Elvish BSN, DNP, RN, NP

Community, OB, Nursery

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All Content by Elvish

  1. Elvish

    Are you supposed to check a boy's foreskin during a physical?

    Elvish replied to SydneyKidney's topic in Nurse Practitioners, NP

    I am seriously questioning where the MS school nurses manual got the evidence that says a school nurse should be retracting a child's foreskin. If the kid can pee alright it is not a big deal that the...
  2. Elvish

    LGBTQ Youth: Resources for Pediatric Nurses

    Elvish replied to PNCB's topic in Pediatric

    Another excellent resource is GLMA GLMA - GLMA Home Page I found their stuff to be excellent and on point. Thanks for sharing these other resources targeting youth. Such a great need in a vulnerable...
  3. Elvish

    Daisy Award on Badge for New Grad

    Elvish replied to rachmac11's topic in General Nursing

    To be honest I never look at the pins on other people's badges so I wouldn't notice if you were wearing one or not. If someone has a lot of time on their hands they might notice and/or care,...
  4. Elvish

    Pregnant nurse around a 27 year old patient who had CMV virus when he was 7 y.o...

    Elvish replied to Nursing2102's topic in Infectious Disease

    Would depend on what it means that he acquired CMV. He may still have the sequelae from it, but do his titers show positive IgG/negative IgM? That means he's had a past infection and is not currently...
  5. Elvish

    Newborn cribs

    Elvish replied to Kldrn9963's topic in Ob/Gyn

    We use steel, one of the smaller hospitals in our system uses wood. Haven't heard of an issue with infection control but I personally like the steel cribs because they are so easy to
  6. Elvish

    Are there any gay nurses here?

    Elvish replied to Rocknurse's topic in General Nursing

    It took me well over 30 years to realize that I fall somewhere in the B section of LGBT+. I'm married to a guy and am probably married for life unless something drastic happens, so I 'pass', I'm de...
  7. Elvish

    Worst/Best thing a nursing instructor ever said to you?

    Elvish replied to CryandNurseOn's topic in General Nursing

    Nerp.
  8. Elvish

    Are you supposed to check a boy's foreskin during a physical?

    Elvish replied to SydneyKidney's topic in Nurse Practitioners, NP

    Well...providers aren't really supposed to be even lightly tugging to see if it will
  9. Elvish

    Worst/Best thing a nursing instructor ever said to you?

    Elvish replied to CryandNurseOn's topic in General Nursing

    Best thing: You have a gift, and when He gives you a gift He expects you to use it. (He of course being the deity she believed in.) Worst: I'd out myself if I shared it here. Fortunately the negative...
  10. Elvish

    I have no words. I have a thousand words.

    Elvish replied to anon456's topic in Hospice, Palliative

    I recently spend a couple weeks at a relative's hospice bedside and fell in love with the nurses who were working with him. Thanks for giving me a glimpse into what their day must be
  11. Elvish

    Are you supposed to check a boy's foreskin during a physical?

    Elvish replied to SydneyKidney's topic in Nurse Practitioners, NP

    Nobody needs to be retracting the foreskin except the child himself. This is the AAP's position statement as well. If he's old enough to tell you whether or not it goes back he's old enough to do it...
  12. Elvish

    Are you supposed to check a boy's foreskin during a physical?

    Elvish replied to SydneyKidney's topic in Nurse Practitioners, NP

    AAP says do not retract. Foreskins can separate anywhere between infancy and adolescence; as long as they're peeing ok there is no rush for it to separate. Matter of fact, premature retraction can...
  13. Elvish

    going straight into becoming an NP after BSN?

    Elvish replied to schallerjasmine's topic in Student Nurse Practitioner

    I was a nurse for 13 years before starting FNP school. There is a lot that I know because I've seen it in real life, not because I read it in a book. There are illnesses I'll recognize because I've...
  14. Elvish

    Which NP is "safest"?

    Elvish replied to totoRN12's topic in Student Nurse Practitioner

    The hospital I work at has a level IV NICU that staffs NNPs, PNPs, and they've got a couple FNPs on board who have pedi/neo RN experience. The NNPs take care of the smallest sickest premies, do...
  15. Elvish

    Floating all staff when census is zero

    Elvish replied to jenhen82's topic in Ob/Gyn

    The local hospital (small-ish) keeps two RNs and a tech on the unit (who can open the L&D OR) at all times in case someone comes to the ED needing a crash section. If these folks float, it is to...
  16. Elvish

    Post Partum pain management

    Elvish replied to ragingmomster's topic in Ob/Gyn

    More than anything I am surprised you guys are doing Morphine PCA. We do a spinal dose of Duramorph in the OR which is good for 24h, along with 30 Toradol q6h x 24hr, then switch to q6h Motrin &...
  17. Elvish

    Calling in for no sleep

    Elvish replied to Nurse131382's topic in General Nursing

    I have done it before and would do it again if I felt I absolutely couldn't function. I'll say it happened exclusively when I worked nights, because day sleeping was beastly. It was only a couple...
  18. Elvish

    Natural Caesareans...anyone seen this?

    Elvish replied to quazar's topic in Ob/Gyn

    As with anything I think there will be a happy medium between the cold OR where mom and baby are not really in close contact for well over an hour and the 'natural c/section' where if I'm honest the...
  19. Elvish

    Client vs Patient

    Elvish replied to srercg's topic in General Nursing

    All through undergrad (17+ years ago) they were clients. Now that I'm in NP school they are called (thank God)
  20. Elvish

    Is it okay for RN to ask recovery patients not to swear?

    Elvish replied to SweetieBeeSandy's topic in Patient, Colleague Relations

    Unless a patient is cursing at me or in front of small children I'd let it go. If the worst thing about your shift is a patient swearing coming out of anesthesia it's not a bad shift to be
  21. Elvish

    Balancing Nurse Practitioner School/Career and Motherhood

    Elvish replied to melp4's topic in Student Nurse Practitioner

    My kids are 11 and 4.5 and I work weekend option (36-48h/pay period). I've been in school since the littlest one had just turned 3. It's hard and I don't sleep much. Some days I might only see my kids...
  22. Elvish

    Meaning of your username?

    Elvish replied to Flightless Bird's topic in General Nursing

    JRR Tolkien reference, since I love the Elves + I love me some Elvis. Back when I chose this name, my son was into watching Veggie Tales' Lord of the Beans where Larry dresses up as 'Elves' and does...
  23. Elvish

    Male student nurse interviewing for Postpartum..

    Elvish replied to kingvonnBSN2017's topic in Ob/Gyn

    Well done! I'm glad you found a supportive unit. Take every chance you can to learn and grow. Congratulations and best
  24. Elvish

    Nitrous Oxide

    Elvish replied to OBwonKnewbie's topic in Ob/Gyn

    Did it with Thing 2! I got my epidural at 9cm, very long story there, but I pushed/delivered her on my side. We were trying to get her head under my pubic bone, and side-lying did the trick. I can't...
  25. Elvish

    Paranoid teacher

    Elvish replied to rbytsdy's topic in School

    You might suggest that she have her OB/midwife do titers for things like ParvoB19 (Fifth disease), CMV, varicella, etc. A rubella titer is standard prenatal care, but some of the other ones are not...