scribblerpnp

I will say that when I came home from the hospital the first day of breastfeeding was so hellacious (my milk had not come in yet) that if I had formula in the house I would have used it. I was SOOOO close to running into the office where I work to get some. My husband really guilted me into NOT doing it. And I am forever thankful for that. 8 mos and my child hasn't had a taste of formula. So I am all for no formula to be sent home with these breastfeeding moms.

Sorry, we can't give medical advice o this forum. Best to call the doc and ask them these questions.

Bless you for the work you do. Those older people don't know how lucky they really are.

I'm a PNP and yes, I get jaded at times. Especially when I have a parent talking or playing with their iPhone during the exam, but who can't afford Tylenol to give their child. Or a sixteen year old cries like a baby and has to practically be run down to give her the gardisil vaccine. Or a 9-year-old throws a see-and-say at your head and the parent just shrugs. Every job has its moments. You just have to have an idea of what you are willing to put up with. And I would like to meet a peds nurse who doesn't SOMETIMES relish giving those vaccines to the bratty kids. My job would probably be easier without parents. Some really don't know how to raise a kid, and no amount of teaching on my part seems to help. But I would rather be a garbage collector than take care of adults 100% of the time. The only adult pt I have ever liked was my mama when she was sick. Poop, pee and vomit just aren't as bad coming out of a 2 month old vs an 80 year old.

Just validating. I am a PNP and work in primary peds. MMR and Chickenpox vaccines are SUBQ. All others are IM, and should be given with a 1-inch needle (this is according to our state health dept) In kids less than 2 years, the vaccines should be given in the vastus lateralus (legs). At most 2 vaccines to extremity (if possible) and at least 1 inch from each other. If you have to give synagis, that needs to be in its own extremity, and at that time it is acceptable to give the vaccine in the arm if the legs have been used regardless of age.

Where I am from a 9-month contract starts at 37,500/year in a BSN program for an MSN. Years of experience mean nothing. Yup, BIG BUCKS

I would like to add that if you turn it down, there is a good chance that you will never be able to join later on- unless you further your education and re qualify for induction. But if you pay the first year's fee and then decide you don't like it and decide to not renew your membership fee the next year, you are still a member- just "inactive. So 20 years from now if you decide it is to your benefit to get back into STTI, you can re-activate your membership. I

How WONDERFUL! Making such an effort obviously had a positive impact on the dean. Hopefully from now on she will be smooth sailing!

I am an NP too (who works/teaches full time in pediatrics) and am very confident in the safety of giving 3 vaccines at a time on the VAST majority of cases. It is not uncommon to give four (two in each appendage) in cases where children are behind in the schedule in the US. But I do agree with you on the dad being involved and the importance of providing the other family with information concerning the vaccines.

It is quite legal to obtain the vaccines with a primary care provider's order and give them yourself 9or whomever is on the prescription) if you are a nurse. A doctor doesn't have to be present when a vaccine is given. It sure is more convenient than trudging them into the office just for a shot. I have written orders for vaccines for children to get them at their parent's place of work by a nurse (since it is usually a free clinic). I myself obtained an order for a vaccine (rabies-don't ask), obtained the vaccine via special order at the pharmacy and gave it to myself at home. As a pediatrictric nurse practitioner, I applaud a mom who is making sure her children are up-to-date with the current and recommended vaccine schedule. But it would have been considerate of her to let you know, so you could monitor for common side effects.

JessiD, Thanks for mentioning about the jaundice! I have started to see (this is anecdotally) in the office that the babies with the delayed cord clamp seem to have worse jaundice in the follow up than those that don't. Especially if they are breastfed too (compared to breastfed and no delay in the clamping). Since this is becoming a new Thing to Do, I hope someone does some research in the delay-jaundice area. I haven't run across anything in my journals yet.

I guess being a peds nurse, I'm not really shocked about this. When I worked in the hospital, this has happened a few times with my teenage boy pts. I usually saw it as a sign that their pain was under good control and they were feeling better! Very funny when sitting at the desk, I would see their heart rate jump up on the monitor, and would go to check on them, only to find... :chuckle This is normal behavior for a teenager, even if they are in the hospital. Luckily, they were so interested in themselves, they didn't know I saw what I saw, so I was able to back out, wait about 30 min and return for what ever. As far as the perv comment, I don't buy that. Probably the boy was so caught up in what he was doing that he just didn't see you. INow when I worked psych and this happened, THAT was a different matter. Also, I very nice reminder to ALWAYS wear gloves when picking up dirty linens off the floor!

I e-mailed the student about the CNM in Pittsburgh. He is planning on following up! I just hope the CNM in Pitt e-mails him back. I think he could really do with some +encouragement from another guy!

The littman cardiology III is a good one. It has an adult diaphragm and an infant. I work in peds and find it to be a great stethoscope. I can easily assess a newborn or an adolescent. No problem picking up those early newborn pesky heart murmurs at all. I've had mine for 7 years now and it looks as good as new. At the time allheart.com had a good price. Definitely worth the extra money.

DO you know the name? PM me if that would be better. Thanks a bunch! We are in WV, but maybe he could do e-mail or phone interview?