Vaccinations, jobs, and wheezing

Quite a congolmeration of topics.....

Vaccinations:  here is a link to a CDC report on estimated vaccination rates across the country.  It is based on phone interviews, so they admit the data may not be the best--but it is still good information to have.  Some practices are not seeing children whose parents refuse vaccinations due to the risk those children present to young infants and/or immune compromised children who are in the waiting room at the offices.  I find it interesting that (anecdotally), the children who aren't vaccinated are typically presenting to Urgent Care within hours of a fever onset.  If the parents are THAT worried about a fever....then why don't they vaccinate?  Some things just don't make sense at times.  http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6334a1.htm?s_cid=mm6334a1_e#Tab3

Jobs:  Seattle Children's has NP (and PA) jobs posted for the Medically Complex Service, Urology, Pain Medicine, and in the CICU (finally!).  Check out the job listings at www.seattlechildrens.org   Also, our website has various postings for jobs as well.  Sources are posting jobs on our site that are not PNP focused, but every now and then...there is something that matches our licensure! 

Wheezing:  Be advised the midwest is seeing a huge (per their reports) outbreak of wheezing in children (with and without a wheezing history) in which they are not very responsive to the usual methods (albuterol).  Many (by report) requiring admission to the hospital, some needing intensive care; and seems the viral panels are only finding rhinovirus (how dare the common cold be so ugly!) or coronavirus (which can be a nasty viral agent).  Be aware of this issue when children present to your office with wheezing...they may not improve quickly.