Sharon

Sharon

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All Content by Sharon

  1. hand, foot and mouth disease, sounds serious but is not

    Sharon replied to oramar's topic in Pediatric

    I work in the mid Atlantic area where it is endemic and has been for about 10 years. I don't know of a day care that does not have a substantial outbreak each year. Five years ago I dealt with a...

  2. i've heard of nursing students having Hep B. they are allowed to ..

    Sharon replied to KibbsRNstudent's topic in Infectious Disease

    During the early 1990's I taught in a nursing program that did not accept students who were Hep B positive. Many of the hospitals at that time would not hire Hep B nurses nor allow Hep B positive...

  3. List of Case Managers

    Sharon replied to debrar's topic in Case Management

    Actually if you are talking about injured Maryland workers, in the state of Maryland there are specialty license requirements and the CCM does not meet the laws. Additionally if the Nurse is working...

  4. appointment procedures in OHCs

    Sharon replied to Chi-RN's topic in Occupational Health

    In order to streamline the process the clinics I worked in stopped using mail out labs 10 years ago except for rare test usually provided by a single lab. In the past I have negotiated with labs to...

  5. appointment procedures in OHCs

    Sharon replied to Chi-RN's topic in Occupational Health

    Chi-RN, Are you in a Federal Occupational Health administered clinic? Are you truly stand-alone and do you have to comply with Health and Human Services and Office of Personnel Management standards?...

  6. Work Comp case management

    Sharon replied to dcarp's topic in Occupational Health

    There are no standards for the combined case manager and direct care OHN regarding number of cases. I am assuming from your message that both nurses work at the same clinic with the same duties...

  7. HIPPA LAW pertains to wcomp injuries?

    Sharon replied to Keysnurse2008's topic in Case Management

    One of the complaints I have dealt with is from an employee complaining of HIPPA violation when the actual information is an OSHA 300 log recordable that must be posted. OSHA information is not...

  8. Hippa and work comp

    Sharon replied to Erin RN's topic in Case Management

    Erin, A similar discussion about another CDL driver is occurring on the Duke OEM list serv. The employee was having his post offer physical when elevated blood pressure was noted. The EE was sent to...

  9. Scabies

    Sharon replied to caffine addict's topic in Infectious Disease

    I am going to try to step out from this discussion. I am receiving way to many phone calls from physicians, law enforcement officers, and social workers about the misinformation of this issue among...

  10. Scabies

    Sharon replied to caffine addict's topic in Infectious Disease

    This information is specific to the U.S. and the species of scabies here. If you have a confirm outbreak of scabies between staff and patients this is a Major Indicator of probable assault and falls...

  11. :( sad and in need of advice

    Sharon replied to jacobsmum's topic in General Nursing

    Shelley, I realized after I posted that you are in the UK. The International Patient Organization for Patients with Primary Immunodeficiencies is very active in the UK. Their web site is...

  12. :( sad and in need of advice

    Sharon replied to jacobsmum's topic in General Nursing

    Bronchiolitis obliterans is a rare manifestation of an autoimmune disorder in which the body attacks the tissue in the bronchioles. When the body, especially in an immature immune system, activates...

  13. Needlestick-from IV tubing

    Sharon replied to 1sweetnurse's topic in Infectious Disease

    I just completed work on a Hep C pharmacology study and roll out. The occasional Hepatologist is using alpha interferon 2a and 2b as an off label post exposure prophylaxis if a patient tests positive...

  14. Immunization Clinic

    Sharon replied to Guardian Angels's topic in Infectious Disease

    Municipal budget, self pay, CDC grant, MCH grant, Block grant, private founation grant, and donations. It depends on the target group and what is going on in various health initiatives, which is part...

  15. Immunization Clinic

    Sharon replied to Guardian Angels's topic in Infectious Disease

    It depended on the results of the community or population I assessed. When making the business case I did a lit review based on the assessment

  16. Immunization Clinic

    Sharon replied to Guardian Angels's topic in Infectious Disease

    Yes, animal, child, school, occupational, travel, outbreak,

  17. Needlestick-from IV tubing

    Sharon replied to 1sweetnurse's topic in Infectious Disease

    Chances are rare that you would have gotten enough HIV viral material from a port to get an exposure. You still should follow up on the HIV post exposure protocols. More importantly watch the Hep B...

  18. conflicting info between docs and patient with varicella

    Sharon replied to nadia562002's topic in Infectious Disease

    Herpes and Varicella Zoster are two infections that can be present in a singles outbreak. When a patient has an out break of shingles respirator and wound together or strict precautions should be...

  19. med error:

    Sharon replied to jenac's topic in General Nursing

    I have participated in pre-trial work as an expert witness and it rarely gets dumped on the nurse. I can't remember a specific case in the US in the past 20 years where the situation as described...

  20. med error:

    Sharon replied to jenac's topic in General Nursing

    Excellent catch and great job. In the specific situations previously listed in this thread, I think placing blame on an individual is another example of healthcare provider's sense of martyrdom. Even...

  21. Need advice about dealing with an undeserved bad rap

    Sharon replied to chris_at_lucas_RN's topic in General Nursing

    Chris, Do you really need to work or can you get by with just taking the tuition reimbursement? If you can I would be "available for shifts", get the tuition and find a second job. I had a problem...

  22. latest on Hepatitis A outbreak

    Sharon replied to oramar's topic in Infectious Disease

    It is not surprising that you have a positive Hep A titer. Just this morning I was explaining this issue to a nurse here at work. Hep A is more common then the average health care worker realizes....

  23. Medication question

    Sharon replied to wiseRN's topic in Pediatric

    10 to 15 years ago I was asked to compose questions about practical situations that I observed new residents repeatedly screwing up for U.S. physician board certification exams. I composed a very...

  24. Medication question

    Sharon replied to wiseRN's topic in Pediatric

    As a nurse doing pediatric disaster care in the field for over 10 years (or maybe) we never did a pre-infusion EKG regardless if it was infectious vs trauma prior to administering KCL IV. Since all...

  25. MRSA and your or protocol/policy

    Sharon replied to carcha's topic in Operating Room

    You have hit two sore points in the issues of managing Biosafety Level 3 infections. 1. Should all orifices and fluids be tested on admissions? 2. Is it okay to assume an organism is contained within...