cayenne06 MSN, CNM

Reproductive & Public Health

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All Content by cayenne06

  1. cayenne06

    Break Room Ideas

    cayenne06 replied to kms6417's topic in General Nursing

    Hmmm. . .I would start by taking a good look around and removing all unnecessary "stuff" in the room. Do the nurses have to keep their personal stuff in the break room, or do they have a locker room...
  2. cayenne06

    Unseen "resident's"

    cayenne06 replied to Missingyou's topic in Medical Assistant, CNA/MA

    I used to work at a ritzy boarding school for teenagers with mental health needs. The facility was an old ski resort, and most of the staff reported "encounters," especially late at night. I never...
  3. cayenne06

    Med error or not?

    cayenne06 replied to Sub brunch's topic in Health, Stress Management

    Rule of thumb, call the provider when in doubt about a med. Of course, it is easy for me to say that because our providers are accessible and friendly. Working in a situation where you do not have...
  4. cayenne06

    Med error or not?

    cayenne06 replied to Sub brunch's topic in Health, Stress Management

    Was it a scheduled med or prn? Did the provider know the patient declined the scheduled dose? I don't know the specifics of the situation or your facility's policies, but for us, we are allowed to...
  5. cayenne06

    Wild Day

    cayenne06 replied to HikingEDRN's topic in Emergency

    Oh yes, our floor (LDRP) has been SLAMMED since the holidays. Yesterday I was doing a c/s 15 minutes after I walked in the door, followed by a major bleed (same patient) that had me covered up to my...
  6. cayenne06

    Low station, closed cervix

    cayenne06 replied to daniellehue's topic in Ob/Gyn

    Yes, a baby can be low in the pelvis with a long and closed cervix. This is actually not uncommon. The lower uterine segment can stretch to accommodate the head without any cervical change. The entire...
  7. cayenne06

    concept map? risk for ineffective breastfeeding r/t knowledge deficient

    cayenne06 replied to medic978's topic in Nursing Student Assistance

    NANDA is crap. This whole nursing diagnosis thing is CRAP. You will use it in school, and then when you enter the real world, you will probably only ever see a "nursing" diagnosis on preprinted care...
  8. cayenne06

    How to find out insurance reimbursement rates by CPT code

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

    And THIS is a big reason why health care costs are out of control in this country. Not only are consumers prevented from finding out exactly how much a hospital or provider charges for a service, the...
  9. cayenne06

    help me

    cayenne06 replied to khatem's topic in Nursing Student Assistance

    Come on, don't phish for answers on allnurses! Look in your books, research articles, come up with an answer yourself. If you have questions about the process or aren't sure of your answer, then look...
  10. cayenne06

    Ever had your coffee confiscated?

    cayenne06 replied to Chisca's topic in Dialysis, Renal, Urology

    JCAHO, how I love you. But seriously, who takes their coffee into patient care areas? That seems seriously unprofessional. I mean, when I work in the clinic I keep my coffee on my desk, and I *do*...
  11. cayenne06

    Practicing Out of Scope

    cayenne06 replied to DorselFin's topic in Patient Safety Issues

    AWHONN agrees with you:...
  12. cayenne06

    Nurses Who Smoke Marijuana

    cayenne06 replied to NenaRK's topic in Nurses Recovery

    1. Marijuana should be legalized on the federal level for recreational and medical use. Marijuana is less harmful and less impairing than alcohol. The war on drugs has had an overwhelmingly negative...
  13. cayenne06

    Asking for time off before job offer

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

    I've never had a problem with this before. Just be upfront during the interview or after they offer you the job. I had a cruise booked in April 2013, and took a new job a few months prior. As far as...
  14. cayenne06

    ovarian cysts

    cayenne06 replied to icurn33's topic in Ob/Gyn

    An acute abdomen from any cause can cause constipation because of the inflammatory effect on the bowel and/or pelvic nerve plexus. As far as advising a patient to wait it out, take laxatives, or seek...
  15. cayenne06

    What to do in this situation?

    cayenne06 replied to missmollie's topic in General Students

    Another, non-legal concern is that this woman is not an RN- she is the mother of a special needs child. The way she changes dressings and provides other nursing care may not be in line with the...
  16. cayenne06

    Baystate Midwifery Program Grads

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

    Well, you aren't eligible to sit for ACNM boards unless you have a master's degree, so I am assuming you are asking if the Master's in Midwifery you get (through Phil U, which you do concurrently with...
  17. cayenne06

    Should we teach unlicensed caregiver . . . . .

    cayenne06 replied to Spidey's mom's topic in Hospice, Palliative

    The reality is that lay people give IM injections all the time. It's an easy skill. Would you feel differently if it was the patient's spouse you were teaching? I understand that they are not really...
  18. cayenne06

    Sexual Dysfunction-Care Plan

    cayenne06 replied to meelgo14's topic in Nursing Student Assistance

    I really think you need to look for another diagnosis. Her sexual health is very important, but it can't really be addressed until she is ready to resume coitus. Is she is having her ovaries removed?...
  19. cayenne06

    You want us to do what?!?

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

    And yeah, 11 bucks an hour is shameful for an LPN. If you are being paid so little, how much do the unlicensed staff
  20. cayenne06

    You want us to do what?!?

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

    That is weird. I think you are right that the docs would be just as uncomfortable with this as the nursing and support staff. What the hell? I love my docs, but generally speaking, the "higher ups"...
  21. cayenne06

    A wetting epidemic!

    cayenne06 replied to fetch's topic in School

    I love my current jobs but boy do i ever miss school nursing! I worked in a boarding school for high school kids with mental health disorders, and those kids were damn creative in their excuses to...
  22. cayenne06

    PCA job for high school student

    cayenne06 replied to AriMer24's topic in Patient Care Technician, Assistants

    You do NOT need any sort of cert to work as a PCA. Being CPR and first aid certified might look good on your resume, though. My daughter has ataxia telangiectasia, and we hired an awesome high school...
  23. cayenne06

    Gtube Feedings Help please!!

    cayenne06 replied to RegenerativeNurse's topic in Private Duty

    My biggest advice is just to relax- g tubes are very easy to manage, and administering meds through them is no big deal. Your MAR should specify flush amounts- at least mine did when I did home care....
  24. cayenne06

    Cheapest NP Program ... period

    cayenne06 replied to Oakley44's topic in Student Nurse Practitioner

    Hmmmm. NP schools are not cheap. One option to manage cost is to get an MSN online through western governor's (cheap as HELL if you are self motivated, because you can take as many classes as you want...
  25. cayenne06

    chronic illness and the dreaded school physical

    cayenne06 replied to wayward_pitbulls's topic in General Students

    No worries. They won't deny you acceptance based on these issues. I doubt your bipolar med will show up on a drug screen, but if it does, a letter from a PCP is all that is needed. People with...