cayenne06 MSN, CNM

Reproductive & Public Health

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All Content by cayenne06

  1. cayenne06

    Are these things a CNM would do?

    cayenne06 replied to JJ1994's topic in Certified Nurse-Midwives, CNM

    Well there are many successful CNMs and OBs who are anti-legal abortion, so that alone shouldn't preclude you from working as a CNM. As long as you are willing to counsel women non-judgmentally and...
  2. cayenne06

    L & D experience and CNM -- opinions!

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

    While I am grateful that I got my CPM first and wouldn't change a thing about my educational path, I would strongly encourage you to get your CNM license first. Once you do that, it is relatively easy...
  3. cayenne06

    What is your opinion on getting the flu shot?

    cayenne06 replied to Surg-OncRN's topic in Holistic

    Holistic =/= dismissing evidence based medicine. Or at least it shouldn't. It dismays me when nurses perpetuate myths and pseudoscience about vaccination. Yes, the flu vaccine is hardly a panacea....
  4. cayenne06

    Can't observe a surgery without feeling whoozy

    cayenne06 replied to princesagris's topic in General Students

    Maybe OR nursing isn't for you, and that's okay :) But I agree with PP; sometimes you just need to expose yourself to a difficult experience over and over again. Maybe make a conscious effort to seek...
  5. cayenne06

    Pocket References For Clinical?

    cayenne06 replied to MurseJJ's topic in General Students

    See, I am not a fan of this model. We should be focusing on critical thinking skills, piecing together information to form a full assessment. Yes, there are certain values that are useful, maybe...
  6. cayenne06

    Devastated on First Write Up

    cayenne06 replied to RNtoThe3rd's topic in Patient Safety Issues

    This was a SYSTEMS error. You did the best you could in a very difficult situation. The incident report should have prompted admin to look at staffing ratios and their policies regarding...
  7. cayenne06

    WBCs in urine

    cayenne06 replied to Jade268's topic in General Nursing

    Elevated WBC from a clean catch specimen is highly suggestive of a UTI. But you have to look at the whole clinical picture-a UA alone doesn't give you all the information you need, not by a long shot....
  8. cayenne06

    Pocket References For Clinical?

    cayenne06 replied to MurseJJ's topic in General Students

    this is not helpful, but I can't wait for the day when pocket devices are encouraged for ALL health care students. Sorry for the
  9. cayenne06

    PICC line contraindications

    cayenne06 replied to RNexplorer's topic in Critical Care

    traumaRUs, great response! I love seeing experienced nurses offer guidance to those who are just starting
  10. cayenne06

    Nursing diagnosis for a mother that smoked during pregnancy and is continuing to smoke

    cayenne06 replied to kjnurse11's topic in Nursing Student Assistance

    I'd argue that the effects of nicotine/smoke exposure to the newborn is top priority
  11. cayenne06

    California Guidelines...

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

    yeah, you can't just call yourself a nurse midwife. Some states do not legislate non-nurse midwifery, and in those states any joe shmoe can hang a shingle and call herself a midwife, which is...
  12. cayenne06

    Labor and Delivery nurses: can you scrub?

    cayenne06 replied to perfexion's topic in Ob/Gyn

    We don't scrub at my hospital- the OR team assists and we do "baby side." I wish we did scrub, though. There was an emergency c/s the other day and we could have saved precious time if one of our...
  13. cayenne06

    Freestanding birth center vs. hospital and the future of my career

    cayenne06 replied to RunBabyRN's topic in Ob/Gyn

    I think that the experience you get in out of hospital birth is priceless. It is all too easy to forget "normal" when you work at a hospital. I became a CPM in 2006 and did home and birth center...
  14. cayenne06

    GN on postpartum unit! Advice

    cayenne06 replied to gatorgrad.'s topic in Ob/Gyn

    become fluent in breastfeeding support, and make it your personal goal to provide current recommendations to your patients. It never ceases to shock me when I hear some of the "advice" given out by PP...
  15. cayenne06

    Half a flu shot for patients on immunotherapy? Seattle, WA

    cayenne06 replied to kathyn1027's topic in Disaster Preparation

    i'm really curious as to whether this RN was following a provider's orders when she administered the vaccine this way. I hope so, and I hope the provider had a solid
  16. cayenne06

    Performing vaginal exams

    cayenne06 replied to perfexion's topic in Ob/Gyn

    Haha, this is true! I am a student CNM at a very large tertiary hospital, and I LOVE that the residents are there to have my back if the SHTF. I am also an RN at a teensy community hospital, and the...
  17. cayenne06

    Tips for surviving working nights as an L&D nurse

    cayenne06 replied to gelibean's topic in Ob/Gyn

    I work nights by choice in L&D, and yes- it can be feast or famine! I've spent MANY a night propping my eyelids open, watching tv, waiting for 7am. I actually prefer it when we are super busy,...
  18. cayenne06

    Are these things a CNM would do?

    cayenne06 replied to JJ1994's topic in Certified Nurse-Midwives, CNM

    I would discourage you from becoming a women's health provider in ANY capacity if you are not willing to counsel on and provide "artificial family planning." I am sure there are plenty of women who...
  19. cayenne06

    Do I check BSL if MO order dexomethason? if so when?

    cayenne06 replied to ilbe's topic in Patient Medications

    you should have orders if you are supposed to check BSL (sugars, i am assuming? I am bad with acronyms sometimes!). I would call your MD to
  20. cayenne06

    SCARED-stopping meds that make me a good RN

    cayenne06 replied to cassidyshea's topic in General Nursing

    Wait a second. This sounds like you are saying she shouldn't work when she is taking her adderall as prescribed. Is that what you meant? OP, I agree with previous posters. I would bring this to your...
  21. cayenne06

    Half a flu shot for patients on immunotherapy? Seattle, WA

    cayenne06 replied to kathyn1027's topic in Disaster Preparation

    hmmm. I know that half doses have been theoretically shown to be effective (in studies assessing best guidelines for flu vax shortages). HOWEVER, we know that an immunocompromised person would already...
  22. cayenne06

    Conflicted ED Nurse

    cayenne06 replied to purple_zen's topic in Ob/Gyn

    I agree! If your hospital will allow you to transfer after just three months in one department, I'd go for it. Otherwise, stick it out and transfer as soon as you can! L&D is the best nursing...
  23. cayenne06

    Fair?

    cayenne06 replied to RookieRoo's topic in General Students

    yeah, i'm usually on team 'suck it up," and I also do not usually think "fairness" is a good argument by itself, if that makes sense. But what the teacher is doing doesn't make sense from an academic...
  24. cayenne06

    Nursing diagnosis for a mother that smoked during pregnancy and is continuing to smoke

    cayenne06 replied to kjnurse11's topic in Nursing Student Assistance

    So think about your hierarchies of need- ABCs, Maslov's, etc. What is the TOP priority(ies) in this situation? This answer might be different, depending on if your patient is the M/B dyad or just the...
  25. cayenne06

    SANE nurses in the ED

    cayenne06 replied to elkins6's topic in Emergency

    Where I live, there are a handful of RNs/APRNs who are SANE trained, and they rotate call to cover all the local hospitals. IIRC, it is a volunteer position, or if there is compensation it is just a...