cayenne06 MSN, CNM

Reproductive & Public Health

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All Content by cayenne06

  1. cayenne06

    Nurse Theorists

    Give us an example- what do you have listed next to florence nightingale, for example? What do you think are the defining themes of her "theory?" I find it helpful to apply the theories to actual case...
  2. cayenne06

    Pedialyte Order needed??

    Unless you have a prn for that, I would call the provider. And because the parents are concerned re: the vomiting, I think it would be appropriate to call, even if it is after hours. If you can't call...
  3. cayenne06

    Mass office nurse salary ?

    when I did office nursing, my base starting hourly was like 26-27, i think. But I was also working in a very economically depressed city- i think the wages might be better in the Cape? I would think...
  4. cayenne06

    Bachelor thesis; Neonatal Abstinence Syndrome

    As an aside, I recently came across my first IP patient with a medical marijuana card. The nurses insisted on doing finnigan scoring on the kid after birth, and she got all sorts of conflicting advice...
  5. cayenne06

    Bachelor thesis; Neonatal Abstinence Syndrome

    I do a TON of work with moms on MMT, moms who are actively abusing, and incarcerated moms. What direction did you want to take your thesis in? Patient education? Nursing interventions? Improving...
  6. cayenne06

    Am I doing this ALL wrong? Resume critique PLEASE!!!

    I would move the accomplishments down to the relevant job and list them as a 1-2 line bullet. I think it would also be helpful to streamline and "declutter" your skills section- no need to list things...
  7. cayenne06

    New Job in postpartum/advice?

    If I could only give one piece of advice, it would be to do everything you can to become fluent in breastfeeding support- it never ceases to shock me how many LDRP nurses are clueless about lactation,...
  8. cayenne06

    a question about a low oxygen saturation

    did she have an obstructive pulmonary disorder? These patients can become accustomed to low O2/ high CO2 and not show the degree of s/s that we might
  9. cayenne06

    Ebola - do you have the right to walk away?

    I would absolutely not refuse the assignment, assuming my facility could safely handle the case. If I didn't have two young children at home (and if I wasn't 8 months away from finishing my CNM...
  10. cayenne06

    I think I might have blown a vein?

    I learned to draw blood, start IVs AND do speculum/bimanual exams on my classmates! We all practiced on each other. Good for skill AND team building.
  11. cayenne06

    Lpn & limited growth ultrasounds

    My understanding is you have to be an ultrasound tech or a provider with verified u/s competency in order to perform any
  12. cayenne06

    Blood sugar guidelines for neonates

    I've seen many breastfeeding relationships be damaged with ridiculous blood sugar protocols. This is one of my hulksmash issues.
  13. cayenne06

    Do you always keep emergency meds on hand for deliveries?

    Pitocin is on hand at every birth. Cytotec is easy enough to keep on hand too, but I don't and neither do any of the providers I work with. But methergine? And HEMABATE? Hemabate is hella expensive...
  14. cayenne06

    CNM or OB-GYN?

    I also wanted to echo the previous posters. I chose midwifery because I wanted to practice midwifery, not obstetrics. I struggled with the CNM vs OBGYN thing too, and in the end it was clear to me...
  15. I agree 300%. Part of me wishes I had gone to nursing school right out of high school instead of pursuing my CPM and now finally my CNM, but the experience I got both in CPM school and as a practicing...
  16. cayenne06

    a difficult choice

    OMG, so much this. I have been a CPM since 2006 and will be graduating from CNM school (knock on wood) next May. This is a real and ongoing struggle for midwives who work in mainstream obstetrics. I...
  17. cayenne06

    "Frequent Flier" classification

    I'm an OBGYN nurse, but I did work as a school nurse at a boarding school for teens with mental health issues, so I think I have some experience in this area. From my work with these kids, it was...
  18. cayenne06

    Need help prioritizing NANDAs

    You always want to look at it from the perspective of the hierarchy of needs. This patient does not appear to have any current medical needs (based on my cursory read; i could be wrong), so addressing...
  19. The Journal of Midwifery and Women's Health is a good place to look, and of course AWOHNN. Don't forget to check the publications from other countries
  20. cayenne06

    An ethical dilemma

    I agree with the previous posters on all counts, but i also question why a rectal temp is standard for this type of admission. AFAIK most medical organizations recognize that temporal scanners can...
  21. cayenne06

    Why I think L&D nursing really is best and hardest

    I just want to say that I have only ever worked in LDRP/OBGYN. I feel like a fish out of water whenever I float, and I never do anything besides patient sitting or helping hands. I wouldn't know what...
  22. cayenne06

    All Men Shift

    Women, amirite? We're just so emotional, always on our periods or some
  23. cayenne06

    BREASTFEEDING

    I don't think advice about weaning can be called medical advice. That falls squarely under parenting advice IMO, unless there is a medical issue we don't know about. OP- congrats for nursing for so...
  24. This is SO not on topic, but I LOVED that my CNM program encourages us to use our smartphones. In nursing school, god forbid we so much as brought our phone on the unit. I get it, you don't want to be...
  25. Baystate Midwifery Education in Springfield Ma! The best midwifery school in the world. I might be biased, as I just finished my first year with them