Latest Comments by Jolie

Jolie 32,252 Views

Joined: Oct 17, '01; Posts: 9,616 (48% Liked) ; Likes: 14,043

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    Are hospital acquired surgical site infections reportable (by mandate) to any government or regulatory agency?

    Is there a means for a patient to self-report a hospital acquired surgical site infection, like a website or hotline, similar to the reporting system for vaccine reactions?

    Thanks for your expertise!

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    KelRN215 likes this.

    I'm sorry you didn't get the job you wanted, but I believe you are over-stating things just a bit.

    You said you were not interested in rotating shifts. That is a far cry from disclosing a disability. Plenty of nurses reject rotating shifts for plenty of reasons: they don't want to mess up their sleeping habits, they need to accommodate spouse's or children's schedules, they take public transportation which doesn't run 24/7, they want to be able to maintain other commitments like school, second jobs, volunteer positions, etc.....

    As a hiring manager, I would tend to assume a candidate was declining a rotating shift job for one of these reasons, not because of a disability.

    So please, rest assured you can move on with your confidential information. I doubt anyone in HR gave it a second thought.

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    kbrn2002 and NutmeggeRN like this.

    What is a "nut aware" school?

    I can think of a couple of working definitions that have nothing to do with food consumption.

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    Quote from BiscuitRN
    My 90-year-old little Irish grandmother swears that a Hot Toddy will cure any illness. She claims that once my grandfather had a fever, and when he drank a Hot Toddy steam came off of his head then his fever was gone. I just smile and nod because she's a sweet old lady.
    This little Irish woman agrees with your grandmother! And my hubby's name is Todd. So "Hot Toddy" just makes me giggle, whiskey or not

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    Meriwhen, rn1965, squishyfish, and 9 others like this.

    The first thing I noticed about this post was: "Patient is 21 years old tells the psychiatrist she has OCD."

    My thought: Starting off an initial visit with a new healthcare provider by informing the provider what one's diagnosis should be will probably not end the way the patient had planned.

    Secondly: Young adult psychiatric patients are often poor historians. I'm not being judgmental, just stating an observation. Including the patient's mother in the discussion was necessary for the physician to gain information as well as perspective. As a legal adult, the patient did not have to allow this, but without the mother's information, the physician may have chosen not to treat the patient, rather than attempt to do so with inadequate information.

    Thirdly: I find psychiatrists who don't automatically reach for prescription pads to be worth their weight in gold.

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    Please correct me if I'm wrong, but I understand that the OP chose to transfer care to the clinic where her former friend is employed after knowing that the former friend shared news of her pregnancy, yet wants to report the former friend for a non-existent HIPAA violation.

    If I were the manager of this clinic and the OP came to me with this story, I would respectfully decline to accept this patient. In the real world, there are clients who are simply not worth the trouble they bring to a business. This is one of those instances.

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    Quote from FolksBtrippin
    No such thing as "abuse" of your paid time off. You're not an abuser if you don't want to see a doctor.

    Take care of yourself.

    I agree that taking care of yourself is the key, and don't believe that seeing a doctor is the only way to accomplish that.

    What I do believe is that calling out (typically on short notice, when one is taking a mental health day) IS abusive if nothing is done to address the source of mental distress.

    So if you're staying home from work using sick time to sleep in, down a six pack, and watch Netflix, that's a different story than researching support groups, taking yoga, getting a massage or seeing a therapist.

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    Howej1, rn1965, VivaLasViejas, and 7 others like this.

    If your physical or mental condition prevents you from performing your job duties, then it is appropriate to call out sick. However, just as you would consult a healthcare provider for a physical illness, it is your responsibility to seek appropriate care for your mental health. If you fail to do so, you are just taking time off, which is an abuse of your sick time.

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    Please accept my answer in the spirit it is intended: as a practical response, not a harsh one.

    It doesn't matter a whit which rotation you do first. Not a single patient, faculty member or future employer will ever ask or care. Please don't stress yourself out over this non-issue, when there are so many real concerns in life.

    Good luck to you.

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    It sounds to me like neither the family nor agency are bothering to address a problem that is not yours.

    I have worked NICU in a number of different cities and was responsible for planning discharges. That often involved setting up homecare, including equipment and staffing. I don't ever recall a situation where we were unable to make arrangements in advance for designated parking, coordination with EMS, and guarantee of utility service for families with medically fragile children.

    If this isn't happening, I believe it is because someone isn't bothering to request it.

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    You need to contact the MD BON to clarify their requirement.

    Does the practice requirement begin upon graduation or upon receiving your initial license? Since you just passed NCLEX and received your first license, the continuing practice requirement may just be beginning, in which case you would be eligible for a MD license, providing everything else is in order.

    Or do they go back to your graduation date and begin the continuing practice requirement then, in which case, although your license is new, you have not met the requirement.

    If MD says that you do not meet the continuing practice requirement, you can either take a refresher course, or find a state in which you are eligible to practice and get 1000 hours under your belt before moving to MD.

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    Quote from cyc0sys
    If long 'press on finger nails' are required to complete your professional ensemble and paramount to your emotional well being, you might want to consider becoming a Medical Aesthetician. It would give you a great opportunity to work with patients, in a medical environment, who could benefit from your keen sense of style and fashion while allowing you to maintain your jazzy appearance.
    Frankly, I wouldn't see a medical aesthetician with long fake nails, either. The same infection control concerns apply here as in the in-patient setting.

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    rn1965, VivaLasViejas, Cricket183, and 1 other like this.

    You left the workforce to attend to personal and family matters and are now eager to return. Best of luck to you!

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    Quote from hppygr8ful
    Sure - my son is planning to go out of state which increases our cost. Even at 45K per year plus books and miscellaneous expenses that comes to 180K which is roughly in the mid range of what I stated. Thankfully the man cub is an exceptionally gifted athlete so we may attract some scholarship funds. I have attached one of the basic sources I used to back up my statements.

    What's the Price Tag for a College Education? - COLLEGEdata - Pay Your Way


    I absolutely agree that the full cost of attendance without financial aid or scholarships can easily reach $250K for college. Just wanted to clarify that figure is not for tuition alone, even at the most pricey institutions.

    Good luck to your son on his search