Jolie

Jolie BSN

Maternal - Child Health

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All Content by Jolie

  1. Spiral Femur Fx in toddler

    I appreciate the information shared by posters, especially scottaprn, who have far more experience with fractures in toddlers, and can accurately address the likelihood of various scenarios. What...
  2. Insurance.

    roser13 is correct that COBRA is not insurance, it is a federal law outlining an employee's rights and responsibilities regarding healthcare insurance once s/he no longer qualifies for group health...
  3. Early Release of Mom's and Infants

    There are exceptions to every "rule," but in my experience, the parents who requested early discharge were usually very well educated and well prepared to take care of themselves and their newborns at...
  4. Does anyone have experience using a Fitbit or other similar technology to monitor sleeping habits for the purpose of improving health? I have a family member with a chronic condition that we are...
  5. PNPs with Neonatals

    Yes, PNPs can and do work in NICUs. In some units, they focus on the older babies, in others they function similarly to the NNPs. They have a lot to offer in the areas of growth and development, well...
  6. Thanks everyone! I'll look into the different models and options. She has an appointment in early July, so we should be able to make a decision by then
  7. Medical Billing Question

    Thanks so much for your input. Uncharacteristically, it is not the insurance company that I blame for this situation. I received very intensive services from a multi-specialty group in early 2014....
  8. Medical Billing Question

    It has been eons since I was involved with billing, so I know that things have likely changed quite a bit, and probably not in favor of the provider. Back in the dark ages, providers typically had up...
  9. Not cut out for NICU

    I have a slightly different take on your post. I'm not alarmed by your reaction to NICU at all, and actually think it indicates that you'll make an excellent NICU nurse, if you give yourself the...
  10. Delayed Cord Clamping

    This may explain the case of kernicterus klone referred to, but please do not assume that it is the only possible cause. Because it is (thankfully) so rare now, I won't disclose much, other than to...
  11. How many nurses to students ratio?

    I was responsible for 1800 students in 4 buildings from K-8. I had very capable secretarial and health aide support in each building. On Fridays, the other district nurses were off and I was on call...
  12. School Nurse = Employee Health Nurse?

    My situation was unique in that I was not a school district employee, but was employed by a public health agency and was one of several nurses contracted into our school district. We were employed to...
  13. Philly schools to outsource nurses?

    I would be very curious to see how a model like that would be financed, given that nursing services alone are too expensive for the district to fund. Is it feasible to offer in-school services to...
  14. Wrongful termination?

    I don't think that most people understand the purpose of unemployment compensation. It is intended to minimize income loss for a person who loses his/her job through no fault of his own. For...
  15. Wrongful termination?

    I'm sorry for your situation, and it does sound like your employer is intent on limiting costs, but that does not amount to wrongful termination. By stating your intent to leave your employer, you...
  16. End of year meds?

    I agree with those who voice concern about sending meds home with kids, regardless of parental permission, for 2 reasons. First of all, if it was safe for children to be in possession of their meds,...
  17. HPV Vaccine

    Women Who Received HPV Vaccine May Need Another
  18. When do you anticipate that the pain unit will open and the supervisory job will actually be available? It sounds to me like that could be a few years down the road. I don't mean to be a naysayer....
  19. In my experience, Rocephin is much better tolerated (by both adults and children) when mixed with lidocaine. I cant explain why lidocaine may burn in one instance, and lessen pain in another, but...
  20. What is the freaking deal with OB?

    Congratulations, cayenne! Best wishes for a long and satisfying career as a
  21. This is a stretch to call HIPAA violation

    I am truly sorry that administration chose not to discuss the situation with the parent and educate her on HIPAA, deciding instead to mandate envelopes, which are a complete waste of time and money,...
  22. What is the freaking deal with OB?

    I think students tend to be attracted to an area of nursing that is relevant to their stage in life. When I graduated 30 years ago, our class was virtually 100% women in their early 20's, many either...
  23. Misdiagnosis

    I recently took my daughter to our primary care office for a sick visit. She saw a senior doctor in the practice we'd not met before. He was fascinating to talk to as he explained that he now sees...
  24. This is just my opinion, so take it for what it's worth. Chicago is home to a number of well-regarded Nurse Practitioner education programs, most of which are offered "on site" and include clinical...
  25. Medication Disposal

    We have a medical mission organization in our town that accepts Epi-pens that are less than 6 months out of date for use on overseas trips. Nice to see them go to good use