mariebailey MSN, RN

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All Content by mariebailey

  1. I noticed the link was broken in the last post, so here are a couple of references: CDC - 2007 Isolation Precautions:Part 3 - HICPAC & CDC - 2007 Isolation Precautions:Table 4 - HICPAC Wearing a...
  2. How much travel time? I provide TB case management, and my time spent on home visits varies drastically from month to month depending on caseload. Overall probably 5-10% of my work month is spent in...
  3. mariebailey

    Charting Bloopers

    I was charting in a deceased client's record; the client had a communicable disease. instead of writing, "contact of client agreed to arrange repeat tuberculin skin testing next week", I wrote "client...
  4. mariebailey

    8th Nursing Caption Contest - Win $100

    I think it's time to dust off my nursing care plan for "risk-prone health
  5. mariebailey

    Reportable?

    It seems appropriate to file a complaint with the state board of nursing if harm resulted to the patient and the nurse acted outside of her/his scope and was without authorization from the doctor to...
  6. mariebailey

    Hurst Online Review, what are your thoughts?

    I took Saunders Online Review Course for the NCLEX-RN Examination, 4 week course. I passed the NCLEX on the 1st attempt, and I was cut off at 75 questions. A friend who graduated at the same time took...
  7. mariebailey

    Help us fix our clinic flow

    Go to offering vaccines by appointment only. You will have to market/outreach like crazy & accommodate walk-ins for a month or so following the change. Allocate 1 slot every 15 minutes per nurse...
  8. Taking your nursing pre-requisites will give you an opportunity to improve your GPA. Don't let that discourage you from considering nursing. I completed an accelerated program without working, and it...
  9. mariebailey

    Not so nice registered nurses

    I went through the same thing as a new nurse. I think it has to do with being a new nurse, being new to the setting, and GENERATIONAL DIFFERENCES. However, it is NOT just "up to you to fit in"; you...
  10. mariebailey

    Pre-Nursing school immunization catastrophe!

    MMR (and theoretically other live virus vaccines) may interfere with the body's ability to respond to the tuberculin because it may mildly suppresses the immune response. If MMR is
  11. mariebailey

    Pre-Nursing school immunization catastrophe!

    You could get a T-Spot or Quantiferon TB blood test instead. A blood test is performed one time only and can replace two-step testing. Data thus far is limited, but suggests negligible interference of...
  12. mariebailey

    Need A Public Health Nurse's Insight

    Let me know if you need add'l info. Happy to help! To what degree do you provide care to individuals, families or groups? Many of us do provide direct client services regularly, but they are actually...
  13. mariebailey

    Timing of titer following vaccines

    One more comment: I believe it is really recommended that you perform serological testing exactly 1-2 months post-completion of series because titers may fall below 10mlU/ml after that, which does NOT...
  14. mariebailey

    PHN with no doctor on site?

    PHNs often have standing orders or protocols in place - documents that describe the criteria under which a nurse may administer vaccines, administer meds, withhold meds, etc. The physician signs off...
  15. mariebailey

    Flu shot reactions vs side effects

    Flushing of the face is considered a sign of an immediate hypersensitivity reaction to vaccination, although it may be due to another cause. I would have looked for other s/sx of pending anaphylaxis,...
  16. In case you haven't found someone to interview yet, here is my suggestion: Go to HRSA's website and do a search for clinics labeled as migrant or rural health centers in your state. Go to HRSA Data...
  17. [color=#231f20][color=#231f20][color=#231f20]i love a ches! you will make a great phn! it depends on the employer, but i encourage you to apply to positions even if the job description reads "bsn...