Latest Comments by Jolie

Jolie 29,641 Views

Joined Oct 17, '01. Posts: 9,573 (48% Liked) Likes: 13,838

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  • 2
    Here.I.Stand and Sour Lemon like this.

    We can't possibly advise you as to what course your prospective college will accept. Make an appointment with the admissions representative or an academic advisor as soon as possible to get an accurate answer to your question. Good luck!

  • 0

    I'm not an NP, but work with a variety of mental health professionals in my current job. In our area, there is a great need for and serious lack of therapists trained in DBT. So much so that various professionals have come together to brainstorm ways of funding education for therapists willing to get the training and lead groups that would include each other's patients.

  • 0

    If I understand correctly, you began the process of applying for licensure in MA by endorsement 8 days ago. The agency received some of your documentation by overnight delivery yesterday morning, and you are frustrated that you don't have a license yet? I don't believe you are being realistic. I can't speak to the usual length of time for MA to process applications, but have applied in other states where several weeks was the norm.

    I wish you well.

  • 0

    Our ECMO team members have a minimum of 2 years NICU experience, then undergo pump training. When a baby is on ECMO, both the baby nurse and pump nurse are fully ECMO trained. I gather that is not the norm elsewhere?

  • 0

    You mention 2 students with milk/egg/wheat allergies. I don't mean to minimize your concern for the safety of these children, but I question how grab & go breakfast would be any more dangerous for them than the occasional donut day or classroom birthday treat that they probably endured all the way thru elementary school.

    Unless these kids are believed to be at risk for anaphylaxis from skin contact with these proteins, what precautions are needed, other than to make certain that they are offered alternative foods?

  • 0

    Frankly, I'd be more concerned about the advisability of mothers caring for withdrawing infants alone in private patient rooms, without immediate supervision and assistance.

    We've discussed here the challenges of rooming in for newly delivered women who are often in pain, fatigued, sleep deprived, stressed, etc. Add an irritable, crying baby with feeding difficulties and painful diaper rash, and I believe there is a significant risk of overwhelming mom, perhaps to the point of desperation.

  • 2
    RobbiRN and TriciaJ like this.

    Quote from HvnSntRN
    When I worked in Mother-Baby Care, we were not permitted to leave a drowsy mother alone with her newborn in the bed with her. If we set her up to breastfeed, we had to go in and check on them after 30 minutes. We didn't allow them to co-bed, but the baby was in a cot near the bed. We had pot lights installed above each bed so the mother could see her baby's complexion and become more easily oriented to her surroundings if she woke up (or was woken up) during the night.

    These are interesting precautions, but what would they have prevented in this situation?

    Checking on a baby every 30 minutes is about 25 minutes too long to prevent a suffocation.

    The mother in this case wasn't "co-sleeping" with her baby, she was sitting up to feed, and if she was exhausted to the point of falling asleep and smothering the child, I doubt that extra lighting would have mattered much.

    I agree this is a tragedy and my prayers are with all those suffering.

  • 2
    MaleICURN and SummitRN like this.

    Quote from dienw
    NCLEX pass rates are a poor way to evaluate a school. The NCLEX pass rate only tells you what percentage of their graduates pass the NCLEX. What you really need to know is what percentage of the people who originally enroll pass the NCLEX. Attrition rates in for-profit schools are generally high. If 95% pass the NCLEX but only 75% of the students who start actually graduate, that's not very good. Many schools, both for-profit and taxpayer funded schools give exit exams to manipulate the pass rate percentages. If you don't do well on the exit exam, you aren't allowed to graduate. This prevents weaker students from taking the NCLEX.

    The other thing you want to know is how many students graduate on time, not just graduate. The accrediting agencies consider on-time graduation to be 150% of the scheduled program duration. If you take 6 semesters to complete a 4 semester program, technically you are considered an on time graduate.
    This! Thank you for an excellent post.

  • 0

    Were his ears examined by either you or the physician immediately prior to the ear wash procedure? That would answer the question of whether the rupture occurred during the procedure.

  • 7
    TriciaJ, brownbook, Here.I.Stand, and 4 others like this.

    If you are offered a position of interest to you, take it, work hard, learn all you can, and hold your head up high when and IF you are required to resign due to your husband's service to our country.

    While I don't condone people taking jobs they have no intention of sticking with, your situation is different. You are motivated to do an excellent job for your employer for the time available to you. Furthermore, you have no real knowledge of when those orders may come. The last thing you want is to decline a job offer and find out 6 months from now that your husband's superiors have decided to keep him in his present job for another year.

    Thank you for your concern for your potential employers, but no decent person in their right mind would hold a future job change against you.

  • 0

    Quote from Orca
    You changed employers. You don't qualify for FMLA until you have been with an employer for a year.
    The OP indicated that she works for this employer in another location, so this job change is considered a transfer, not new employment.

    Even if it was an outright job change and new employer, that would not necessarily rule out some job protection at the time of delivery, depending on employer policy.

    FMLA requires certain employers to provide up to 12 weeks of unpaid leave for employees with at least 1 year and 1000 hours of service. That is the bare minimum. There are employers who offer more generous protection, such as extending FMLA to employees with less seniority than noted above, or allowing leave times longer than 12 weeks. That's why it is important to understand one's own employer's policy, which may differ substantially from the minimal required by federal law.

  • 5

    Please make an appointment with an advisor from the nursing program you wish to attend. Ask that person to help you schedule prerequisite classes and coach you on making a successful application to the nursing program when the time comes. Many programs admit students on a semi-annual or yearly basis, so not being accepted as an incoming freshman will not prevent you from being considered at other times.

    Good luck!

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

    Please make an appointment with an academic advisor at 2 or 3 colleges or universities that you would consider attending for your nursing degree. Ask them to help you plan your academic courses so that you will have prerequisites completed and be eligible for entry to their programs.

    Admissions to BSN programs are very competitive. It is best to be prepared to apply to more than one. SUNY may be your first choice, but having back-up options is a good idea.

  • 1
    TriciaJ likes this.

    Quote from MunoRN
    This is supposedly what we wanted, an insurance market that is at the whim of market survival-of-the-fittest...
    This is not a marketplace of survival of the fittest. If it were, insurers would be allowed (encouraged) to innovate by crafting policies that meet their customers' needs, desires and budgets.

    Food, shelter and clothing are universally viewed as basic life necessities. Yet when the government (by way of taxpayers) provides these things for people unable to do so themselves, the offerings are basic safety nets. And the government does not mandate that when self-supporting individuals CHOOSE to purchase these items for themselves they must meet specific standards. The lack of freedom of choice is one way in which Obamacare prevents survival of the fittest, rather than embracing it.

  • 1
    TriciaJ likes this.

    Muno, you are an intelligent and well-written individual.

    You can't possibly miss the irony of the argument you continually make that our previous catastrophic insurance plan was substandard because it COULD HAVE BEEN discontinued at the insurer's will, when the policies that ACTUALLY HAVE BEEN cancelled are the Obamacare compliant policies we carried in 2015, 2016 and again in 2017.

    Nor your explanation that our pre-Obamacare catastrophic policy did not include hospitalization (it did.) This year, our daughter had emergency surgery and a 3 day hospital stay. We are grateful that her condition was promptly and effectively treated with minimal expense. Because her covered expenses were billed at less than $15,000, our insurance paid nothing. We wrote checks totaling nearly $13,000, and are still battling with the insurance company over the final $300 for oral medications dispensed during her inpatient stay that they say should have been filled at a local pharmacy. So yes, given this scenario, we were much better off pre-Obamacare when we would have paid the first $5000, then cost shared to our OOP max. Pre-Obamacare, we paid about $1000 LESS in monthly premiums than we do now, another $12,000 in yearly savings.

    I'm amused by your repeated questions about my suggestions for making healthcare more affordable. We've done this dance before, so feel free to scroll thru the archives. My ideas haven't changed much over the years.

    My purpose for posting our family's experience is to call attention to the INDIVIDUAL MARKET, which few people, including many posters here understand. Obamacare is failing in virtually every respect, but no-where as fast and furious as in the individual market. The numbers change rapidly, but somewhere in the neighborhood of 60% of Americans who must purchase individual (family) insurance have no choice of policies or insurers. Imagine if every employer in a particular state was forced to drop insurance plans that they and their employees found satisfactory and instead enroll in a single, crappy plan with high costs and few providers. Then imagine that happening over and over again every year, with costs going up and provider lists shrinking until there was no plan left at all. And then imagine that those employees had to fully pay the premiums and out of pocket costs (upwards of $30,000 to $45,000 per year) with after-tax dollars. And then imagine if those employees with college age children attending school away from home had to purchase yet another insurance plan for those young adults because theirs provided no services (other than ER) for out of area care.

    This is what happens when people fail to understand that insurance is not the same thing as healthcare. At this rate, we will soon be among the growing ranks of people carrying very expensive insurance cards in their wallets that they can not afford to use. Or not. As our state insurance commissioner accurately predicts, next year's premiums may well be the breaking point for a majority of non-subsidized individual policyholders. We can no longer afford to pay for everyone else's healthcare before our own.


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