cayenne06 MSN, CNM

Reproductive & Public Health

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All Content by cayenne06

  1. cayenne06

    unit "culture"

    oh my goodness, this reminded me- when the new group of interns started this fall, we had one shadowing us to observe a birth. She was like 5-6cm IIRC. Asked to go to the bathroom, and of course she...
  2. cayenne06

    unit "culture"

    One of the best things about the hospital I am doing my student rotations at (student CNM) is that the CNMs train and supervise the 1st years, so they learn the midwifery way before they move onto the...
  3. Anyone heard about this documentary? it's about hospital based, collaborative midwife/physician practices in the U.S. My midwifery program was briefly featured, so we got an advanced copy to view, and...
  4. cayenne06

    The Mama Sherpas?

    It's kinda funny, though. . . They featured 4 practices, one or two births per practice. We see a hands and knees breech birth (done by an MD with a CNM assisting), a waterbirth, some lovely...
  5. cayenne06

    Frontier University

    Congratulations, future
  6. cayenne06

    My patient dropped her baby!

    hahahahaha! q1 minute safety checks. I love
  7. cayenne06

    Distance required for midwives

    Just want to throw out there that when you are on call, you generally have to be within ~20-30 minutes of the facility. Doesn't mean you have to *live* that close. Pretty much every hospital/birth...
  8. cayenne06

    My patient dropped her baby!

    When you rounded on the mother earlier, what was your assessment of her ability to safely handle her baby? Had she received education about how to safely care for the baby? Ultimately, we are...
  9. cayenne06

    IVP admin rates?

    Yeah, I have to look up push rates for anything I don't use on a near-daily basis. Toradol, narcotics, zofran. . . those are about the only ones I can remember off the top of my
  10. cayenne06

    Do I need to keep RN license active?

    It's state by state. I live on the border of MA and CT. I can't speak for NPs, but CNMs need to keep their RN license active in MA but not in CT. I would recommend keeping your RN active, because it...
  11. cayenne06

    Zofran

    It is also very important to not give a med that you are not familiar
  12. cayenne06

    Help with suctioning neonate after delivery please!

    lol, I am so glad this thread is old! I was ready to get all up in arms that everyone was still doing routine bulb suction! Don't suction neonates unless there is a clear indication. It is actively...
  13. cayenne06

    What do you love about nursing?

    Speaking as a midwife and a nurse here-I LOVE that I am allowed to participate in some of the most pivotal, emotionally charged events in people's lives. I cannot get over the fact that I am trusted...
  14. cayenne06

    How far to insert a catheter??

    Huh. I only ever lubricate the tip. Generally I squeeze a big gob into the sterile bucket, and kind of dip the catheter in. But then again I only have female patients; I bet it makes a big difference...
  15. Yeah. . . I know this is not the topic of this thread, but quack remedies like this drive me up the wall. I am sure your patients are paying out the nose for these services since they are likely not...
  16. cayenne06

    a problem with a question

    Agree. ALWAYS assess first. If the PCA is not working, that won't kill the patient, but if they are in pain because they are bleeding internally, or their lungs are filling with fluid, etc, they could...
  17. cayenne06

    Does abortion play a role?

    Let's not pretend that death isn't an important part of health care, okay? Coming to terms with death has been a huge part of my growth as a health care provider. And let me just say that I get so...
  18. cayenne06

    Hopeful Someday CNM...

    I second the recommendation to pursue childbirth ed training! It's a great way to get familiar with LDRP practices and to make contacts in the
  19. cayenne06

    Curious Newbie

    I would try to get some non-hospital birth experience if you can. Look into doula training or see if there is a homebirth midwife who will let you shadow. It's nice to have that backround when you...
  20. cayenne06

    Does abortion play a role?

    I just watched After Tiller on netflix. Anyone interested in abortion care (pro choice or not) would love this
  21. cayenne06

    Evidence Based Care

    I am a CPM, an LDRP RN and a student CNM. My LDRP job is at a small community hospital. Cords are cut immediately, before baby is handed to mom. Bulb suction is done routinely. Babies are never kept...
  22. I would be very cautious leaving acute care (especially a desirable specialty like OB). It can be hard to get back into the hospital once you
  23. cayenne06

    Hopeful Someday CNM...

    Also important to note that certification is NOT needed to practice as a
  24. Are you sure you'll be able to jump right back in in the summer? If so, it sounds like a reasonable
  25. cayenne06

    Felt pretty proud of myself!

    Well