trufflelilyRN

Certainly, Beth makes good points to consider. Another factor to consider is that you will learn more in your first few months working in acute care than you did in school. Day shift offers more learning opportunities than night shift, it is busier and more happens. Just a thought from my experience.

As U.S. Army Children, Youth, and School Services (CYSS) nurse our policy is to always call 911 before calling the parent for just this reason.

Nursing is very broad. Have you considered areas such as public health or school nursing? Have you considered working for the military? They use civilian and military nurses in many unique areas. These are just a couple of many areas available.

Call me judgmental--I don't mind a bit. Aubrienora, you are not nurse material. Maybe try selling used cars.

Watch 2 magicians destroy the anti-vaccine movement in 90 seconds An illustration is worth a thousand words.

No, IrishizRn, not because the vaccinated child has more rights, but because the non-vaccinated child has choices. The immune suppressed and too-young-to-be-vaccinated child has no choices. They are at the mercy of those who choose not to vaccinate.

brownbook, the same theme is increasingly occurring in pets. People are not vaccinating dogs and cats because of fear of adverse reactions, and they believe the "natural immune response" of the animal protects it better than vaccine. . . then wonder why they lose entire litters to parvo.

No amino, no US, no Doppler. Fetal age determined by dates and when movement first felt, and X-ray to determine calcification of bone. Rectal exams to determine dilatation because lady partsl exams might cause infection. No fathers, family, or labor coach with patient. Family waited in waiting room. Every new mother and babe hospitalized a minimum of three days. Nitrous oxide, saddle block, pudendal block, twilight sleep (scopolamine)!

What can be learned by treating these patients in Atlanta, with all of the resources CDC has to offer, far outweighs the risk to the staff that is highly trained in infectious disease. It is my understanding that these patients are going into state of the art isolation units to be cared for by specialty staff.

Perhaps it varied in parts of the country, but as an RN I carried malpractice in the early 1970s. In school it was stressed that we should do so.

Unfortunately, PHNs usually do not get paid more. LOL

At the health jurisdiction where I worked in the 1970s the Public Heqlth Nurses carried large caseloads of MCH and infectious disease patients. Did we diagnose? Sure we did. That specialized training available to PHNs has served me well my entire career. If a referral came in from the school that Susie was out with measles and Mom didn't drive and they lived ten miles out of town, the nurse made a visit. We had algorithms even then, and it was measles or it wasn't. About three years ago I was working at an Army clinic and a young child is brought in with suspected measles. Not one provider or nurse in the clinic had ever seen a case of measles, so primary care called PublicHealth to weigh in. I walked to the exam room to find a toddler smiling laughing and playing with his mom. He had a fine macular rash, and low grade temp, but was in no acute distress. I was able to confidently say, "Nope, ain't measles. He is not sick enough." The impression of a child with measles is imprinted in my brain. This being said, PHNs are, or should, never be making decisions if they are not comfortable. Every PHN has, or should have, access to resources. Local health jurisdictions come under the umbrella of state health jurisdictions. State health departments answer to CDC. State jurisdictions have consultants to answer any question and provide direction. CDC is the granddaddy of Public Heqlth, and the final word in Public Health practice. Hope this helps.

Public Health Nurses were the very first Advanced Practice Nurses, and we didnt even know it. LOL. Your Health Officer is responsible for providing standing orders allowing nurses to perform duties beyond what we normally do in our scope of practice. Some Health officers are more permissive than others. Perhaps because some nurses are better than others. Most Heqlth Officers I have worked with have a trust relationship with the nurses employed by the jurisdiction. The military accomplishes this with protocols signed off by the preventive medicine Commander of appropriate rank. Over the forty years I have worked in Public Health, this has not changed. Public Health has been my life, my love

Does anyone else remember cleaning thermometers? After vital signs were taken on the floor thermometers were cleaned of any matter and soaked in alcohol or benzylkonium chloride. In four hours or when vital signs were due again, they were dried, placed in a cute little tray and passed around the floor again. Seems abhorrent looking back from today's world, doesn't it?

Where is your EO representative? Hostile workplace. This is not allowed.