fulitarn

Thank you so much. She has already stopped the LVN from assessing.

My friend works for a mental health resource center in California. They haven't been able to hire an RN because they cannot offer competitive pay. She is wanting to know if an LVN can preform the duties without an RN or MD supervising. The main duties are meeting with clients, completing a nursing assessment, and then based on the assessment , linking the client to a PCP, Urgent care or ER. They would also coordinate the clients medications are ready for pick up from the pharmacy, and possible coordination of care such as helping the client make medical appointments. Thanks so much for your help.

There are study guides on the NANN website. I don't remember if I had to but them or not, but I wouldn't have passed without them.

The CNN article was very slanted in the parents perspective. Having been in similar situations, families frequently interpret medical comments and actions in a way that was not intended, especially if they are already angry.

No. And if they somehow do you can report them and would be eligible for compensation.

No. According to the Americans with Disabilities Act, they have to make "reasonable accommodation" for you. You have a documented disability and can do the work you were hired to do. For them to say that you need to do more than you are able, especially if it puts patients in danger, is illegal. Get in touch whoever is your hospitals EEO contact. https://www.eeoc.gov/eeoc/internal/reasonable_accommodation.cfm

NICU Level-- III private patient rooms-- some number at bedside-- 2 (excluding siblings) Who can visit-- up to 2 people at the bedside at a time, one must be parent (or banded support person). In regular season parents can bring any adult in, no one under 18 except siblings. when can you visit-- 24/7 siblings-- must have up to date vaccinations verified rsv guidelines-- Only parents and grandparents, no siblings. Discharged multiples are able to come in back with parents.

I ask them why they think the government wants a population full of persons with autism, MS, diabetes, cancer, etc. (not that I'm judging any of them). But why does the government want a population full of sick and disabled people?

I'll start by saying that I have a of assault, anxiety and PTSD. Work had always been a safe place for me, until now. I was in the supply room at work one day, looking for something. This room is a locked closet at the end of a long hallway, where nobody goes unless they are going to the supply room. As I was in there, a male coworker came in and saw me. I gave a cursory hello, and went back to looking. He then said "you look like you're waiting for one of my famous back rubs," and started rubbing my shoulders uninvited. I froze until he stopped, then grabbed a random item and left. I was terrified and very upset. I spoke to my manager and he has been counseled about it, (he says it was a misunderstanding). But I was assigned patients in the same room as him the other day for the first time since it happened. The first part of the shift I was very busy and could not think about anything else, but then things slowed down and he tried to talk to me, making light conversation. He walked up behind me a few times to ask questions. He came and looked over my shoulder at my computer screen. I was very uncomfortable, and wanted to run. Several days later and I'm still having issues with it. I almost had a panic attack in the med room (another small, locked, enclosed space). I honestly don't know if I can continue working with him. I don't know what to do at this point. Please give me some advice.

The hospital with an ED closest to me does this to patients too. There is a parking garage across from the ED, and the first 2 levels are Dr parking only. You have to go up to level 3 to get to patient parking. There are 2, only 2, ED patient parking spots on the ground level. It's really kind of pathetic.

I wear 3/4 length sleeves at work, and I work in the NICU. I wear them under my scrub top. I haven't had a problem with it. As for other people asking/saying something, a snarky remark is usually easiest. I told my nieces I got in a knife fight with a monkey. Something clearly ridiculous that conveys the fact you don't want to talk about it. I gave myself a really bad black eye once and told people I had been a spy, I was protesting at the world economic summit, I was learning to juggle monkeys, and other things. It made people laugh and changes the subject at the same time.

I once had a dream I was taking care of a kid with osteogenesis imperfect, I was going through everything making sure he was comfortable and protected. Then I said, I need to surround him with a circle of salt, and I ran to the breakroom and found some salt. As I was pouring a circle of salt around him I said, "wait, that's not for OI, that's zombies. But I guess if he has OI he doesn't need problems with zombies too."

I think the main concern with bean bags is infection control. How well are they being cleaned between patients? Are bacteria growing on the inside around the beads? That type of thing. We switched to frog positioners/bean bags with a wipeable coved that can be cleaned with the cavi wipes between patients.

I work with a nurse who has a severe allergy and can't be vaccinated. We work in critical care and she just needed medical documentation, and what vaccines she had received. She does have to wear a mask during flu season. The hospital can do titers to see what you are and are not immune to as well.

As a developmental care specialist I would say this sort of blanket policy is very contra indicated in NICU. The most fragile and sick babies should not be touched, let alone turned, but minimally. It also doesn't line up with clustered care times. Rather than refuse to do it, I suggest trying to change the policy to be NICU specific. State that infant will be turned and repositioned with care times, skin and pressure points will be assessed and massaged as tolerated, always back to sleep in open crib, etc. My hospital also tried to enforce blanket hospital wide policies and we have to gently remind them that we are a very specialized unit and do things differently.

I have to wear very strong glasses or contacts, there's no way I could work without them. Or do anything for that matter. I think it depends on the severity of your vision issues and how well it can be corrected.

I am at a military hospital and we use non-licensed medics. They have a long orientation period with both another medic and an nurse before they are allowed to take feeder growers (doing all po/ng feeds) with po meds. Once in a while they'll get IV amp/gent or bili lights. We never assign them a kid on O2 unless it is a stable ex- preemie who is going home on O2. But they still have to be supervised by a licensed RN, so the RN will have their 2-3 patients, and will also be covering a medics 2-3 patients, so there is potential to be responsible for 6 patients during your shift. The RN has to watch and verify charting, sign off assessments and meds and be aware of what is going on with all 6 babies. We personally aren't big fans of the way it works, but don't really have much say in the policy.

From experience, it frequently feels like nothing goes right during a code, even if you have everyone and everything there. It sounds like you did things as best you could given the circumstances. Those ex 24 weekers frequently have issues like that. Although we seldom do it, you can always call a code in the NICU, and that will get you people there to help, who even if they are not familiar with NICU can still help. It'll also get you people who may have down time elsewhere on your unit. There should be a dedicated code blue line on your hospital phone, or my unit has buttons on the wall that trigger a code blue. Rather than beat yourself down, use this as an opportunity to grow and learn and also benefit your unit.

My facility uses DL UVC lines frequently, as often as we can get them in actually. it allows for infusion of more than one drip/pressor/med at the same time. Lots of meds may be incompatible but have terminal site compatibility. We do not use DL UAC lines.

I love the positioner, but it is frequently not used correctly. A lot of nurses use it as an alternate mattress rather than a positioner. When it's used correctly it's great. Our unit unfortunately doesn't have them, but we use the prone positioner and frogs from Childrens Medical Ventures.

I have self harm scars as well and work in the NICU. I am able to wear a 3/4 length shirt under my scrubs which covers most of them. I work with a devout Muslim who wears the same thing. Your management should be willing to work with you. As for the judging you, it's possible that they will.; YOu just have to work hard and show that you are a good nurse so they don't care.

It's stomach contents so basically it's vomit.

NRP specifies that there are no state or legal requirements for resuscitation age.

I have severe eczema on my hands and have similar problems. I've had to take days off due to severe outbreaks. It sounds like you need to find a good derm to get things under control. Once the outbreak is under control it is easier to manage future outbreaks. Here are a few suggestions from my experience: Would you qualify for state disability to take a few weeks off to heal? Make sure you don't use any lotions/soaps/etc on your hands that have dyes or scents. Vanicream works really well for me. It's usually with the face wash in CVS. It can be a little expensive but worth the money. Get aquaphor and slather your hands with it before bed. Use cotton socks instead of gloves (the gloves wipe off lotion on your fingers as you're putting them on, the socks help the lotion stay on better) My derm recommended I use alcohol sanitizer as little as possible, and just use soap and water- the alcohol dries your hands out more. Good Luck

That is not only inappropriate, but also an infection control issue. Skin to skin helps the baby adjust to mom and dad's normal skin flora and prepare to live at home with them. Adding skin flora increases risk of infection for that baby. Whoever is doing this needs to be counseled to stop, or risk being reported to their board of practice.