Latest Comments by Jolie

Jolie 26,359 Views

Joined Oct 17, '01. Posts: 9,470 (48% Liked) Likes: 13,427

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  • 0

    Did you utilize FMLA when you went on maternity leave?

    FMLA allows employers to recoup the cost of benefits paid on behalf of an employee on FMLA if she does not return to work in a benefits-eligible position for a specified length of time following FMLA.

    This is to protect employers from shelling out substantial amounts of money towards benefits for employees who really have no intention of returning to work following a leave. Not all employers pursue this, but the law allows them to do so. Human Resources can let you know the likelihood of your employer requesting a pay back.

    If your leave was not FMLA, but rather based on a maternity leave policy then you will have to check with your employer to learn their policy.

  • 7

    Quote from medsurg4ever
    Hello all,

    I am not a nicu nurse, I work with the elderly mainly on med surg. I have so much respect for what you nicu nurse do on a daily basis. i am posting here because I would like to know your opinions on this matter. Some background, my niece was born at 25 weeks, weighed under two pounds at birth. Had 2 bouts of NEC, was resolved with antibiotics never needed surgery.

    My niece at two months of life was given three vaccines one day apart, dtap, hib and ipv last week on mon, tues and wednesday. on the overnight shift Saturday sometime after 1 am she went in distress, 02 desats, bradycardia and low bp's, she had previously been stable, on what looked like nasal canula, i'm not sure what you would call it but she definetely wasn't on cpap or vent. She needed to be intubated and they were never able to stabilize her, she passed saturday late afternoon.

    I had no idea that vaccines would even be offered so early as she wasn't even at her due date. Is this common practice? The doctors deny this could be related to vaccines as it was several days after the fact. the autopsy isn't complete but didn't show anything wrong with her gross anatomy. Your opinions, could this be vaccine related? And on a personal level, would you consent to these vaccines if it were your own child, a 25 weeker at day 60 of life?

    Please tell me I'm wrong
    My heart breaks with yours. As a NICU nurse and mom of 2 former preemies, I know that there is nothing more agonizing than the deterioration of a baby believed to be stable.

    We are unable to provide answers to medical questions, but I can tell you that the vaccine schedule you describe is fairly standard, and in my experience, not linked to complications. Please accept my prayers that your family finds understanding and comfort.

  • 1
    AliNajaCat likes this.

    Quote from KarenMS
    What makes you think troll? Probably just made an account to post because he/she was stressing and then forgot about it.
    I wasn't referring to the OP, but to the post from brpeifer, directly above me. Sorry for the confusion.

  • 2
    jsfarri and brownbook like this.

    I value patients being able to rest, but would manipulate pillows & blankets enough to be able to visualize an IV site, even if it meant disturbing the patient. I believe an hourly check is standard.

  • 2
    AliNajaCat and KindaBack like this.

    New member, joined today, first & only post. Troll alert?

  • 0

    Quote from mindywright3
    I'm not a nurse yet, but I just wondered, how do you differentiate between menstrual cramps and cyst pain? because the treatment would differ. I can't imagine prescribing exercise for cyst pain and I remember not only missing school for it but even as an adult, having to leave work because of it. ironically I have minimal menstrual cramping...But I'd think elementary and middle school aged girls would have a hard time telling the difference. I'd be leery of recommending exercise without a history. but again! I'm not a school nurse. Just learning!

    Having had both, it is my experience that there is no similarity between the 2 kinds of pain. I am also not familiar with ovarian cysts being common in school-aged girls, but I may be wrong about that.

    I don't recommend extreme exercise, but encouraging a young lady with moderate to severe period pain to do normal gym class & athletic practice is difficult, although usually quite helpful.

  • 1
    sergel02 likes this.

    Few nursing tasks are as challenging than giving shots to frightened, uncooperative children. Gather your supplies, get as much help as possible distracting & holding the child, and get it done as swiftly as possible. Your technique may not always be picture perfect, but it is unlikely that any harm will come from forgetting to z track or injecting into pinched tissue. The child received the intended vaccine. Consider that a win.

  • 3
    grammy1, kschenz, and NutmeggeRN like this.

    Are you able to administer parent-provided OTC meds with physician & parent approval? If so, I encourage young ladies & their parents to set this up.

    As unappealing as it sounds, exercise can be very effective in minimizing cramps. That's a tough sell when they are feeling so bad, though.

    Otherwise, how can you go about requesting changes to your practice manual? It seems absurd to take away effective, no-cost, non-medicinal alternatives.

  • 10

    I don't understand how this is a nursing issue. It does not involve assessing the student's health, planning nursing interventions, administering medications or treatments or evaluating outcomes.

    It sounds to me like this is an educational/behavioral issue that is essentially being addressed by allowing the child to have a "security" object, and is appropriately handled by the teacher/counselor.

    The only concern that is even remotely health related is the cleanliness of the ring. The teacher can manage that, just as s/he keeps other classroom items clean.

  • 2
    SmilingBluEyes and Sour Lemon like this.

    If you apply for licensure by endorsement, you will be required to disclose any action against any license you hold in other state(s). It is up to the new state to investigate and determine whether to issue you a license to practice as well as any limitations to that new license.

    I wish you well.

  • 2
    SororAKS and Spidey's mom like this.

    We apparently agree that "For profit is not automatically a conflict of interest."

    There is nothing inherently bad about earning a profit, nor is there anything inherently good about non-profit status.

    It is entirely possible for a well-run for-profit entity to better serve society than a non-profit counterpart, and vice versa. We could give examples of both.

    This thread is not about insurance, so I won't go on that tangent, but I believe that the for-profit or not-for-profit status of a healthcare entity often has less to do with the affordability of a product or service than the method of payment, location, competition, etc. There are multiple factors that impact the cost and availability of needed healthcare.

  • 1
    SororAKS likes this.

    Quote from SororAKS
    The For Profit motive creates an automatic conflict of interest in healthcare.
    How so?

  • 2
    OrganizedChaos and poppycat like this.

    I learned that our State Board of Nursing provided a non-existent website address for our semi-annual license renewal.

    Can anyone here point to a single example of a governmental agency getting anything right?

  • 10

    I'll preface this by saying that I'm home with a sick child who's beginning to feel better and looking for every possible excuse not to do the work that I should be doing. I ran across this article and it has me shaking my head. Clearly the staff screwed up and owes this mother an apology as well as a visit to address her concerns. But her comments seem a bit over the top.

    To summarize, Mom took her 4 month old son to an urgent care at approximately 7:00 pm because he had a cough and she hoped to get a chest x-ray. They were placed in an exam room and told the doc would see them in about 10 minutes. She fed the baby a bottle, changed his diaper and realized that 1/2 hour had passed without seeing anyone, so she opened the door to find that the clinic had closed and they were alone in the building. She broke down crying and called her mom-in-law, according to Inside Edition. While attempting to leave the building, she set off an alarm, which caused her to panic. Fortunately, a cleaning crew let her out of the building where she was met by security.

    "It was terrifying just to know you are alone in there. My son was having trouble breathing. What if I was back there and he would’ve stopped breathing? No one was there. It angered me. I’ve worked in the nursing field and how do you forget about a patient?” she told Inside Edition. Kason didn't received treatment and spent the night crying, Lewitt told KOMO.

    A photo apparently taken on her cell phone depicts an apparently healthy, sleeping baby in a car seat.

    She states that she can't excuse the mistake that left her and her sick son abandoned in the dark.

    The urgent care released a statement indicating that an investigation was underway.

    Mother and baby left inside urgent care clinic after it closed | Fox News

    If the mother genuinely believed the child's health to be in danger, why didn't she leave the building and head straight to the ER? I agree the staff screwed up big time, but this mother's dramatic statements are a bit much, not to mention that she has already given interviews to at least 2 media outlets. I guess everyone wants their 15 minutes.

  • 2
    poppycat and mrsboots87 like this.

    Do I understand that the patient noticed lip swelling at home, went to the pharmacy where he received Phenergan, and that after he took the medication, his lip swelling worsened? You then treated him for presumed anaphylaxis when he came to the clinic for routine lab work? The epi you gave him did not bring about improvement of his swollen lip?

    He did not develop other signs or symptoms of respiratory distress such as tongue or facial swelling or difficulty breathing. You don't mention vital signs or other aspects of physical assessment. Did he c/o dizziness, weakness, have itching or a rash? Was he tachypneic, hypotensive?

    Is it possible that his swollen lip may not have been caused by an allergic reaction?