Jolie

Jolie BSN

Maternal - Child Health

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All Content by Jolie

  1. Please understand that I am not trying to turn this into a BSN vs ADN debate, but I do believe that entry level educational requirements play a part in this type of comment. For virtually every...
  2. I fully support the OP's refusal of an unsafe assignment due to lack of familiarity with the patient population. I hope there is similar support for OB, NICU, peds and psych nurses who likewise refuse...
  3. sterile technique question

    OK. Let me backtrack a bit. I am sorry if I've created confusion. I've used the term "sterile technique" a little too loosely and should instead have said, "maintain sterility." Let me explain my...
  4. sterile technique question

  5. sterile technique question

    The wound has already been created. It was imperative to maintain sterile technique at the time of surgery to minimize the risk of introducing micro-organisms below the skin surface. When changing...
  6. sterile technique question

    Think about the level of invasiveness of your interventions. IVF and a Foley catheter are going inside a patient's body, by-passing normal barriers to infection. A surgical dressing is superficial,...
  7. How much notice when quitting a per diem job?

    What does the employee handbook say regarding notice of resignation? The length of notice usually does not change because one is per diem. If it's 2 weeks for professional positions, that includes...
  8. Expedite their discharge. This is a genuine response, not a sarcastic one. The hospital is a hazardous place to be. Even with the best of care, patients are at risk for infection, accidents, medical...
  9. Pre-Employment Physical Exams

    Please consider seeking professional guidance. Dismissing fear will cost you a job, and in the future, when you may not be quite so fit, may cost you your health. No reputable employer will allow you...
  10. It sounds like a theoretical, test question :) I can see 2 schools of thought: Between contractions, the baby's HR has a chance to "normalize" because he is not experiencing the stress and oxygen...
  11. need advice

    Have you sought the opinions of your school district's attorney or the PA
  12. Different Licensure for School Nurse?

    It is my understanding that in some states, the title of "School Nurse" is protected and may be used only by RNs who hold school nurse certification. That does not mean that non-certified nurses may...
  13. New design epi-pen

    We started to see them last spring as parents brought in replacements for pens that expired mid-year. The trainers are hard to come by. They don't come in the prescription package like they used to....
  14. A legality question about pay

    I've never worked in any facility that outright required staff to work off the clock. Frankly, that would make them sitting ducks for the labor board. But what many institution do is this: build a...
  15. Insulin administration

    Our state law indicates that any student who wishes to self-carry and self-administer meds for asthma, anaphylaxis and/or diabetes must be allowed to do so. This is within reason, of course. I meet...
  16. narcotic count issues

    The med was opened, and not labeled. How would the nurse account for how much was missing and to whom it had been
  17. Back to work after a loss of pregnancy...

    I'm going to split hairs here. Please don't feel it necessary to find someone to cover your shifts. Please simply call out sick and let your managers handle staffing. You are legitimately in need...
  18. Back to work after a loss of pregnancy...

    My heartfelt condolences to you and your family. I can imagine how difficult this must be for you and I don't think that taking a long weekend is asking too much. I realize that you'll have to go...
  19. Any way to make this quicker??

    I would also caution you to make sure that the school district approves of any charting form you devise. We have had problems in the past with staff members creating and using charting forms for...
  20. Drawing air into syringe; cap on or off?

    The needle cover is not airtight, and will not prevent air from being drawn into the syringe. 2 reasons to support this answer: Less risk of contaminating the needle. Less risk of
  21. Polycythemia in hysterectomy surgical patient

    It's a typo. A patient with a Hgb of 84 would have bood so think that it would not flow thru the circulatory
  22. how is my plan?

    CNA programs generally last about a month. Some nursing homes offer the training at no cost to you in exchange for a work commitment upon graduation. But I caution you to research these facilities...
  23. A big problem, need help :(

    I would suggest she contact the school from which she graduated and ask for their help in identifying her weaknesses and for test-taking strategies. It is in their best interests to see that she...
  24. how is my plan?

    While you may be able to complete pre-requisite courses on-line, you will have to attend an LPN program on site. Before getting too set in your plans, I would strongly encourage you to research...
  25. Another point you might want to consider is the valuable experience, knowledge base and hands-on skills that you will gain in this new position, but wouldn't have the opportunity to develop in your...