Jolie

Jolie BSN

Maternal - Child Health

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All Content by Jolie

  1. Signing R.N., B.S.N. to name after retirement?

    Legally, this boils down to whether or not you still hold an active nursing license. In some states (that don't require continuing practice) it is possible to be retired, even for many years, yet...
  2. Oh Brother!!

    Administering Flumist to infants, the elderly and other high-risk individuals (those with immune system disorders, chronic diseases, etc.) is contraindicated. However, the list individuals who must...
  3. Question about home - birth infant assessment

    A resting RR of 60 with audible whezing is certainly not normal for a newborn. Good color and good feeding tolerance are reassuring, but I would encourage mom to have the baby examined. Certified...
  4. I'm not going to try and persuade you one way or the other. I encourage you to do thorough research from reputable sources and then speak to your own healthcare provider. Some schools/clinical...
  5. It depends in large part upon what the employer has offered. Only recently were HSAs made available to families with high-deductible plans, and in many respects, they are superior and more flexible....
  6. The purchase or rental of durable medical equipment is currently allowed under FSA regulations, so I'm puzzled as to why your relatives haven't been able to use their funds for payment of a breast...
  7. computerized charting

    I'd be very careful about a program designed to "share" health-related information, espcially if it's done automatically. We've had parents expressly forbid the sharing of information regarding...
  8. BP in pregnancy... semi-fowler or left lateral??

    Common sense seems to indicate that taking a patient's B/P in the position in which they are actually resting provides the most accurate results. On a well patient during a pre-natal visit, take it in...
  9. computerized charting

    That sounds typical. Our district uses Powerschool, which may be fantastic for educational applications, but next to useless for school health. Of course it was sold that way....Look! We'll throw...
  10. OSHA VIOLATION?

    The employer should approach the patient and ask for permission to run an HIV test. The patient has the right to refuse, but few do. Does your friend know whether the patient was asked? FWIW, a neg...
  11. The hospital interpreter is the best answer. The husband may have to be utilized in a pinch, such as the patient is in urgent need of a procedure and no formal interpreter is available within a...
  12. Release of Liability forms

    Interesting question. I've never had a patient refuse to wait the 15 minutes. Perhaps you could modify a "leaving against medical advice"
  13. GTPAL question

    You've answered your own question. A woman with twin boys has 2 living children. G = Gravida = Number of pregnancies (delivered and undelivered) T = Term deliveries (37 or more weeks) P = Pre-term...
  14. Vaccines Required for Nursing School

    The answer depends upon your school and may vary depending on your clinical sites. In general, DPT, MMR, Polio, Hepatitis B, possibly varicella and
  15. Lock on Refrigerator at High School?

    No locks on any refrigerators in our district. Each health office has a refrig. Each office must either be occupied by the nurse, health assistant or secretary, or the door is locked, so the meds in...
  16. Flu shot issue

    Have you notified your employer of your reaction (even though it hasn't cost you time from work yet)? In some states, the employer has the right to choose the provider you see initially for a Worker's...
  17. Drug screenings

    Not in our district. If deemed necessary, the principal would refer them to an outside lab after the parents were notified. Along with the policy and procedure of collecting and ensuring the security...
  18. Missed diagnosis - just a vent

    So true. I had a tubal pregnancy that went mis-diagnosed for well over a week after symptoms began. 2 different doctors relied on high-tech testing and were wrongly reassured by false...
  19. IV pump help---all help appreciated

    I would encourage you to share your concerns with your clinical instructor or the director of your campus practice lab. This is an important skill, but not one that is easily described or understood...
  20. Rather than laywering up, which will provoke a defensive reaction from the hospital, I would suggest that you make an appointment with Human Resources and esentially beg for mercy. Dress...
  21. Staff educator problem

    I can't imagine that this is escaping the notice of the experienced nursing staff, charge nurses, unit manager, physicians, utilization review nurse, etc. Please make notes of some specific examples...
  22. Should i call the nurse manager?

    Part of the problem with new grads finding jobs is the economy. The idea that nursing is a "recession-proof" profession is a load of huey. So, given a choice between an experienced nurse and a new...
  23. Should i call the nurse manager?

    As a nurse manager, I never minded being contacted by "hopefuls." But, in my opinion, phone contact is just downright inconvenient. The manager may be busy, and to be interrupted with an...
  24. The inverted T incision

    That is something that only you and your provider can determine. Best
  25. Sitting in a lonely office...

    This reminded me of the group field day that my elementary schools held this spring. They each usually hold their own activities, but this year, they combined for a competition among the schools....