Jolie

Jolie BSN

Maternal - Child Health

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All Content by Jolie

  1. Grunting baby...

    Jolie replied to winter_green's topic in Ob/Gyn

    Thank you for clarifying. We were talking apples to oranges, to an extent. A baby with RDS as verified by a CXR, needing high-flow O2 or CPAP post surfactant is quite different than what I evisioned...

  2. Grunting baby...

    Jolie replied to winter_green's topic in Ob/Gyn

    I agree that a CXR and blood gas are important aspects of a comprehensive work-up to make a differetial diagnosis of TTN vs. RDS vs. possible sepsis vs. possible cardiac abnormalities. But it concerns...

  3. Compact license question

    Jolie replied to ShantheRN's topic in General Nursing

    When you move to your compact state (I'll use NE as an example), you will apply for a nursing license. When granted, it will have compact privileges, allowing you to cross state lines or practice as...

  4. Syringe sq vs auto-injector (epi pen, etc)

    Jolie replied to dthfytr's topic in General Nursing

    As a school nurse, I have experience with Epi-pens. As you state, they are what they are, and they are useful and effective for their intended purpose, which is relative ease of administration by...

  5. Does your school have nebulizers there?

    Jolie replied to JM RN's topic in School

    Nebraska has a state law mandating every school to have an emergency kit containing adult and child epi-pens, a nebulizer, albuterol in saline and a few other items. The school must have a protocol...

  6. Is this legal?

    Jolie replied to MADDOG70's topic in General Nursing

    I don't believe that a temporary injury is the same thing as a disability as defined by federal law. You have an injury from which you are expected to fully heal (albeit over time), which sets your...

  7. School Nurse Med Exam

    Jolie replied to I Am ReadyRN's topic in School

    The most common meds in my elementary and middle school were ADD/ADHD drugs, asthma inhalers, allergy meds including Epi-pens, and insulin. There were a few students on behavioral medications, some...

  8. Protocol for HIV partner notification

    Jolie replied to NurseLoveJoy88's topic in General Nursing

    The OP doesn't state whether this is a hospital or office setting. You are correct that patients sign a general consent on hospital admission, but in practice, they are able to refuse specific...

  9. Protocol for HIV partner notification

    Jolie replied to NurseLoveJoy88's topic in General Nursing

    There may be some exceptions in which a patient can be legally required to submit to an HIV test against his/her will (someone who is incarcerated, perhaps?), but generally speaking informed consent...

  10. Protocol for HIV partner notification

    Jolie replied to NurseLoveJoy88's topic in General Nursing

    Not a silly question at all. We dinosaurs are able to recall the days when individuals diagnosed with sexually transmitted diseases were obligated/compelled to report their contacts who were then...

  11. School Nurse Med Exam

    Jolie replied to I Am ReadyRN's topic in School

    No exam here either, although the nurses in our district conduct a med aide course for paraprofessionals, which includes a written exam and return demonstrations. It covers the basics of the "rights"...

  12. Vision, scoliosis, & hearing screenings

    Jolie replied to KrystinaRN's topic in School

    You need to check with your State Board of Nursing. In some states, special certification is required for vision and hearing screening. I am not familiar with certification for scoliosis screening,...

  13. how much do you pay for your health ins.

    Jolie replied to Zen123's topic in General Nursing

    We are self employed and pay $775/month out of pocket for for medical coverage for a family of 4 which excludes maternity, mental health and substance abuse. No dental or vision, and our deductible...

  14. Can I carry my own pulse ox?

    Jolie replied to TeleRN311's topic in General Nursing

    You'll find a number of old threads on this topic. I would never purchase equipment to use at work for 2 reasons: 1. You are taking the responsibility away from your employer for providing necessary...

  15. Epi pen protocol help needed ASAP

    Jolie replied to bsyrn's topic in Camp

    I've never worked in a camp setting, but in Nebraska, all schools are required by state law to develop and implement a policy for the administration of emergency meds in the event of a severe asthma...

  16. Wound Cleanser info needed

    Jolie replied to lissaq10's topic in School

    Soap and water. Anything else is considered a med by our district and requires medical authorization and parent permission, which I'm not going to get for a playground boo

  17. what are the consequences of backing out of an offer?

    Jolie replied to nurse441's topic in General Nursing

    Have you considered asking Hospital A for more time to consider your offer? IMO, that's far more honest and better than taking it, working a few days, then backing out. To do so would likely land...

  18. Cough drops in school?

    Jolie replied to lissaq10's topic in School

    The answer to this depends upon your state law and your district's policy. In NE, OTC meds can legally be administered by trained school staff with only a parent's note. However, our district policy...

  19. Was offered a position in a very strange way...need some advise!

    Jolie replied to PchezRN's topic in General Nursing

    Regardless of whether one works as an employee or as an independent contractor paying her own taxes, the employer is obligated by federal law to verify that a prospective worker is legally allowed to...

  20. How do you know if you put an IV in an artery?

    Jolie replied to crystal777's topic in General Nursing

    You will see pulsation in the connecting piece of tubing. Also, if you flush an arterial "IV" you will likely cause an arteriospasm, resulting in immediate blanching along the path of the artery and...

  21. Training non-nurses for shot records

    Jolie replied to Purple_Scrubs's topic in School

    So in your states, what type of documentation is required for exemptions? In NE, medical exemptions must be signed by a physician or advanced practice nurse. No one else will do, much to the dismay...

  22. Is it possible that the shortened RN training causes more anxiety for new grads

    Jolie replied to madwife2002's topic in General Nursing

    madwife, I believe you are on to something! My mom attended a 3 year diploma program in the 1950's. In terms of actual months of attendance, she had a longer program than I did 30 years later in...

  23. New to board and seeking guidance

    Jolie replied to Xatiayn's topic in School

    In addition to the inappropriate natue of the teacher advising the child care staff on this student's diabetes, I have concerns about the child care center's understanding of, and adherence to, state...

  24. Student with Lice - what to do?

    Jolie replied to tictac's topic in School

    This site has all the information you need. http://www.cdc.gov/parasites/lice/head/ 3 important points: Children with head lice (even live lice) do not need to be sent home from school. Do not...

  25. MD orders no external monitor on Pt w/ preterm contractions

    Jolie replied to JeneraterRN's topic in Ob/Gyn

    I can't explain the physician's request, but would like to shed some light on external monitoring for preterm contractions/labor. I was on bedrest starting at 26 weeks with my first, 23 weeks with my...