after taking it?

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

    My test shut off at 75 questions, and I felt like I had guessed on at least half the answers. I had a 3.97 GPA in nursing school and walked away from the NCLEX with a pit in my stomach, SURE I had...