Jolie

Jolie BSN

Maternal - Child Health

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All Content by Jolie

  1. Concerned: HIPA violation

    Even the noodnicks who wrote the HIPAA law have to realize that inadvertent mistakes occasionally happen with no malicious intent. You did not willfully or maliciously disclose information. You made...
  2. I think Oprah gave my patient tachycardia

    Reminds me of the time I arrived at work in L&D to find a patient watching a show (I think it wa Oprah.) on "bad babies." I matter-of-factly informed the patient and her husband that we would not...
  3. I do not know of any situation where it is desirable to give an IV med. arterially. Even in patients with arterial lines, the primary purpose of the line is to monitor B/Ps and allow for ABG...
  4. Good for you for taking the time to review your hospital bill and question it! If you call the billing office, someone should be willing to review it and explain it. You may be surprised at the...
  5. A Graduate's Dilemma...

    I understand following your dream.....if there is a job somewhere that will allow you to do so. If not, LTC is a nursing specialty that will enable you to gain clinical experience, expand your...
  6. Silly reason for ER visit?

    As long as there was no evidence of compromised circulation or nerve damage, I would not go to my family doctor, let alone the ER, with a suspected broken toe. I can't imagine anyone prescribing...
  7. Tips on landmarking IM injections

    [quote=frankmitch;3776122one nurse told me when she gives this injection she starts from the top of the buttock where the crack just begins and goes 3 inches over towards the hip and injects. is this...
  8. The Massachusetts Health Mess Massachusetts shows how ObamaCare would really work. In a rational world, the prognosis for ObamaCare would wait on the evidence in Massachusetts, given that the...
  9. I told my cousin something....

    Do I understand correctly that you and your aunt live in different states, and that you have no connection (employment-wise or professionally) with the facility where she was treated or her physician?...
  10. I know it's not easy to find 8 or 10 hour shifts in the hospital setting. Maybe you could check your hospital's internal job postings to see if any are available, or ask HR to notify you if any...
  11. Reporting violations of the law?

    The "privacy" accorded to an emancipated minor applies to pregnancy and STD-related care, not impregnation. It is possible for statutory rape to have been the event that led to the pregnancy for...
  12. NCLEX is a nation-wide exam. It is accepted by all US states and territories as a qualification for licensure as an RN. But passing NCLEX does not automatically qualify one for a nursing license. It...
  13. Ask Human Resources to fax or mail you a copy of the hospital's policy and procedure regarding FMLA. Read it to be sure that you have complied with all of its provisions. To my knowledge, you have...
  14. I'm proud of you for going straight back to the source to clarify your questions. That shows strength. In the future, when you receive an offer, regardless of how good or bad it initially seems, ask...
  15. Your manager was out of line. Next time a patient requests medication that you believe is contraindicated per your best judgement, call your manager and ask her to come give it. If you work a...
  16. How Could This Happen?

    Another factor in these glaring, preventable errors is lack of historical perspective. It seems that certain errors are repeated every so often. I started in the NICU in the 1980's. When I was a...
  17. Do I qualify for Refresher Course?

    Nursing refresher courses are designed for licensed (or previously licensed) RNs and LPNs wishing to return to clinincal practice. It is a pre-requisite that one hold or previously have held a...
  18. Heparin and PICCs

    It sounds as though your unit would benefit from a consultation and inservice with the IV therapy team to help clarify the proper management of various types of PICC lines. Secondly, a clearly written...
  19. What ever happened to "mother nature"?

    I can hear the frustration in your voice and have to say that it is largely justified. I would like to caution you about one comment though, "I grew up in the Northeast, where drinking, smoking, and...
  20. Why Do Nurses Write: "no new orders received"?

    I respectfully disagree with this advice. Say you have a patient with a Hct of 5, who is pale, tachycardic, hypotensive, can't stand up without feeling dizzy and who doesn't have the energy to...
  21. I'm Confused: License Question

    It is a common misunderstanding that nurses "transfer" their licenses from one state to another. They don't. They obtain a second, or third or fourth one. If you are licensed in one state, and apply...
  22. HIV stick

    Updated U.S. Public Health Service Guidelines for the Management of Occupational Exposures to HBV, HCV, and HIV and Recommendations for Postexposure Prophylaxis Summary This report updates and...
  23. Highschool and CNA?

    Does your school offer CNA training as part of a vocational program? You may be able to take CNA training for high school credit and without the cost of tuition. Check with your high schol...
  24. Should there be a limit on # of tries for NCLEX?

    Some states have these limitations. I graduated and originally worked in IL. I haven't been there for years now, so I'm not sure if these restrictions still hold, but back in the 1980's in IL, you...