Jolie

Jolie BSN

Maternal - Child Health

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All Content by Jolie

  1. right or wrong or in between?

    Information on Nebraska Rule 59
  2. right or wrong or in between?

    As I understand your post: Child ingested a common allergen (but not one he was known to be allergic to). You transported him by car to another school to have access to and administer meds for which...
  3. As a former nurse manager, I would like to explain a bit about the hiring process. When a position becomes open, most institutions require that it be posted in house for a period of time before it...
  4. teacher's union

    My situation was a little different. I covered more than 1 school, spending the am in one building and the pm in another. I ate lunch (uninterrupted) in between. But I like a previous poster's...
  5. Every hospital has a policy on who may scrub in a C-section, including credentials and education. Ask your nurse manager and/or risk manager to show you the policy that discusses whether an RN may act...
  6. teacher's union

    As for, "Should I take the time or should I take the money..." If you legitimately are unable to take a lunch break or a planning period because of overwhelming volume of work or interruptions due to...
  7. Xanax in school?

    You are not obligated to give anything that hasn't been sufficiently clarified by the ordering physician in order to be given safely. If the parent wants it given in the meantime, s/he can come...
  8. Xanax in school?

    I would suggest having the physician list specifically what observable s/s constitute "anxiety" in this student. Handwringing? Hyperventilation? Sobbing? Getting up from his desk and wandering the...
  9. Just need a shoulder !

    I appreciate you!
  10. Xanax in school?

    First off, I would refuse to accept the medication without an accompanying order. If Mom did not yet have a physician's order, I would have sent the med home with her. I'm not a storage clerk....
  11. needle stick injury

    As long as you have been compliant with your plan of care, I don't believe they can pass you off. Since you don't have forever to get an answer to your question, I would recommend contacting OSHA. I...
  12. needle stick injury

    Were you "current" on their treatment plan at the time you left your job? Did you notify employee health of your upcoming job change and arrange to continue your treatment
  13. Leaving AMA

    I applaud you for being familiar with the terms of your personal insurance coverage, but caution any nurse against advising a patient on his/her insurance coverage. If this is an issue in a patient's...
  14. [quote=dudette10;5821461As he was talking to me, he kept staring at my name tag. Funny how some docs don't give two hoots what your name is until they think you've done something to screw them over....
  15. Neonatologist - Level II -in house or on call?

    I've worked in a couple of Level II NICUs. Both had in-house neonatologist coverage during typical "business" hours and for pre-arranged events such as planned sections of multiples, deliveries of...
  16. I agree with the poster who suggested doing a root cause analysis, much like a med error. For one of 20 nurses involved to take the sole responsibility for this test being missed makes about as much...
  17. Does this make me an "RN snob"?

    Allie, you are correct that RNs, and LPNs are bound to the Nurse Practice Act, regardless of the setting in which they practice. If I may be so bold as to speak for wooh, I believe she is correctly...
  18. Pt told me... why didn't anyone else?

    In what capacity are you caring for this individual? Is the diagnosis of HIV/Hepatitis pertinent to the care you are providing? Information is appropriately shared on a need to know basis. If your...
  19. Expired Epi-Pens?

    At the time a pen expires, I contact parents (for a replacement) and to give them the option of picking up the old one. If they don't get it within the specified time frame (usually a few days), it's...
  20. All Med-Surg patients require an IV site

    This may be an insurance reimbursement issue. If a patient does not require skilled nursing care (IV therpay being one example of skilled nursing care), his/her insurance company may refuse...
  21. dog scratches

    My concern would be related to scratches on the face, head and neck which would indicate that the child is not being taught how to play safely with the puppy. I don't know this child's level of...
  22. Epistaxis - doing anything different?

    Just the basics. I don't stick anything up there other than a bit of
  23. Trach Suctioning

    Our district requires a 1:1 nurse for students with trachs and/or O2 therapy. Like any skill, trachs become "no big deal" once you have some experience with them. Remember, this is a student...
  24. this is a dumb question.

    Request a report from your principal in each building, along with a current class list of each grade. There is probably a database (Powerschool, Teacherease, etc) that you can access with the proper...
  25. prn orders

    I don't accept a permission form unless medication is sent in with it. We don't stock meds (other than our state mandated emergency kit with Epi-pens and albuterol). I wouldn't necessarily toss the...