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UrbanHealthRN BSN, RN

Pediatric/ Community and Public Health
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UrbanHealthRN has 8 years experience as a BSN, RN and specializes in Pediatric/ Community and Public Health.

UrbanHealthRN's Latest Activity

  1. UrbanHealthRN

    Parent harassing me in clinic

    I am so sorry to hear you are going through this right now. It's hard enough being a nurse- you don't need this from a parent. I had an incident a couple years ago where I called CPS on a child, and it was a justified call (I was catching the tip of the iceberg- offending parent was removed from the home about a month later after a second call was made). Due to the nature of the call, I did not disclose my contacting CPS to the family. The offending parent was VERY upset that CPS had gone out to the home, and he and his girlfriend were repeatedly calling my building, asking to speak with the nurse, at one point even hanging out in the parking lot during drop off, I guess looking for me. I refused to meet with the family alone, and definitely not before I had followed up with the CPS worker. Once I had a CPS update, I met with the parents and had two other staff present. Honestly, I don't know how any of us would have gotten through that meeting alone. Some staff were skeptical of my requesting assistance, but the way I see it, if a parent is unstable enough to harm a child, who knows what else they might do? Long story short, establish your boundaries with this woman yesterday. If she comes into your office alone, step out and get back up. Meet in an area with others present. Just please do not be alone with her, for your safety and your sanity. Also, if admin hasn't done this yet, consider a staff meeting with mom where school rules and state law re: CPS calls are reviewed. The meeting should NOT be a time to out the staff member who called CPS- this woman does not seem like a safe person to be disclosing that info to. And anyways, mom should be getting the message that child safety is a TEAM effort, with all staff supporting each other.
  2. UrbanHealthRN

    Parent with Borderline Personality Disorder

    YES. Nothing worse than a bunch of staff coming into a meeting cold with no prep work done or agreed upon plan in place. Might as well just sit back and watch the BPD unfold in a group setting.
  3. UrbanHealthRN

    Chronic Head Lice

    Haven't heard of it but just took a peak at the website and it looks pretty decent to me. The only thing I worry about is the conditioner it comes with- mom needs to make sure to not apply the conditioner before or at the same time as the lice treatment (Rid, whatever), because hair product can block the lice treatment from working.
  4. UrbanHealthRN

    CBD Administration in School? Policy?

    Oh wow, I have so many questions now....what kind of seizures does this kid have? Tonic clonic or something milder like absence? Does she ever have airway etc. issues during a seizure? Does the CBD really stop a seizure completely with this kid? What if you gave CBD but the seizure persisted- then what do you do? What if she went to the ER in status epilepticus- would the mom only want CBD at that point too? I was feeling ok about the neurologist until reading this. I just don't know that I would be putting all my seizure treatment eggs in one basket like that.
  5. UrbanHealthRN

    Any Nursing Moms?

    Just sent a DM to you- I used to do lactation consultant work and have some ideas. And like everyone else said- keep up the good work!
  6. UrbanHealthRN

    CBD Administration in School? Policy?

    I'm hoping there's also an order for Diastat or something else during a seizure >3 minutes, no? If that were the case, I'd feel better about administering just the Diastat and leaving the CBD for use at home only. If the child is only to receive CBD during a seziure, that wouldn't be ok in my book.
  7. UrbanHealthRN

    Scab nursing?

    We're worried about the safety of patients and cost of agency nurses during a nursing strike? How about the ongoing lack of safe staffing, inadequate supplies, etc. that led to the strike in the first place? 5 days of strike vs. years of the hospital breaking contract and endangering patients on a daily basis. I definitely know which side of the line I stand on. (I work in the northeast where there have been many nursing strikes since I started in the profession 10 years ago. Some of those strikes were for myself and my colleagues. This topic can get a little personal for me.)
  8. UrbanHealthRN

    Pertussis Parent Notification

    If the disease is serious enough, 1 case can be all it takes to be considered an outbreak (ex. 1 case of anthrax is an "outbreak" in my state because it's so rare and dangerous). Check with your state or local DPH to see what's considered a pertussis outbreak. Off the top of my head, I'm pretty sure I'd be notifying parents if there was one case. When it comes to letters, I'd be putting out a letter that was worded from the DPH, which isn't exactly the most reassuring sounding piece of paper. And I'd be there to take parent calls and hopefully squash some of the questions and concerns early. I wonder if part of the hysteria was related to no health professionals being on staff at the school to help parents figure out what was going on?
  9. UrbanHealthRN

    Heimlich Queen

    After working in a Head Start/Daycare environment where I was the only healthcare person on staff between multiple buildings, let me just say that there's a big difference between having a nurse manage a child's health problem and a childcare worker manage the same problem. Some staff I worked with were great and knew what to do, but a lot needed help. It was expected that I train all staff on how to manage pretty much any health issue by themselves (asthma attacks, epi-pens, seizures, etc.). They also got a CPR/First Aid refresher from an outside agency once every two years, and the preference was always the faster the refresher, the better. If you expect a non-healthcare person to help a child, then you will get the non-healthcare version of helping a child. And this type of staffing is true for way more early childhood programs and other settings than people would like to think.
  10. UrbanHealthRN

    Slippery Portable Steps = Guarenteed Injury. Any Known Solutions?

    Hey, gotta have job security one way or another!
  11. UrbanHealthRN

    what to do if you disagree with PA's treatment

    Tricky situation here...and I agree that making a provider feel like you're disagreeing with them/challenging them/trying to hurt their ego (even when you're just trying to help the kid!) will only come back to bite you. Usually, if we allow kids back to school once treatment has been initiated, it's with the expectation that they're starting to get better. Does this kiddo's scalp look any better, or is it the same? Maybe some regular scalp checks with a plan to notify the provider after X days of no improvement would be helpful. We had a form that we would write down brief assessment info on and ask the family to take to a doctor's appointment, then return to us with the doctor's recommendations. As far as spreading ringworm to other kids goes, there's evidence that topical treatment can help to reduce transmission, so I guess I would take small comfort in the thought that something's being done. Though I agree, the sooner this ringworm can be cleared the better- especially for the student who has it!
  12. UrbanHealthRN

    Another lice topic :)

    Poor kiddo! For kids with very curly or kinky hair, I stick to just checking the most accessible spots: behind the ears, the nape of the neck, along the hairline of the forehead, and mayyybe parting the hair right on top of the head and checking. If there's live lice, they'll be struggling just as much as you to try to get through that hair, so you might be able to see one or two moving around. I can usually spot nits and lice poop in those areas too. Anything more than that will probably be painful for the student, so just leave your hair check at that. The more thorough comb-outs should really be happening at home when the hair is wet and conditioned. Many of these students use a lot of hair products at home, so I usually tell families to hold off on using those products when it's time to do an application of Nix or Rid.
  13. UrbanHealthRN

    Hearing & Vision screens PRE-K

    I used an OAE for Head Start as well. Keep in mind that OAEs technically don't screen hearing ability- they screen middle ear function, which is a big part of hearing but not the whole enchilada. OAEs are very sensitive to too much earwax, or fluid in the ear, or ear infections, or respiratory infections (I've literally seen some kids' OAE results change from week to week if they've been sick with colds and whatnot). Also, figuring out how to pick the right eartip for each child was a challenge for me, until I found a multi-size eartip that is amaaazing! Overall, OAEs are quick to use, don't require a kid to do anything besides sit still (which I know is more than enough of a challenge with this age group!), and are very portable. I recommend them!
  14. UrbanHealthRN

    Early Flu?

    I usually hold off on getting my flu shot until October each year, but this is good to know! Looks like I'll be getting mine sooner this time.
  15. UrbanHealthRN

    PEs With Missing Info

    Anyone else getting a lot of PEs for kids that are missing important health information? I'm talking epilepsy, asthma, food allergies that require epi-pens....I know it's crunch time for providers to see a lot of kids for physicals, but this info is important!
  16. UrbanHealthRN

    I'm Feeling Overwhelmed and Underappreciated

    What a tough way to start the new year! I'm so sorry that your office is being used and abused that way. Hopefully it will be done by the time the kids start, otherwise where you will work??? (Hugs)