Jolie

Jolie BSN

Maternal - Child Health

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All Content by Jolie

  1. Staffing for c/s for a small unit

    I can't speak to AWHONN guidelines, but no hospital in which I've ever worked staffed with a single RN for mom and baby, even for a lady partsl delivery. I can't imagine that it meets professional...
  2. Absolutely! In over 2 years of business, I have never had a customer or vendor "accidentally" wander into the secure back area of our building. For an applicant to do so indicates to me that she was...
  3. As a former nurse manager and currently a hiring manager in another field, I would like to present a different perspective. I agree with those who believe that the advice to knock on a manager's door...
  4. School Nurses: Professional Staff or Support Staff?

    Neither. Nurses in our district are consultants, not employees. We work for an agency that signs a yearly contract with the school district. Our hours, wages and benefits are determined by the...
  5. Tired of babysitting

    I did, for different reasons. My issue was not so much with my staff, which, for the most part was cohesive and professional. It was with my superiors who made certain I had 24/7 responsibility for my...
  6. Why the Doctor Can't See You

    I've posted this before, but I believe it bears repeating here. My sister is an internist who now specializes in hospice/palliative care. When she first interviewed for private practice positions,...
  7. Why the Doctor Can't See You

    And we are about to become a 2-tiered system where despite insurance, some can get appointments and some can't. Does that represent any real improvement over our current
  8. Y's vs. Stopcocks

    As an ancient nurse, I can recall when stopcocks fell out of favor due to a significantly higher infection rate than Ys and extension
  9. Calling the Nurse Manager...what are your opinions?

    I agree with the previous poster and would go a bit further to say that most managers' offices are located on the clinical unit which they manage. These are not public areas of a hospital and should...
  10. Diabetic student - What would you do??

    Add your principal to the list of people who need to be involved with this student. I was fortunate to have the full faith and backing of the building principals. If a parent or other emergency...
  11. What supplies will I need?

    Are you full-time at one school, or do you travel? Can you stop in and look over your office before your first day? I covered 4 schools and had a "travel bag" with durable supplies (stethoscope, B/P...
  12. Calling the Nurse Manager...what are your opinions?

    I am a hiring manager (no longer in healthcare, though). I never mind hearing from an applicant, but I hate being interrupted and called to the phone when I am busy elsewhere. I would suggest...
  13. Diabetic student - What would you do??

    Under the circumstances, I believe you did what you could. Buckle up for a rocky year..... Is there any way you could schedule a joint meeting with the student, parents and representative from the...
  14. sunscreen in school

    Because it is required by state law, in some places. Sunscreen is an OTC medication and must be treated the same as Motrin, Benadryl or any other OTC that may be used in school. If state law or the...
  15. MRSA, and proper precautions

    Precautions to Prevent the Spread of MRSA in Healthcare Settings Please pay particular attention to the section on Contact Precautions: Contact Precautions CDC recommends contact precautions when the...
  16. Bedside... Really?

    My kids have had a few teachers like
  17. Caring For NICU Parents

    I had worked in the NICU for about 6 months when I had my first "lightbulb over the head moment" of understanding from a parent's perspective. I was caring for a 28 weeker (this was over 25 years ago,...
  18. Codeine for toddler?

    Did you express your concern to the PA? If not, perhaps you can call back and discuss the rationale for this medication. Hope your little one feels
  19. Be Careful When Posting

    I am one who has recognized a co-worker via posted information that I'm certain s/he believed to be sufficiently vague. I have never acknowledged this to said co-worker, because I thoroughly enjoy...
  20. Scared straight- new to school nursing

    This depends upon your state. Some require formal, state-approved courses for hearing and vision screenings, regardless of one's professional credentials. Others allow RNs to conduct hearing and...
  21. DTaP booster

    I haven't worked in a hospital in years, but our state has updated school immunization requirements to reflect the growing incidence of pertussis in the community. We used to accept a DT vaccine, but...
  22. Infant reaction to vaccines

    While the baby's symptoms may certainly be due to a vaccine reaction, I woud be very cautious to rule out other causes first. Were any screening tests done for infection such as a CBC or urine...
  23. Elementary school year registration - new school nurse

    In our district, all students (new Kindergarteners, returning students, and newly enrolled) are encouraged to have their paperwork completed well in advance of registration night, which is a week...
  24. sunscreen in school

    Generally speaking, I think it is unfortunate when lawmakers propose legislation as a knee-jerk reaction to a situation, especially when that situation involves education, healthcare, or some other...
  25. "I'm not listening to you" says the doctor

    I spent 12 years working in all aspects of OB and NICU, so I understand very well the differences between small outlying hospitals and referral centers, including the expertise of the medical and...