cayenne06 MSN, CNM

Reproductive & Public Health

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All Content by cayenne06

  1. cayenne06

    Aide Documentation - Rationale?

    cayenne06 replied to Katillac's topic in General Nursing

    They need to use more professional language. Tell them next time to write “ in the rear entry position.”
  2. cayenne06

    Birth Control and 12 Hour Shifts

    cayenne06 replied to sillymu's topic in General Nursing

    I have a mirena too. LOVE IT. Just got mine replaced this year
  3. cayenne06

    Positive pre-employment drug screen! What will happen?

    cayenne06 replied to Pmb's topic in General Nursing

    I know this is unrelated to the topic at hand but ummmmmmmmm. 25+ OTC supplements?! Why in the world. I love how alt med casts us as Big Pharma shills, pushing pills for profit and "treating the...
  4. cayenne06

    Birth Control and 12 Hour Shifts

    cayenne06 replied to sillymu's topic in General Nursing

    From uptodate (log on to see the citations if you are interested): "Although studies are limited, there is no evidence that any method of contraception is significantly less effective in women with...
  5. cayenne06

    My STRUGGLE With The NCLEX!!!

    cayenne06 replied to 00MissRN00's topic in NCLEX Exam, Programs

    Ughhh I am so sorry. I wonder if you should reconsider taking a prep class, see if there is a way to make it work with your budget. The quicker you pass the test, they sooner your income will rise,...
  6. cayenne06

    Methadone clinic job offer

    cayenne06 replied to CardiacRN#1's topic in Addictions

    You are right, in that it is a very challenging and emotionally draining field. Patients can be manipulative, demanding, difficult to engage with. Often with significant mental health needs. That work...
  7. cayenne06

    Multivitamins and supplements? My vent.

    cayenne06 replied to brownbook's topic in General Nursing

    This is my last hijack related to alt med- Oddly, this is a huge blindspot in the nursing profession. We are inexplicably accepting of pseudomedicine. Case in point- an entire forum on this website...
  8. cayenne06

    Multivitamins and supplements? My vent.

    cayenne06 replied to brownbook's topic in General Nursing

    Happy to see this conversation. Vitamins should be used to treat medical problems as indicated. Because they have actual pharmacologic activity in our body (duh, that's their whole purpose). Same...
  9. cayenne06

    Employment drug screening

    cayenne06 replied to VampireBaby's topic in General Nursing

    I always got tested for a new job as a nurse. But so far I've never been asked to test as an APRN. Not sure if that is a common experience. I've never worked at a place with random screens, but you...
  10. cayenne06

    New PMHNP

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

    I wish schools better prepared their students for the red tape of health care- billing, the credentialing process, dealing with insurance. It is very daunting. Your employer should facilitate getting...
  11. cayenne06

    Your most bonehead moment in nursing. Or 2. Or 3.

    cayenne06 replied to FolksBtrippin's topic in General Nursing

    OMG this had me literally laughing out loud. My worst one - Admitting a labor patient as a new nurse. She was in rip roaring labor and I was feeling the pressure... And, oh god I cringe to admit...
  12. cayenne06

    Mini Rant

    cayenne06 replied to ShadowNurse's topic in General Nursing

    Yes! I was just going to say that you need to make sure you have the best cover letter ever. Explain yourself, make sure it is readable and engaging and highlights you as an individual. And equally...
  13. cayenne06

    NP vs MA vs MD power struggle

    cayenne06 replied to Ria21's topic in Nurse Practitioners, NP

    Related question- are you credentialed with the insurance companies? Are you billing on your own at all? If not, well... thats not a good
  14. cayenne06

    NP vs MA vs MD power struggle

    cayenne06 replied to Ria21's topic in Nurse Practitioners, NP

    What do you mean by "see them with the doc"? Like, you both are physically with the patient at the same time? What is your role when you guys are in the exam room together? I mean the whole idea...
  15. cayenne06

    Clinical Question - IUD in 71 year old woman

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

    I honestly wonder if at this point it is better just to leave it in place. If she has had it for 30+ years without infection or obvious complications, seems safer to leave well enough alone than put...
  16. cayenne06

    Clinical Question - IUD in 71 year old woman

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

    I have learned to make a point of telling this to patients when they come in for insertion. Grasp the strings, and 1-2-3 done! (assuming its not embedded
  17. cayenne06

    Animal abuse

    cayenne06 replied to K8e's topic in Psychiatric

    I agree that it should be a mandated report, just like any other dependent abuse ? ugh. How awful. I'd want to make an anonymous report as well, but it doesn't sit quite right with me, HIPAA-wise....
  18. cayenne06

    Strange prescribing practices

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

    Monthly appointments for chronic medications?!?! That is setting the patient up for serious health
  19. cayenne06

    Smoking cessation-to lecture or not to lecture?

    cayenne06 replied to SquatsNScrubs's topic in General Specialties

    I usually just say "Are you interested in quitting or cutting down? No? Well, we are always here to help if/when you are" No judgment, no lecture, no pressure. I am especially conscious of this...
  20. cayenne06

    Sexual Health Nurse

    cayenne06 replied to capybara123's topic in Public, Community Health

    Come work with us at Planned Parenthood
  21. cayenne06

    Methadone clinic job offer

    cayenne06 replied to CardiacRN#1's topic in Addictions

    Yikes. That’s a bit
  22. cayenne06

    Abortion education in CNM programs

    cayenne06 replied to Greyiris34's topic in Certified Nurse-Midwives, CNM

    My school had one lecture about abortion techniques. No option to rotate clinically ? I take students all the time, I love it. You can always reach out to local abortion clinics to see if you can...
  23. cayenne06

    Help- Minute Clinic or Planned Parenthood?

    cayenne06 replied to Stephgriffin6's topic in Nurse Practitioners, NP

    How come? Because we provide
  24. cayenne06

    HIV patients

    cayenne06 replied to jessxrn24's topic in Patient Safety Issues

    Are we talking AIDs patients, or patients with HIV? HUGE difference. If you are caring for AIDs patients they are severely immunocompromised, and you are a much greater risk to them, then they are to...
  25. cayenne06

    Help- Minute Clinic or Planned Parenthood?

    cayenne06 replied to Stephgriffin6's topic in Nurse Practitioners, NP

    I work full time for Planned Parenthood. Hands down the best job i've had. Pay is lower than my other job offers, but i am soooo glad i took this position. Of course, every affiliate is different (and...