Wednesday, November 26, 2008
“Important Announcement Concerning Statutory Changes to RN Licensure by Endorsement in Georgia
During the 2008 session of the Georgia legislature, a bill was passed that requires all applicants for licensure by endorsement to have graduated from a nursing education program approved by the Georgia Board of Nursing or which meets criteria similar to, and not less stringent, than those established by the Board. This bill went into effect on July 1, 2008 and is codified in O.C.G.A. §43-26-7(c).
The Board takes seriously its duty to protect the public health, safety and welfare and the duty to ensure that nursing curricula should meet stringent, board-approved standards required by the recent changes in the law. Applicants for licensure by endorsement must graduate from schools whose curricula are no less stringent than those standards established by the Board. The Board is not unsympathetic to the plight of the students who have been adversely affected by this new law, but the Board has a duty to uphold the law and is currently doing so.
The Board has established rules that state the requirements for board-approval for nursing education programs. These rules can be found on the web here (See Chapter 410-3, Nursing Education Programs): http://rules.sos.state.ga.us/cgibin/page.cgi?g=GEORGIA_BOARD_OF_NURSING%2FNURSING_EDUCATION_PROGRAMS%2Findex.html&d=1 The Board may waive rules, but only when doing so will not contradict the law. If the Board waived a rule so that applicants whose education did not meet board criteria are issued a license, the Board would be breaking the law and endangering the public’s health, safety and welfare. The Board has a mandated duty to protect the public under O.C.G.A. § 43-26-2, which states, “The purpose of this article is to protect, promote, and preserve the public health, safety, and welfare through legislative regulation and control of registered professional nursing education and practice. This article ensures that any person practicing or offering to practice nursing or using the title registered professional nurse, as defined, within the State of Georgia, shall be licensed as provided in this article.”
As nontraditional student I am acutely aware of the need to have the flexibility in class scheduling. As a nurse I understand that there are a large number of nurses who will be retiring in the next 10 years increasing the nursing shortage. The number of new grads is considerably less that the number of current nurses leaving the profession. The safety of our patients needs to be addressed with either issue lack of nurses or lack of experience in the field. First of all we need to investigate innovative ways to recruit and retain high quality nurses. Second of all we need to protect our profession and the skills require in order to have a safe and effective practicing nurses.
This bill states that in order to apply for a nursing license by endorsement that you had to have graduated from a school with a comparable curriculum to those with in the state of Georgia. This means that schools who do not require clinical hours would have to change the set curriculum to include clinical hours. Currently there are schools that advertise No campus attendance, No waiting list, and Academic Success Guaranteed. I don’t know about you but I had to apply to nursing school, I waited and waited to find out if I got in, they only took so many students, there were qualifications that each student had to meet. Once we got in we were not guaranty academic success, we had to work for our grades, we had to pass test, and we actually had to know the information being taught we did not pay for our grades. As a nursing student I could fail if I did not know how to place a foley using sterile technique, give a medication correctly, or complete a sterile dressing change just to name a few. As a currently practicing RN I have no problem having students follow me, precepting a new grad, or assisting a coworker in a new procedure, but I understand that they have some basic knowledge and have practiced somewhere before they come to me. I am all for nontraditional schools, providing education to student nurses I just feel that there should be some standards for all nursing schools part of that being clinical hours.
Please leave comments on you opionin I want to here from students who have graduated from some of these nontraditional programs tell me why they are just as good as schools who require clinical time. Let me know if you think that student nurses need clinical time.
Tuesday, November 25, 2008
I found an interesting web site http://jobs.myspace.com/ I found over thirteen pages of open OB nursing jobs. I could not believe how many open positions there were. I know that there is a nursing shortage and the new grads usually have to have one year experience to travel, but I thought that was a lot for OB. I see a lot of new grads who want to work in OB.
I would like to know more about travel nursing is there anyone who has traveled as an OB nurse?
Is there a company that you would recommend and why?
Are there particular questions that I should ask?
Wednesday, November 19, 2008
Ok so Motrin has apologized for this ad at Motrin.com.
So we have all stuck our foot in our mouth and I think that is what they did. If you are a mom who has ever worn you baby in any type of sling, front pack, back pack or wrap then you know how convenient it really is. I was able to get more done when my infant was in her sling than now when she can walk around an make a mess in front of me. So this is not a plug for Motrin by any means but if you have ever had a c-section Ibuprofen is the best home pain reliever.
That a side the true meaning of my post is that Baby wearing is better for mom and baby in my opinion. When my infant was in her sling I knew where she was, she cried less than when she was in her swing. She could hear my heart beat just like when she was in the womb. I could breast feed in the middle of Publix and not many people noticed what I was doing. I say most because a former co-worker saw me and wanted to see the baby and I had to tell her that the baby was eating and so she knew but she said that she could not tell until I said something. So there are a number of slings out there and if you have back problems it is so worth the price to get one because it distributes the weight of your child across both shoulders, keeping your back in line, which is why I like Kozy Carrier. They are supper strong, comfortable to wear and after you use it a couple of times is not hard to put on.
There is a second carrier that I really like for newborns it is ring sling or tube sling, this is the type of sling that I used a lot when I was breast feeding. My little girl slept very well in this type of sling. Since I am a bigger mom it was nice that it was adjustable. I do not think that I could wear a tube sling that did not adjust. I really like Pretty Mamma slings, there are well made and comfortable for mom.
There are a number of different slings out there and if there is one that you really like please leave a comment as to why you like it so well.
Tuesday, November 11, 2008
Friday, October 3, 2008
I had a patient a couple of weeks ago who had a problem with her infants latch. So I thought since I find this a lot in my practice that I would share some little hints that could make a difference in breast feeding, which could have helped me before I had my first baby.
- Nothing in the baby’s mouth for the first 6 six weeks but mother’s breast. This helps with nipple confusion, although some people do not believe that an infant can confuse a plastic nipple and mother’s skin. I do not know, but what I will tell you it that practice makes perfect. The more your baby latches on correctly the better, quicker and easier it will be to the point that mom will not have to do anything. My little girl, would latch herself on in the middle of the night whether it was in the right place or not she just wanted to suck.
- Babies will suck what you give them. If you area mom to be look at your nipples if they stick out all of the time great if they are flat or inverted you might want to talk to your OB about what you can do, find a lactation consultant, La Leche League group in your area. There are nipple shields that can work there is also a product by Phillips Advent Niplette that might be useful. What I used was a breast pump after my baby was born, do not use this before your baby comes or you are 39 weeks because it can bring on labor.
- Know and understand the feeding policy at the hospital that you plan on delivering at different hospitals have different policies. My current hospital gives infants d5w or Dextros 5% in water (sugar water) then a bottle or breast milk, but if asked the infant can breast feed right after birth if the infant and mother are stable except in the case of c-sections those infants are monitored closely for the first 6 hours of life so the first two to three feedings are determined by the nurse caring for the infant. As a mother who breast fed, I will facilitate breast feeding as soon as mother is back from the OR. If you as the mother want to breast feed ask the nurse to bring your infant to you as soon as you can to nurse.
Biggest hint is to educate yourself about breast feeding before you deliver. Ask friends who have breast fed, your OB, the nursing staff at the hospital you plan to delive, or the La Leche League.
Tuesday, September 30, 2008
Thursday, September 25, 2008
Tuesday, September 23, 2008
Katie at Homemaking 101 has given me my very first blog award! Thank you so much! I write different experiences and share different things, but I enjoy reading other people blogs just as much as I like writing my own if not more. Katie, Thank you for this award I am excited to give to 5 other people, I enjoy these blogs all for different reasons.
2. Elli, who writes ECing and Attachment Parenting, She is one of the coolest people I know. Ellie writes about everything. Ellie is one of the coolest people I know in real life. We enjoy getting together and listening to each other's bad Mommy moments and everything else.
3. Jody who writes Baby Catcher, Jody is one of the bloggers that remind me why I love my job so much. She shares her stories of Labor and delivery, her last post about Tuff Daddies is just wonderful.
4. The Triage Queen who writes Ready to Deliver? Triage Queen is a new blogger, but she just tickles my funny bone with her stories of Labor and delivery. Keep those crazy stories coming!
5. Betty who writes two blogs Army Mom and Geriatric Nursing. Army mom is about Betty's son and David in the Army. Geriatric Nursing is about the older population and good assessment tools that are at times missed.
Again thank you Katie, please take the time to visit any or all of these blogs! They are all great places.
Wednesday, September 3, 2008
Never for a moment would I or Milk Mama be sad to add another baby to our families. I think we are sad, our first born is growing up the infant mother relationship is changing. I feel our babies are not totally reliant on us in every, they are able to go and do on their own. “No, mamma I do it myself!” I know I miss my little girl crawling up to me and asking in such a sweet voice “Nurse Mamma nurse?” I miss having her all to myself for a little while, just our time. I miss the being able to comfort her in an instant. There is nothing that will melt a mother’s heart faster than nursing your baby looking down and having her look up at you smiling with a mouth full of boob.
As a mother I know my birth experience will be different with the next child. I worry that our bond will be different; will they need me as much and Lena? Will they nurse as long as she did? Will I have enough the time, to spend one on one with the next child? When I had Lena she had all of my attention all of the time, I was not worried about anyone or anything else. The next time I will worry about Lena. How will breast feeding change my relationship with my daughter? Will I have time for Lena when I have another baby? What will Lena feel, will she be angry or will she try to be a little Mamma?
How will another baby change the family dynamic? How will my husband and I related to each other and our children when we have another baby? I feel as though I am now second behind my daughter, which is not a bad thing, but I miss our relationship before we had children. (A totally different Post) Will we feel neglected by the other when another baby comes?
I think these are all legitimate fears that most parents have to deal with. I know that I want another child; I want to repeat the wonderful things about Lena’s birth. I want to skip the hard things, I want to just fall into a routine that works where everyone has what they need. In a perfect world that is the way it would be, but nothing is perfect except the little life you create. As parents we travel over the bumpy roads, we endure the sleepless nights, we clean up the spit up, and we make do, just so we can have a glimpse of heaven watching our children learn, grow, and experience life.
I would like to know about your biggest fear when thinking about another child. How will you cope with that fear? Or how have you coped with fears of additional family members? Please comment here or post on your blog and leave me a comment that you posted. I hope that I am not alone.
Tuesday, September 2, 2008
My first week end of call last month I was out of town unfortunately because I could have racked up on the overtime which would have been nice. Then the rest of the month no one was called in oh well.
Now that it is September we only have 17 due this month so that means lots of low census which really stinks because we have to use our Personal Time for that, or we can choose to not get paid. I know I cannot afford that so I guess I will use some Personal Time. On the nights I work with little or no patients I will be doing homework!
Sunday, August 31, 2008
Friday, August 29, 2008
The rules are: Mention six quirky, yet boring, unspectacular details about yourself. Tag six other bloggers by linking to them. Go to each person’s blog and leave a comment that lets them know they’ve been tagged. If you participate, let the person know who tagged you you’ve posted your quirks!
1. I like to eat frozen fresh grapefruit; I buy the fresh grapefruit in the plastic containers and put it in the freezer until it is just starting to freeze. That is my nightly snack at work.
2. I love to scrapbook I have a number of them, but like most moms am not up to date on my little girl’s scrapbook I have completed up through her second birthday.
3. I lose everything, I lose my phone, my keys , my badge, everything, thank goodness my little girl talks so that when I call her name that she will answer. Not that I lost her when she could not talk.
4. I tear up the covers at night, everything comes un-tucked and my husband pesters me about pulling up the covers every night.
5. I have trouble keeping my car and house clean another thing that drives my husband nuts.
6. When I clean I make a bigger mess than when I started because I feel that to clean a room you have to take everything out, throw things away, wipe out the cupboards, then put things back in an organized manner, this also drives my husband nuts because he thinks that if you cannot see it then there is no mess, but I know that it is in the draw, cupboard, closet, box, or any other nook or cranny he can find.
I have tagged the following:
Martha at Giverny Circle
Ellie at ECing and Attachment Parenting
Betty at Army Mom
Sports Dad at Gazette
Batty Nurse at I want to be a Mommy
Ebby at Ebby's Corner
I hope you all Play!
Tuesday, August 19, 2008
Saturday, July 26, 2008
This weeks show and tell, I am showing a makeup bag that my dad's new wife made for me, I thought this was very thoughtful. I had to hide this from my little girl because she loves puppies.
It is really crazy I have had a step day for the last 16-18 years almost I guess, my mom's husband. He really was the "Step-Parent" where as Nancy has come into my father's life after I have moved acrossed the contry twice once to each coast. So she really is not the "Step-Mother" she lucked out in timing because I was well hmmm a really big b*&$@. It is crazy I don't like calling either of my parents spouses step mother or father, so what are they called besides my dad's wife or my mom's husband, they don't call my husband "my daughter's husband" or at least I don't think that they do. Just a weird thing for an adult to go though or at least a wierd thing that I have been thinking about. Thanks for visiting my Show and Tell post. Please visit more Show and Tell!
Friday, July 25, 2008
Sunday, July 13, 2008
Thursday, July 10, 2008
I read this experience and thought what an eye opening seen for the observer, then as a nurse I had to think about what was said and where it was said. The nurse made a personal comment to the birth mother in a place that was open to the public, on an escalator. I do not feel that the nurse meant any harm, hurt feelings or anguish. Although this nurse didn't have any right to discuss her personal health issues in a public area.
I appreciate the message Tarah is relaying, bring a more compassionate view of birth mothers. Until reading of this incident I to had a picture in my mind of a birth mother, a women who was not really suffering or morning the loss of her child. Now after reading Tarah's post I tend to feel as though a birth mother is morning the loss of a child. The loss of being a mother, and all of the joys that comes with motherhood.
As a nurse I would implore you to be acutely aware of your surroundings when discussing patient information. Only do so with those who need to know, that are continuing the care of the patient. There may have been no crime or violation of HIPPA in this encounter but this birth mother deserved privacy.
Saturday, July 5, 2008
My show and tell today is my Hutch, my mother gave this to me, and she received it from a good friend Diane. This hutch has lived in more towns than some people. My mom received it when she was living in Glenrock, then she moved to Casper, then to Portland, back to Glenrock, then to Yakima, those were all the places that my hutch lived with my mom. Then in 2000 my mother gave me the hutch, I moved to Tallahassee and then in 2005 to Cairo. So my hutch has been on both costs, it is one of the things that my house feel like home. I remember having this in our home since I was two.
Tuesday, July 1, 2008
Saturday, June 28, 2008
I wanted to share something that was from Wyoming where I grew up, this cabin was built by my grandfather who will be ninety this December. The rock part of the cabin was built first and the second room was built. I remember going up to the Mountain on the Fourth of July most years unless there was a wild fire. We would BBQ, then make Angles on Horseback. This picture was take the last time I was in Wyoming about 6 years ago. I wanted to share this I guess because I am home sick, for Wyoming and Washington where my mom lives.
Angles on Horseback was my Grandmother’s Name for S’mores Gram crackers, Hershey bar, and toasted marshmallow.
Thursday, June 26, 2008
I do not know Cyndie but my heart goes out to her I admire her strength in allowing Renée to capture the most trying time of any one’s life, the treatment of neuroblastoma. Cyndie had to have been courageous in caring for Derek it looked as though she did things to make him feel loved, to have fun, to give support, and comfort.
I thought this was a wonderful set of pictures, raw and emotional, but worth the time. After I watched the slide show I just wanted to hold my little girl tight, to love her and to have her feel my love, a mother’s love.
Tuesday, June 24, 2008
Saturday, June 21, 2008
This is my first time to post on Show and tell I think this is a great thing I was able to look at others show and tell is was very interesting. My Dad who is in his late Fifty got married on Friday, after being divorced for the past 20 years I am really excited for him. So I wanted to share it.
Thursday, June 19, 2008
Sunday, June 15, 2008
In the beginning he could not do much because I was breast feeding, so he would change diapers, hold her, and anything that I would ask of him. As a father he wanted to be right there with the birth, early days, and he enjoys watching her grow.
As a father the biggest help you can be to mom and baby is to limit visitors, change diapers, and support your wife in what she wants and needs. My husband was great he was there to change diapers and as time went on has become confident in his abilities as a father, so much so that he cares for our little girl at night while I work.
Happy Father’s day to all and kudos to all DADs who are willing to share the work with a mom who works out side of the home.
Friday, June 13, 2008
On my honor I will do my best
Tuesday, June 10, 2008
Monday, June 9, 2008
Doctors are first because they see the patient first, they can encourage breast feeding, assessing for inverted or flat nipples, and support. Ways to encourage breast feeding is education at each visit give a mother one bit of information, moms are seen for about seven months prior to delivery that is a lot of tidbits. If the Doctor would take a few second to assess for inverted or flat nipples in the sixth to seventh month the patient could purchase Nipple shields (http://www.medelabreastfeedingus.com/products/breast-care/103/softshells-for-inverted-nipples ). Support could be offered to the expectant mother through referrals to a breast feeding class, breast feeding consultant or the la leche league (http://www.llli.org/resources.html).
The next problem is some nurses, who find it easier to feed an infant with a bottle instead of assisting with breastfeeding. It is understood that not all nurses have breast fed their own children and do not have a large knowledge base to work from, but in most cases nurses do not work alone. When a mother wants to nurse some of the nurses I have worked with have sabotaged breastfeeding unintentionally but none the less the harm is done. The only thing that should go in a breast baby’s mouth is the mother’s breast. THE ONLY THING THAT SHOULD GO IN A BREAST BABY’S MOUTH IS THE MOTHER’S BREAST. No pacifiers, no bottles, no rice cereal, no exception.
Doctors again, there is a misconception that a breast baby has to return to birth weight in one week, this is not true. If the infant is content, having 6-8 wet diapers and 2-5 stools around the third day of life there is not a problem. So many doctors want new moms to supplement to get the weight up on the infant that a good breast milk supply is not established.
As a new mom, trust yourself; if you want to breast feed be your own advocate. Explain to the nurses Before delivery that you want to breast feed ask them to not feed your baby. Ask for help; ask to be seen by the lactation consultant on staff. It is your right as a mother to determine the best care for you and your child.
Wednesday, May 21, 2008
Friday, March 14, 2008
Thursday, February 14, 2008
Thursday, January 3, 2008
1. I love the smell of clean baby’s hair that is soft.
2. I love seeing a father cry when he sees his little girl for the first time.
3. I love to help mothers breast feed and watch them bond with their new baby.
4. I love to see a mom hold her new infant kissing their head ever so softly.
5. I love to see a Daddy hold his new baby for the first time they are always afraid they will break them.
6. I love to see the joy when a child is truly wanted by a mother and a father.
7. I love to see a mother dress her new infant in new clothes pick especially for taking them home, it does not matter if they are from Dillard’s or hand me downs.
8. I love knowing that if this child never feels love again that I love it for a moment in time
I have been blessed now for over a year working in Labor and Delivery I still feel as though I would work here even if I won the lotery.