Jolie

Jolie BSN

Maternal - Child Health

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All Content by Jolie

  1. Would you do this?

    I don't understand your post. If you have authorization to use stock Epi-pens for suspected allergic reactions, why would you be risking your license to use
  2. Head lice

    I understand that I am fortunate to have worked in a district that (for the most part) supported evidence based practice and declined to kowtow to ridiculous parental demands. Let's find a way to...
  3. Like previous posters, I welcome a birth plan as a means of opening a dialog with a couple I've just met and understanding their preferences and desires. All good. But I draw the line when those plans...
  4. Bad day today..

    I'm sorry for your day. If it's any consolation, there must be either a full moon, or the freaks are celebrating Halloween early. I'm no longer working as a school nurse, but in the business world,...
  5. EBP and school nursing

    "I'm genuinely surprised--and not happily--that there are school nurses who feel a lice infestation is NOT a reason to keep a child out of public school? Honestly? It isn't easily transmittable...
  6. Nasty Parents and This Opportunity to Vent

    I'm going to suggest a slightly different approach here. Please don't misunderstand my post to be critical of your actions. I realize that you are working under school district policies and...
  7. In peds it is important to be aware of the differences in maturation, growth and development expected at different ages. Know (or have a cheat sheet) the normal range of vital signs of newborns,...
  8. Head Injury Complaint ~ What else could I have done?

    I assume that the rule regarding supervision of adults with students is to prevent possible inappropriate contact between adults and students. In that case, the principal or secretary could have...
  9. When parents should keep their child home.

    I hate to sound cynical, and preparing a list of guidelines is helpful, but all too often parents will send kids who they know do not belong at school, in order to avoid having to deal with a child at...
  10. Interview..no offer : (

    That is a very generic way of telling someone that s/he is no longer being considered for a position. It may mean anything or nothing at all. I suggest you let a week or so pass to allow the "sting"...
  11. Just Soap and Water

    Please check your nurse practice act and district policies and procedures. The nurses' use of soap and water only may be due to legal constraints and not just disorganization. In our state, OTC meds...
  12. Parents of diabetic students

    I agree. Only the parent has the legal standing to do anything other than what the provider has prescribed. We acknowledge that in school. I must follow physician orders and district policy. A...
  13. Would you do this?

    Nope. I'll pose a similar question: In the inpatient setting, would you administer medication (taken from another patient's Pyxis) that you believed would be potentially lifesaving despite having no...
  14. District RN vs. Special Ed RN

    I don't believe that a position as the sole RN for 7000 students is a good choice for a new grad. Screenings are undoubtedly one of the most time consuming aspects of school nursing, and while they...
  15. janitor has possible needle stick

    Health insurance coverage (or lack thereof) has no bearing on the management of this exposure. This individual has experienced an occupational injury potentially exposing her to blood/body fluids of...
  16. Heel stick on side of foot/medial ankle

    I would not recommend doing a heel stick on a foot with a significant deformity, for the reasons you describe. Was the other heel not accessible? How old was the child? Perhaps a finger stick would...
  17. Lice Policies/Help Please!

    I'll start by encourging you to do a search of this site. This topic has been discussed at length in other threads. In a nutshell: Both the AAP and well-recognized public health agencies now regard...
  18. My Encounter With A Health Room Sub

    It's time for a professional conference. The principal needs to be reminded of the child's right to an education in the least restrictive environment possible. Blood glucose testing in the classroom...
  19. I respectfully disagree, for a number of reasons: 1.) JustBeachyNurse correctly stated above that banning food substances does not lower the risk of inadvertent exposure. What it does accomplish is...
  20. OTC medications help

    Whether the students like it or not (and many high schoolers won't), it is our professional responsibility to assess them before administering prn medications, just as we would do in the hospital,...
  21. Banning peanut products is an ineffective measure and probably violates the rights of other students and staff. The ADA requires schools to make reasonable accomodations for students with...
  22. What works for you as a door sign?

    I almost never closed my door, so on the very rare occasions that it was closed, that got people's attention. It also helped that my offices were located within the main offices of each building, so...
  23. Tourniquet with heel sticks?

    When drawing blood by heel stick, you want to warm the heel thoroughly first, then use a gentle "milking" motion to stroke the lower leg and heel, encouraging the flow of blood by drops, then allowing...
  24. Here in the U.S., oxygen is considered a drug, and a nurse needs an order (or standing order or policy/procedure) to administer it on an emergency basis to any patient, until a physician or other...
  25. You probably don't qualify for FMLA. To summarize, federal law allows for FML for employees with at least 1 yr. of service and a minimum of 1250 hours worked. Eligibility also depends upon the size...