Mrs.B 1,211 Views
Joined Oct 9, '02.
Posts: 30 (3% Liked)
THANK YOU FOR THE COMMENTS
I Appreciate all your advice I am going to take tho position and give it my best shot. It is really great to be able to bounce questions off people who are not bias one way or another. I am looking forward to having a normal sleep schedule too.
Thank you all for taking the time to help me out!
Arwen, you made me remember something...the spot where i was thinking about having the meetings isn't part of the Ob unit. It's a teaching center where they have things like CPR classes, staff education etc. also the Lamaze classes are held there. It occurs to me that in order to get permission to have meetings there, I would probably be better off contacting the hospital administration directly and perhaps CCing the NM the letter.
Also, i'm glad to hear that there are some hospitals out there that host LLL meetings and that my idea isn't completely absurd!
I've lurked on this site for about 4 years and i'm finally posting something
Anyway, I am an RN not in practice at the moment because i stay home with my two little ones.
I am a volunteer breastfeeding counselor with La Leche League with my goal for the near future to become a certified Lactation Consultant.
My question for all of you wonderful women who work in L & D is this:
Do you know of any La Leche League groups who have their meetings in your hospital? I lead meetings once a month (they are held at a local library) but i was thinking i would approach the OB/GYN NM at the local hospital (where i used to work in Med/Surg actually) to see if they would like to "hostess" the meetings. They do have breastfeeding classes available for pregnant moms but La Leche League is more of a support group than a class per se so it wouldn't really conflict with that.
What is the best way to get an OB/GYN NM to talk to me about this? Call her, send her a letter, show up?? I have called her in the past to offer an "in service" to her nurses about what La Leche League is/does and never received a call back from her.
Thanks so much for any help you can offer!
WHY WHY WHY??? do docs do this??? Is there any medical reason for it? Please OB nurses tell me...
I think I'd pop my OB in the n-ts if he did that to me!
BTW, I'm 7 mos pg and a tad hormonal at the moment....
I'm a school RN and have a student Mystique but everyone calls her Minx, so which is worse!? Another student named Destiny, she was an oops baby born 12 years after her other sibs. Oh and there are the identical twin girls named Shakir and Shakur.
Went to high school with a girl named October but we called her Toby. Yes, she was born in October. Have a student named Autumn but she was born in the spring!
Oh, BTW I'm 7 mos pg and have been racking my brain trying to think of girls names. This thread has been helpful b/c I'm learning what NOT to name my daughter!!!
I mean, are people out there so ignorant that they don't know what syphillis and gonnarhea are!?? Dear me...
Some of you might have seen this already but I think it's really funny
You might be a School Nurse if...
1) You have been accused of growing head lice and planting them on specific children.
2) You have questioned a child if their vomitus looked like lunch or just nasal drainage.
3) You provide free day care for sick children who apprently have no parents from 8am to 3pm.
4) You don't have to ask a child if he forgot to take his medication before school (as you scrape him/her off the walls, file cabinets and ceiling).
5) You use technical terminology like "does it hurt real bad?"
6) You personally know of more than one family that has moved to be away from you and your head lice policy.
7) You have had to explain to the administartion that there are rules and regulations you must follow that supersede what a pricipal tells you ("What do you mean Nurse Practice Act?")
8) You are a lot nicer and more patient in September than May.
9) Children will point to you in the supermarket and say "Look Mom it's the bug lady."
10) You have to explain to a parent that eggs and nits are the same thing. ("My kid don't have nits, them there things are just eggs.")
11) You give out love just as often as Band-Aids.
12) You wish teachers would understand that you really don't need to see a student with a 6 day old hang nail, chapped lips or sore pierced earring holes.
13) You have explained to a parent that children do not fake a temp of 104.5.
14) You cry when you think of what some of your students go home to.
15) You know that you really and truly make a difference in the life of some children...
HAVE A GREAT SUMMER EVERYONE!!!!!
I started out as a volley EMT (did it for 4 years) and can honestly say that I learned things in an ambulance that you just don't learn in nursing school! It is also a great way to test your people skills. Like being able to stay composed when a drunk pukes on your boots at 4am!
I'm a school nurse now and I use my "basic" EMT skills everyday.
I think working as an EMT while you're in nursing school would be a great way to earn money and get experience at the same time. However, don't put off nursing school for too long! You may get too comfy working and never go back to school.
Also here in NY the EMT course runs about 4 mos (at least that's how it was when I took it) and was only a few hours a week so you can work or go to school at the same time.
Unfortunately, I will not be able to make the national conference in June (I will be 7 mos pregnant!). But I will do my best this summer to try to bring the district up to speed. I'm sure the administration hasn't even heard of HIPAA!
Again, thanks for your help!
Ok so what rights do we have to info?
Should I write up a form letter release to have parents sign in order to get immunization records etc. from MD offices? Or, are the MDs reponsible for that? I've had secretaries tell me that they can't even MAIL ( could see them hesitate about faxing things) me shot records for students without parental authorization. We all know how hard it is to pin parents down!! What am I supposed to do about F/U for injuries etc? I am almost afraid to ask parents why their kids were seen in the ER if they don't offer the reason first!
Bergren....you must know about this stuff!
Disclaimer: I am not an OB nurse ( I am just a humble School nurse!
However, I am 22 wks with my first and have been doing a lot of research on the topic of birth etc.
From what I understand, in Europe most births do not take place at home, they take place in birthing centers attended by midwives. Only high-risk moms deliver in hospitals with MDs.
It appears to me that many of the interventions that are "offered" in our hospitals are not "evidenced based practice."
That many of the interventions are done routinely for no more reason than, "it's always been done that way."
I personally know that I would not be comfortable with a home birth (b/c frankly, I think I'm gonna want that epidural) but at the same time I am not comfortable with a hospital birth (because I don't want to be cajoled into accepting unecessary interventions). WE NEED MORE BIRTHING CENTERS!
I think what dayray said sums up our medical culture very nicely. Everybody is so used to instant gratification (fast food, cell phones, speeding on the highway etc.) that they just assume that faster is better.
Isn't it better to let nature take its course sometimes?
Hi to all you wonderful OB/GYN nurses!
I am a school RN pg with my first, I'm 21 weeks and I was thinking about hiring a doula to assist with my L & D.
What sort of experiences have you had with labor assistants?
What sort of thoughts run through your head when you see a pt arrive with a doula?
I'm just curious about your opinions seeing as how you deal with laboring women on a daily basis
I mostly want to hire her b/c I know my husband would be a lousy "coach" and I used to work at the hospital that i'm going to deliver in and I know that it's rare that an RN can stay with you t/o the entire labor.
This is my first year as a school nurse (after two years post-school med-surg nursing) and it is TOTALLY different than anyone thinks it is. Bergren is right, it is stressful and the pay is terrible but there is a certain level of autonomy and freedom that you absolutely DO NOT get at the hospital. If you like independence and feel confident in your assesment skills (oh yeah, and you have to LOVE kids, teens etc.), it'll be a great job for you. Just think, you'll be the most mysterious person in the building. No one has any clue what goes on in my office, they just know that I'm here if they need me.
Oh and did i mention? The pay really does stink!
However, like Bergren said, it does vary from district to district. The nurse in the next district over from me makes about $25 grand more than I do!!! (She's on the teachers scale)
Anyway, I too went to school to teach originally and switched focus after I got a degree in English and I too have always loved the idea of school nursing. Keep in mind though, that the idea of school nursing is lots different than the reality.
PS. where are you? there might be a position opening up for next fall in one of the districts near me....
I put in for the $ for a peak flow meter today. The principal wanted me to write a letter explaining exactly what it was and what it was for (!). Meanwhile, with extra mouthpieces and s & h the total bill was $25 bucks!! It's not like I was asking for a raise, right? Well, hopefully I'll get it.
And....FYI...the famous student that prompted this discussion, has not been to my office once since I wrote my posting!!!
How's that for irony?
Watch, she'll walk in my door next period.....
Thanks for the advice!!
Well, I've never seen her cough either....to answer everyone's question!
We don't budget for peak flow meters either. I'll ask mom if she would be able to provide one though.
I guess I'll just go ahead and medicate her whenever she asks. Cause it seems like everyone is an agreement that her s/s may very well lead to a real attack!
Thanks for the help!
I have a student, an asthmatic, who was recently put on Advair (takes that at home), uses an Albuterol inhaler PRN and also has an order for Albuterol nebs PRN. She is a very gregarious and charming 7th grader that I have gotten to know fairly well during the school year.
She comes to my office at least once a week c/o "tightness" and "wheezing." She is never SOB and upon listening to her lungs, I have never ONCE heard anything remotely sounding like a wheeze. I used to just have her sit "catch her breath" using some breathing techniques I've seen RTs do in the hospital and send her back to class never to hear from her again for the rest of the day.
Anyway, mom called me the other day and asked me (nicely, I might add) to please give her daughter a treatment whenever she wants it b/c "it makes her feel better." Mom also said that if she doesn't get a treatment when she c/o "tightness" that it is a s/s of the begining of a real, true, massive asthma attack. She also said that her daughter "always gets like this, this time of year (spring)." Mom denies that the student has any allergies but said that she'd be taking her daughter to the doctor over easter break. I took the inititive today and called the MD myself to ask him what he thought about mom telling me to give her nebs. Unfortunately, he wasn't very familiar with her case and wasn't able to help much. Except he was nice enough to say that he'd recommend allergy testing and would talk to her about exactly how much medication she's getting at home.
So, am I right to be wary about not giving this student a PRN neb who is: in no apparent distress, not SOB, not wheezing, and is talking, singing and fooling around in my office just b/c mom says she wants her to have it. I know that if she were a pt in the hospital and I called RT to come and look at her they'd tell me I was crazy and would NEVER give a tx unless it was ordered RTC. Is it possible that she is being overmedicated at home and her parents are enabling her? Am I being overly cautious? I feel like I'm doing something wrong.
Most important question: AM I MISSING SOMETHING HERE??????
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