cayenne06 MSN, CNM

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

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

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 symptom, not the person". Ahem. Big Supplement is just...

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 obesity [5,14,15,23]. Thus, women with obesity can b...

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, which vastly makes up for the class fee. Not to ment...

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 is not for the faint of heart. However- WOW. "Th...

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 dedicated to the topic, misleadingly titled "Holisti...

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 with antioxidants and electrolytes. Our body maintain...

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 never know when there might be a narc discrepency, ...

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 you on board with insurance companies and teach y...

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 this, but I went ahead and inserted her IV cath... po...

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 important, keep it short and sweet. Half a page. Ot...

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

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 behind "saving money" with an APRN is paying you less...

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 her through the risks of removal, esp if it is an...

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 lol)

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. You'd still be making the report based on info you o...

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

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 with smokers who are recovering addicts and people wi...

Come work with us at Planned Parenthood ❤️

Yikes. That’s a bit harsh.

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 initiate a relationship with your school- i bet you wi...

How come? Because we provide abortions?

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 you. HIV pos patients are just like every one els...

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 every clinic is different), so I can only speak f...