Latest Comments by Jolie

Jolie 30,510 Views

Joined Oct 17, '01. Posts: 9,599 (48% Liked) Likes: 13,942

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  • 1
    NutmeggeRN likes this.

    This sounds a lot like home health nurses who set up weekly meds for clients to self administer or family to give at home. I don't think it amounts to dispensing, but I guess your BON should answer that.

  • 3
    GmaPearl BSN RN, OldDude, and Flare like this.

    To my knowledge, no. My daughter attends school out of state and we asked about this before she moved, because she takes a number of prescription medications. As long as your state pharmacy board allows scripts from out of state prescribers to be filled (and hers does), I don't believe there is any legal restriction on school personnel administering them.

    As a practical matter, her local doctor asked us to find a physician near her school to co-manage her care in the event that she has a change in condition, because she is halfway across the country and will only be home over holidays, but the new physician has not re-written any of her prescriptions. She is utilizing refills from the original RXs written by her doctor at home.

  • 1
    VivaLasViejas likes this.

    If anyone here would like a good perspective on the categorization of psychiatric meds and the attached stigma, I highly recommend reading "A Spectrum Approach to Mood Disorders" by James Phelps, MD.

    He also maintains a website with much of the same information. I wish I had been introduced to these concepts years ago.

    PsychEducation | Treating the Mood Spectrum

  • 1
    Kooky Korky likes this.

    Quote from morte
    the bible does not discuss abortion, never mind negatively. and it did exist in those times.
    The Bible does not discuss bombs made from fertilizer, the use of airplanes as weapons of mass destruction or gas chambers, either.

    We are taught "Thou shalt not kill..."

    I'll agree to disagree, but have no doubt that the aforementioned Commandment refers to the willful destruction of innocent life, regardless of the means.

  • 0

    Quote from Euro_Sepsis
    Should Trump-voting parents be worried about the care you'd provide for their child in the NICU? Because what you're saying is about as retarded.

    I appreciate the "gist" of your post, but ask that you please refrain from using the word "retarded". It is highly offensive to individuals with intellectual disabilities and to all those who understand their tremendous worth and value in our lives.

    Furthermore, individuals with special needs do not deserve to be compared to posters on this website who spew hateful, unfounded rhetoric about those with whom they disagree politically.

    A clear example of those who expect tolerance refusing to exercise it.

  • 8
    Mini2544, ponymom, Scottishtape, and 5 others like this.

    Quote from ThePrincessBride
    I would be worried that a trump voter would provide sub-standard care to people he or she deemed "undesireable" aka minorities, non-Christians, members of the LGTBQ community, foreigner, disabled people....basically non-Wasps.

    As a supporter of our President, I assure you that there is no human being whom I believe to be "undesirable" or unworthy of my care.

    That you have expressed such a thought concerns me.

    Those who attack others are often revealing their own biases.

  • 4
    NutmeggeRN, TriciaJ, ruby_jane, and 1 other like this.

    Sounds like the parents don't want to have to drive their little darling to an appointment, or *gasp* have the child miss an after school extracurricular activity in order to address a condition serious enough to require PT.

    As I explain to parents, the role of the school nurse is to enable children to attend and fully participate in school who would not otherwise be able. Only if this child's condition would prevent him from regularly attending and fully participating during the academic school day would I allow on-site PT by an outside provider. And only with the building principal's OK.

    I suspect this is a matter of parental convenience, not medical necessity. The PT can visit with the child at home after school.

  • 1
    sammygkicks likes this.

    Quote from sammygkicks
    Hi Everyone,
    Which option is best for me? What are the pros and cons of each option I could take?
    Thank you very much for your time!
    I am always puzzled with questions like these. How can a group of strangers on the internet possibly know which option is best for you? Or what the pros and cons of each option are?

    What research have you done? Other than finding an employer willing to pay for your additional education ASAP, what is important to you: Pay, benefits, orientation program, mentoring, shift availability, size of hospital, distance of commute, proximity to family & friends, geographic location, availability of Master's level programs in the area, etc.....

    What clinical area do you plan to practice, and what are the opportunities for this specialty in each of the agencies you list?

    These are questions that you will benefit from answering for yourself. Good luck in your search.

  • 2
    WineRN and LibraSunCNM like this.

    Quote from unexpectedllama

    My confidence is wavering since I feel I blew it this time around and should've already called him out on it - still very new at this!
    This part of your post bothers me. Why does a questionable screening effect your confidence, and why would you "call out" a 10 year old who didn't respond as you expected to a vision screening?

    There could be a thousand reasons for a child to fail to read an eye chart, ranging from boredom, to feeling uncooperative, to embarrassment over poor letter recognition, to trying to act cool in front of classmates, etc., etc., etc.....It is even possible that he really CAN'T read the letters due to visual changes that may accompany rapid growth or the unrecognized onset of a health problem like diabetes.

    Please gather as much information as possible from his teachers, re-screen him compassionately and in private, and if necessary, have a gentle conversation with him explaining your concern for his well-being, and need the need to contact his parents.

    None of this reflects on you. Please set your confidence aside and keep your focus on your student.

  • 0

    You left your original job under agreeable circumstances, have worked successfully at a second employer for 3 years, gaining substantial skills and experience to the approval of the nurse manager who is now hiring to fill a vacancy. She offered you an interview.

    While it is understandable for you to be nervous about applying and interviewing for a position with your former employer, much has changed since you left 3 years ago. The manager has already reassured you that you are being considered favorably.

    Please set your insecurities aside, and move forward, not back. STOP questioning people, checking your eligibility status, or asking human resources for advice. In all honesty, if I were the nurse manager or human resources representative responsible for your application, I would question repeated contact from an apparently qualified candidate seeking reassurance. It would make me wonder if there is some skeleton in your closet that I should be trying to unearth.

    Please be patient and work thru the process. Good luck.

  • 22
    canoehead, marie.rn2419, kmd1005, and 19 others like this.

    If her presence there is truly to learn, she would ask patients for permission to attend their sessions, keep her phone and all other distractions in her own office, and merely observe without making a sound. She would save any questions to ask you in private after the patient has gone. And she would need to watch only 1 or 2 sessions to glean all the information she could possibly need.

    Otherwise, I would question her motivation.

    You can always speak to the patient confidentially, let her know that she has every right to refuse your supervisor's request, then show your boss the door when the patient expresses a desire for privacy.

  • 2
    Here.I.Stand and Anonymous865 like this.

    Quote from Jory
    I'll be honest, at 19 your daughter needs to make/cancel her own appointments. I have always found it strange when parents get involved in the healthcare of young adults that should be doing this on their own. If the receptionist even acknowledged your daughter had an appointment, that is technically a HIPAA violation.

    She did not go overboard, she did the right thing.
    UGH! Please inform yourself on HIPAA so that you don't perpetuate mis-information. It is NOT a HIPAA violation for someone other than the patient to schedule appointments.

    My daughter is an accomplished dancer. She has a history of performing with a well-known dance company. Her tenure with them ended last fall, but due to unexpected circumstances, she was invited to re-join the group on very short notice and tour this summer. She literally had to pack up and leave. I assured her that I would take care of her appointment.

    I'm not sure what you find strange about a parent assisting a 19 year old (who is unexpectedly unavailable) to cancel an appointment. Isn't that what adults do to help each other out occasionally?

  • 5
    WineRN, LibraSunCNM, BeckyESRN, and 2 others like this.

    We have a child advocacy agency in our city that handles every aspect of child abuse reporting. In the event that we suspect abuse, we simply call the agency and provide a safe place for the child to stay in the office until a representative arrives.

    That person interviews the student, documents injuries, alerts law enforcement, prepares reports and instructs us on the next steps. We are truly blessed to have this expertise available to us. Children are protected, they never have to repeat their stories, or be examined by multiple people, evidence is preserved and there is never any question who is responsible for reporting, or how to go about doing it.

  • 10
    PixieRN1, jdub6, Luckyyou, and 7 others like this.

    Am I reading correctly that the order references the partial pressure of arterial O2? I seriously doubt that you are monitoring paO2 outside the hospital setting.

    While you're getting clarification, you might want to ask that the order be written to reflect O2 saturation.

    I agree that you need to speak to the provider, but in the meantime, what can the parents tell you?

  • 0

    Quote from elkpark
    They lose their right to choose to leave the hospital and to refuse admission to a psychiatric facility if that is deemed necessary by the psych people who evaluate them after admission; however, as I stated (and as you stated), they don't automatically lose the right to make decisions about their treatment while in the hospital (or in a psychiatric facility -- the involuntary commitment laws only legally compel people to be detained for evaluation; they don't require that people participate in the evaluation, or permit people to be treated against their will without further legal proceedings).
    Involuntary commitment is intended to prevent the individual from ending his/her life (among other goals.)

    If a suicidal patient is not admitted, there is a high risk of death.

    If a suicidal patient is allowed to demand discharge, there is a high risk of death.

    If a suicidal patient is allowed to elect DNR status, there is a greater than "normal" risk of death, in part because even in a protective environment, some patients will find a way to inflict serious harm to themselves.

    For this reason, it makes sense to me that disallowing DNR status of a person on a suicide hold is an extension of involuntary admission and not denial of treatment decision making.

    I may just have to agree to disagree on this point.