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Jolie BSN

Maternal - Child Health
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Jolie has 35 years experience as a BSN and specializes in Maternal - Child Health.

Jolie's Latest Activity

  1. Jolie

    Medical leave ending but no job yet. Accept another?

    Please clarify with your current employer whether you will be responsible for any of the cost of benefits you received during your leave. The Family & Medical Leave Act allows employer (in some circumstances) to bill employees for a portion of the cost of benefits they received during their leave, if they do not return to work in a benefits-eligible position. This doesn't apply to every situation, and some employers choose to waive it even if it does apply, but I would make sure you know the answer to this question and get it in writing to protect yourself. Best wishes to you!
  2. Jolie


    I'm sorry for your circumstances. I seriously doubt you were dismissed for a performance problem. Even in right to work states, employees have some protections against malicious firing. Employers typically have Human Resources policies and procedures regarding hiring and firing employees, and if they fire someone in a manner contrary to their own written policy, they can be held accountable by the legal system. It is true that during your probationary period, an employer may be able to dismiss you for any- or no reason at all. But if they give a reason for the dismissal, it must be handled in keeping with their written policy. You state you were dismissed for performance issues. I would suggest you contact Human Resources and ask for a copy of their written policy regarding dismissing an employee for performance problems. If that policy outlines corrective actions to be taken by the preceptor, unit manager or Human Resources prior to firing, and those steps weren't applied to you, you might have a case for wrongful termination. You might also quietly ask around about other pregnant employees terminated for questionable reasons. If you can establish a pattern, it may support your argument of wrongful termination. That said, this does sound like a potentially bad place to work. Please weigh your options and consider seeking employment at another reputable healthcare facility where you will be valued and treated professionally. My very best to you.
  3. Jolie

    Geisinger Pseudomonas Outbreak

    https://wnep.com/2019/11/08/donor-breast-milk-processing-source-of-geisinger-nicu-infection/ This article describes the pharmacy's procedure (or lack thereof) for cleaning equipment used to measure donor breastmilk as hand washing with a brush and air drying. This is blamed for equipment contamination with pseudomonas that led to the deaths of 3 infants and infections of 5 more who survived. I have not worked in a NICU in over 20 years, but even by the standards of the 1990's dark ages, I can't fathom anyone believing this to be an acceptable practice. Every health department in the country has food service standards requiring dishes be sanitized by heat or chemical processes. And anyone who has passed Microbiology 101 understands the need for infection control precautions for immunocompromised individuals. Yet the "dishwashing" process in Geisinger's pharmacy wouldn't hold up to the standards in most of our homes. Some of these babies were undoubtedly receiving only a few cc's of donor milk per day. Why were their rations not simply drawn up into disposable syringes or poured into single-use Volufeeders? My prayers to the families and innocent staff members. Such an easily preventable tragedy.
  4. Jolie

    Drug Reference for Home Use

    Can anyone recommend a practical drug reference guide (website, app or hard-copy book) for home use? I am new to case management and often field questions about diluting or crushing meds to be given via g-tube. I have no trouble finding sources that indicate whether or not it is safe to do so. What I can't find is a practical guide on how best to dissolve those meds to prevent clogging the tube. I have referred patients to their pharmacists, only to learn that many won't offer that kind of "off the record" advice. Insurance companies won't pay for liquid meds, and pharmacists can't or won't offer practical advice on how to safely get crushed meds thru tubes, so we're paying to replace tubes instead. I'm certain this information exists. Does anyone know where I can find it?
  5. Jolie

    Universal Deathcare.

    Thanks, Kyrshamarks for opening a realistic conversation about the topic of government controlled healthcare. Alfie's case (nor the other little boy earlier this year, whose name I can't recall) was NOT about preventing a slow painful death, or even about allocating money to patients most likely to benefit from treatment (at the expense of those not likely to benefit). If it had been about either of these things, there would have been no objection to the parents taking Alfie out of the country at their own expense for evaluation and possible treatment elsewhere. But that was not allowed. They weren't even allowed to take him home. This. was. all. about. control. And if we allow our government to fully fund and dictate healthcare, it will happen here. This next statement is not meant as a slam to the British. It is meant as a warning to us: I find it utterly inexplicable the extent to which people will willingly relinquish control of decisions pertaining to their own health, safety and well-being in exchange for the mistaken notion that they are not responsible for payment for the goods and services they receive. I am also dumbstruck by the number and seeming intelligence of people who think that because a bill does not arrive in their mailbox, they are receiving something for free. God rest that precious soul. And the next. And the next after him.........
  6. Jolie

    Hiring an RN into private practice

    Beth, might you be confusing TMS with ECT? What you are describing is typical of out-patient ECT, where an efficient, well-run clinic can admit, treat, recover, and discharge an experienced patient about 1-1/2 or 2 hours. TMS does not require a patient to be npo, there is no IV or sedation, and no recovery time. Most patients drive themselves to and from treatment, often before or after work, or even possibly on a lunch hour. Max time in the chair is about 40 minutes. I have become familiar with this procedure recently, accompanying a family member. The clinic is part of a multi-specialty psychiatric practice, with MDs, NPs, therapists, RNs and psych. techs. The initial mapping of each patient is conducted in 2 steps, first by the RN and tech working in tandem. Once they determine the ideal coordinates, the procedure is repeated by the physician, and then results are compared to those generated by the machine itself. The first treatment is conducted by the physician. Mapping is repeated approximately 1/2 way thru the course of treatment. Each session is conducted by either the RN or psych tech, with a second professional present in the office. The person conducting the treatment uses the time to converse with the patient, present educational information, etc. This isn't a therapy session, but is useful in assessing the client's mood, activity level, motivation, behavioral plan, side effects, etc. It is not acceptable in this practice to plug in earphones and "chill" during the treatment. To Curious MD, As a business owner myself, I understand the challenge of starting up a new business and realize that personnel represent the biggest expense, by far. Though it may be tempting to cut corners to save on this expense, I implore you NOT to do so. Give up your own salary first. (Like many entrepreneurs, we went for a few years without paying ourselves.) It is necessary, and will pay dividends down the line when your business thrives because of the quality and commitment of the front-line people interacting with your patients. Best of luck to you.
  7. It's state law here: Rule 59 – Regulations for School Health and Safety – Nebraska Dept of Education
  8. Are hospital acquired surgical site infections reportable (by mandate) to any government or regulatory agency? Is there a means for a patient to self-report a hospital acquired surgical site infection, like a website or hotline, similar to the reporting system for vaccine reactions? Thanks for your expertise!
  9. I'm sorry you didn't get the job you wanted, but I believe you are over-stating things just a bit. You said you were not interested in rotating shifts. That is a far cry from disclosing a disability. Plenty of nurses reject rotating shifts for plenty of reasons: they don't want to mess up their sleeping habits, they need to accommodate spouse's or children's schedules, they take public transportation which doesn't run 24/7, they want to be able to maintain other commitments like school, second jobs, volunteer positions, etc..... As a hiring manager, I would tend to assume a candidate was declining a rotating shift job for one of these reasons, not because of a disability. So please, rest assured you can move on with your confidential information. I doubt anyone in HR gave it a second thought.
  10. Jolie

    The Nut Conundrum

    What is a "nut aware" school? I can think of a couple of working definitions that have nothing to do with food consumption.
  11. Jolie


    This little Irish woman agrees with your grandmother! And my hubby's name is Todd. So "Hot Toddy" just makes me giggle, whiskey or not :)
  12. Jolie

    What do you think about this psychiatrist?

    The first thing I noticed about this post was: "Patient is 21 years old tells the psychiatrist she has OCD." My thought: Starting off an initial visit with a new healthcare provider by informing the provider what one's diagnosis should be will probably not end the way the patient had planned. Secondly: Young adult psychiatric patients are often poor historians. I'm not being judgmental, just stating an observation. Including the patient's mother in the discussion was necessary for the physician to gain information as well as perspective. As a legal adult, the patient did not have to allow this, but without the mother's information, the physician may have chosen not to treat the patient, rather than attempt to do so with inadequate information. Thirdly: I find psychiatrists who don't automatically reach for prescription pads to be worth their weight in gold.
  13. Jolie

    HIPPA violation if the patient isn't in your facility?

    Please correct me if I'm wrong, but I understand that the OP chose to transfer care to the clinic where her former friend is employed after knowing that the former friend shared news of her pregnancy, yet wants to report the former friend for a non-existent HIPAA violation. If I were the manager of this clinic and the OP came to me with this story, I would respectfully decline to accept this patient. In the real world, there are clients who are simply not worth the trouble they bring to a business. This is one of those instances.
  14. Jolie

    What is your opinion on calling in "sick"

    I agree that taking care of yourself is the key, and don't believe that seeing a doctor is the only way to accomplish that. What I do believe is that calling out (typically on short notice, when one is taking a mental health day) IS abusive if nothing is done to address the source of mental distress. So if you're staying home from work using sick time to sleep in, down a six pack, and watch Netflix, that's a different story than researching support groups, taking yoga, getting a massage or seeing a therapist.
  15. Jolie

    What is your opinion on calling in "sick"

    If your physical or mental condition prevents you from performing your job duties, then it is appropriate to call out sick. However, just as you would consult a healthcare provider for a physical illness, it is your responsibility to seek appropriate care for your mental health. If you fail to do so, you are just taking time off, which is an abuse of your sick time.
  16. Please accept my answer in the spirit it is intended: as a practical response, not a harsh one. It doesn't matter a whit which rotation you do first. Not a single patient, faculty member or future employer will ever ask or care. Please don't stress yourself out over this non-issue, when there are so many real concerns in life. Good luck to you.