cayenne06 MSN, CNM

Reproductive & Public Health

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All Content by cayenne06

  1. cayenne06

    Applying for position on M/B but I have a question

    cayenne06 replied to RNinC's topic in Ob/Gyn

    I wouldn't mention your kids on your resume in that context. You are right, personal experience is very helpful but it is not resume-worthy. The majority of nurses have children, so to me it would be...
  2. cayenne06

    New l&d nurse clinical decisions

    cayenne06 replied to L&Dhopeful's topic in Ob/Gyn

    It can be helpful to print out your protocols for things like pitocin drips for easy reference. I work as an RN in LDRP and I am a CNM student, so i see the issue from the provider and the RN...
  3. cayenne06

    Live the dream or Crush the dream

    cayenne06 replied to alltheway2013's topic in Certified Nurse-Midwives, CNM

    I just want to say that this has not been my experience. Yes, if you are talking about home birth/birth center midwifery, it IS easier to make a living in areas of higher SES. But most CNMs work in...
  4. cayenne06

    Attachment issues

    cayenne06 replied to abudde6's topic in Ob/Gyn

    yes, you learn to keep some emotional distance from your patients, no matter what specialty you are in. I'll admit though, I had a cord prolapse a couple weeks ago with a very bad outcome, and it is...
  5. cayenne06

    BSN Student Interested in Abortion Care as a R.N.

    cayenne06 replied to GBRKG122's topic in First Year After Licensure

    Yes! Try to get your foot in the door at planned parenthood. You can search their website for intern/volunteer positions. Unfortunately, most nursing (and medical, APRN, PA etc) schools do not offer...
  6. cayenne06

    Possible to do both?

    cayenne06 replied to coleyoley's topic in Ob/Gyn

    If neonatology is your passion, go for that. You can also go back to school for another certification at a later date, but the jobs of a CNM and a NNP have very little overlap, so it would be very...
  7. cayenne06

    Postpartum DVT nursing interventions

    cayenne06 replied to MissChloe's topic in Nursing Student Assistance

    Well, aspirin is sometimes used as a prophylaxis, but my understanding is that it is not used as a treatment. Methergine is not indicated in this situation. Usually with a superficial thrombosis,...
  8. cayenne06

    ED techs to start IVs?

    cayenne06 replied to montecarlo64's topic in Emergency

    Things like injections, IV starts, catheters. . . these are all just manual skills. You don't need a license to perform a procedure like that, as long as you are properly trained, delegated and...
  9. cayenne06

    Poopy Pants in PreK

    cayenne06 replied to amnesiac1c's topic in School

    I have to say, I would be LIVID if I found out my child had sat in poopy clothes for the 30-60 minutes (or MORE! If I was at work it might take me 90+ minutes!) it takes for me to get there. What is...
  10. cayenne06

    PDN and Pregnancy

    cayenne06 replied to MrsICURN14's topic in Private Duty

    Can you get FMLA paperwork to allow you to not to 3 shifts in a row? Or can you move to PRN status for the duration of the pregnancy? Another thought- I work an hour from home, and sometimes when I am...
  11. cayenne06

    Nursing jobs with animals

    cayenne06 replied to ncgirl77's topic in General Nursing

    Hmmmmmm. My first thought is something related to child
  12. cayenne06

    Help!!!!! What is the priority in sickle cell cris?

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

    yep, and you can also use your common sense to guide you in these situations- obv you can rule out #4 without much thought. An IV is going to be needed to administer analgesics in a timely fashion...
  13. cayenne06

    Risk for Falls expected outcomes

    cayenne06 replied to NUNS2016's topic in Nursing Student Assistance

    i'm a few years out of nursing school, but i think outcomes AND goals need to be quantifiable/measurable. I could be wrong, but I think your GOAL would be "pt will not fall during xxx time frame" and...
  14. cayenne06

    How often do you give Morphine 4mg SUBCUT to a L&D mom?

    cayenne06 replied to christinaaaamarie's topic in Ob/Gyn

    Yes, we give morphine IV and IM for therapeutic rest- depending on the patient, maybe 5mg IV and 5-10mg IM at the same time. Opioids can be "bad" for babies in that they can depress respiratory...
  15. cayenne06

    Laboring Morbidly Obese Women

    cayenne06 replied to Davida67's topic in Ob/Gyn

    It is challenging to do continuous monitoring on very obese women. Strategy #1 is to use intermittent auscultation (listening through and after one contraction every 15-30 min depending on stage of...
  16. cayenne06

    Thoughts on guideline references?

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

    I LOVE uptodate. I also have epocrates and some other apps specific to my specialty (STI tx guide, pap smear guidelines etc), which are invaluable. I would not personally use a printed book as a...
  17. cayenne06

    Should I take a job that pays less in order to be home at night with my child?

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

    I wouldn't take a huge pay cut just to be home with my kid. Yes, they are only young once, but your schedule actually allows you to be home way more than many working moms. That being said, it sounds...
  18. cayenne06

    care plan for constipation

    cayenne06 replied to pukachu's topic in Nursing Student Assistance

    these topics never fail to make me chuckle. Come on ladies, aren't we all dying to do the poster's
  19. cayenne06

    Pathway to get to CNM

    cayenne06 replied to redhead512's topic in Certified Nurse-Midwives, CNM

    I will echo the previous posters- it is HARD to get into L&D. I also do not think L&D experience makes you a better CNM or makes it easier to integrate into CNM school. It can be difficult...
  20. cayenne06

    RN student considering CNM

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

    I am a CPM, an RN in LDRP, and a student CNM. Midwifery is one of the hardest jobs out there. It is emotionally draining, the hours are terrible, and because of the nature of obstetrics, a bad...
  21. cayenne06

    How old were you/how long did it take?

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

    I started my career as a certified professional midwife, licensed in Florida. I graduated at 23. For many, many reasons I decided to go back and become a CNM. I graduated nursing school at 29 and am...
  22. cayenne06

    California Guidelines...

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

    I am confused. Are you already a
  23. cayenne06

    "the 3rd degree" with report and other rude behavior

    cayenne06 replied to amzyRN's topic in Patient, Colleague Relations

    Report can be tricky, because unit culture does play a large part. We use designated report sheets which help standardize things. I have one coworker who is like that sometimes. If she asks me stuff...
  24. cayenne06

    Needing opinions

    cayenne06 replied to manda.xo's topic in Canada

    Go back to your student handbook. It should spell it out for you quite clearly. In my (CNM) program, we need an overall grade of >80% (nope, 79.5 is not good enough, no rounding) to pass. You also...
  25. cayenne06

    Consent form

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

    Informed consent is the provider's responsibility, full stop. As an RN, you can provide clarification, and I absolutely believe that an RN is morally and professionally obligated to ensure that the pt...