As a group, our school nurses have been struggling with the idea of when do we need to _write_ a nursing care plan. I am not sure that I would write a nursing care plan for a child I have never laid...
I would imagine that like most school nurse sites, head lice is probably a little divisive. When you look at a child's head you are inspecting the scalp and the hair. I am always happy to do that. I...
i have two thoughts about forged notes and I have personally received 2 or 3 myself over the years. A remnant of no child left behind is being super attentive to attendance and so sometimes when...
Probably the biggies are Hepatitis B, MMR, chicken pox and maybe influenza. There may be opt out procedures. You could also have titers checked to show that you have otherwise achieved protection...
I am getting ready to sex ed in my 4th and 5th grade classrooms--AIDS and "growth and development". The g & D is pretty much body changes and periods. By and far, kids are avidly interested and...
Meth is notoriously hard to quit. Many people have said that the user is always chasing the first high, which is often seen as the best. That said, quitting anything from tobacco to alcohol to meth...
The book, The Spirit Catches You..., showed me just how poorly people who are not fluent in the language comprehend things when they are moving very fast and you're needing to do procedures. All...
My BSN completion program had a strong emphasis in multi-cultural diversity but I think awareness does not necessarily equate to culturally sensitive care. It's not that easy. I would recommend ANY...
Amy, As a new nurse, you should ALSO be asking yourself, "What are my learning needs?" A Continuing ed activity shouldn't be busy work, it should answer a knowledge deficit you perceive in yourself....
I would tell the nurses or nurse in question that a suppository is a medicine and that you are not comfortable with the delegation. You have no problem with inserting suppositories when appropriately...
Netty, I really liked TP Skaarup's book. He was a internal med resident (probably in the 80's) and created his book out of his real life desire to communicate with people. He has cultural notes (a...
IF you go to the online bookstores and put in searches for Medical Spanish, you'll get a veritable snowstorm of returns. I formerly used a spiral bound book called Survival Spanish for the Medical...
Here's some information from the American Red Cross site: Link: http://www.redcross.org/services/biomed/blood/learn/eligibl.html Regarding depression, they say: Depression, Anxiety Acceptable as...
I'm a little surprised by the mayo recommendation. I'm a former PHN and we recommended OTC or Rx pediculocide shampoo followed by complete nit removal ("Nitpicking") and "environmental" care including...
I like the ideas about desensitization and EMLA. Your thirteen year old is not so far away from his 15 year old tetorifice booster (unless he had one since age 10) so to have some plan in mind...
Ever heard of the National Practitioner Data Base? Doctors and NP's who are successfully sued are listed in it if the award exceeds a certain amount. Yes, docs and counselors and other professions...
Unit Clerks: In their defense: they do work that is mighty accountable and their knowledge and time management skills can really change a unit (for better or worse). Usually rotten pay and lots of...
Peeps has the good stuff here. The CNA needs caring confrontation with mandatory referral to the facilities EAP (Employee Assistance Program) or, if applicable, state nursing assistance program. The...
Hi Mama Val, Can't help but notice that you are from Alaska where I believe alcoholism is a bit more common per capita. I am a nurse who was, until recently, doing drug prevention in a school setting....
Actually, I heard Gloria Steinem speak once many years ago and she quoted a man who complained that too many women were contaminating professional fields. She noted that this "contamination" brought...
Tom, You always remind me of the character in the wonderful book _Mount Misery_ by Samuel Shem who was constantly exhorting his fellow psychiatric residents and psychiatric patients to "Play more...
Three jobs in a year?? The first year? Whoa. You need to talk to someone you trust about this whole situation, maybe someone that knows you better than we do on this board. First of all, realize that...
Perhaps this had been done, but your hospital needs to network with the local police department's jail health services folk. Protocols can be designed for detox on site for jailed prisoners; the...
Ratchit and all I don't know the answers to the scenario you propose. The said patient wants some kind of help since he keeps showing up at the hospital. And his alcoholism is part of his care plan,...
Alcohol is a poison that most of us use in amounts that the body can detoxify. We detox patients with a history of high daily use when they are starting treatment OR when they are going to be a in a...