cayenne06 MSN, CNM

Reproductive & Public Health

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All Content by cayenne06

  1. Uptodate is my constant companion. I also belong to ACNM and get their journal, and I have access to ACOG (through a kindly colleague, shhh don't tell). Am going to join NAF as soon as I get my act...
  2. cayenne06

    How to tell administration enough is enough

    So let me get this straight. You are responsible for running the hospital, AND you have a patient assignment? When I worked as a nurse, the supervisor was ALL over the place, putting out fires and...
  3. cayenne06

    Career going and confused

    Yeah, nursing is a 24 hour job. You gotta put in your time, get some experience. Keep looking for the jobs you actually want, but know that the well paying 9-5 jobs are extremely, extremely...
  4. cayenne06

    Getting mortgage as contigent staff?

    Just to throw a little unasked for and only semi-topical advice- if you are young and do not have children, you have a really good opportunity to sock away a significant amount of savings. Do you own...
  5. Absolutely. we are blessed to have access to diagnostic tools beyond just our hands-on assessment. And you are 100% correct that solid clinical assessment skills are the foundation of good practice,...
  6. cayenne06

    Omnicell error

    I brought home a half full, non-wasted vial of dilaudid once. Boy did that wake me up. And I agree-It is scary to think that a simple typo or machine glitch could put our livelihood on the line. I do...
  7. cayenne06

    Stupid things that nurses say

    Mine is bad. Realllly bad. Happened 10 years ago and I still cringe. It's really bad. I cannot believe I am sharing it. So I was working at an abortion clinic, doing recovery. I had been there about...
  8. cayenne06

    Doctor stole my stethoscope

    I have walked off with a coworkers stethescope more than once (I work outpatient OBGYN, so really only need it for the token heart & lungs at annual visits or whatever, for billing purposes (gotta...
  9. cayenne06

    Doctor stole my stethoscope

    Wow. I didn't realize I was so lucky in my experience. As a whole, the physicians I worked with have been relatively normal human beings. I've never ever ever experienced anything like what you are...
  10. Obviously this is a false dichotomy. No one is treating the patient without looking at the monitors, and no one is making assessments based on the monitors without evaluating the patient directly. I...
  11. cayenne06

    Millennials in the workplace

    Kids these days, I'm telling you. Back in my day I had to walk uphill in the snow, both ways, just to get an ibuprofen from the pyxis. Every generation says the exact same thing about the upcoming...
  12. cayenne06

    "stop isolating yourself"

    I can see both sides of this. Your coworker is correct; investing in strong interpersonal workplace connections benefits the team as a whole, and is critical for developing the rapport/connections...
  13. cayenne06

    New nurse: I get no respect

    No. Respect is a given. This isn't an issue of a new grad who is too big for her britches; it's just the same old story of workplace hostility. While you should of course do your best to foster a...
  14. cayenne06

    ED Nursing Notes

    I can guarantee I will be thinking in tweets when I chart tomorrow!
  15. cayenne06

    Death by schedule

    It may be legal, but it is unsustainable for most people. I did 5 nights a week (with 2 days off in between) for about 4 months, until my mental and physical health pretty much collapsed. I had zero...
  16. cayenne06

    hiring pregnant RN

    If there is not a legitimate reason to disclose your health status (like needing light duty or concern about contact with teratogenic chemicals etc), then there is nothing unethical or immoral about...
  17. cayenne06

    Need help

    Yes, this is a no biggie. A little comment in the appropriate box will
  18. cayenne06

    Am I a bully?

    Kids these days, amirite? Back in my day we had to walk up hill in the snow both ways just to refill our patient's water pitchers. *eyeroll.* This is the same thing every generation says about the...
  19. I am one of those APRNs with a "gravy" 9-5 job. Our organization has a couple CNM/NPs that take call after hours, but any routine follow up is done during office hours only. If an issue comes up with...
  20. Exactly why HR has NO right to know if a potential hire's drug screen is positive for a prescribed medication. I have also been in this situation when I was taking xanax a few years back. I submitted...
  21. cayenne06

    Clamping umbilical cords

    If it's not convenient to clamp at the umbilicus, I usually clamp long with a plastic cord clamp when the cord has stopped pulsating, then the nurse trims it up whenever convenient, sometimes while...
  22. cayenne06

    "I have a PhD, I know more than you do!"

    I agree to a certain extent, that there are issues surrounding non-MDs using the term "doctor" in a clinical setting. I always identify myself as a midwife (and it is on my badge), but my patients...
  23. cayenne06

    Possible to break Rn Residency contract

    I signed a contract with a strongly worded noncompete clause before I finished CNM school. I realized what a TERRIBLE idea the noncompete was, and also received an offer from the job I really wanted....
  24. cayenne06

    Essential oils

    general rule of thumb is you should be scent free at work. I don't think scented shampoo/conditioner is usually strong enough to cause a problem, but besides that I would avoid
  25. cayenne06

    Do you feel safe reporting errors?

    I am a CNM in a public health clinic, not a floor nurse. But I (and my staff) are very supported in reporting errors. My clinic is part of a larger affiliate, and our list of "reportable events" is...