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What if everything nursing school taught you about your child’s fever — and everything you’ve been telling patients at triage — was missing the full picture?
In this Nursing Ethics episode of NursesOutLoud™, ER nurse, nursing ethics educator, and federal whistleblower Jodi O’Malley, MSN, RN sits down with Dr. Lawrence Palevsky — New York board-certified pediatrician, past president of the American Holistic Medical Association, and one of the most thought-provoking voices in pediatric medicine today. This conversation goes straight at the reflexes medicine has conditioned into all of us: treat the fever, order the swab, write the script.


Upon completion of this continuing nursing education activity, the learner will be able to:
Describe the physiological purpose of fever as an immune and inflammatory response, distinguishing between fever as a symptom to suppress versus a mechanism to support.
Explain the relationship between acetaminophen use, glutathione depletion, and implications for detoxification — particularly in pediatric and obstetric populations.
Identify the nurse’s ethical obligation under the ANA Code of Ethics (Provisions 1, 2, and 3) to provide patients with complete information necessary for informed consent, including when physician orders involve medications with documented risks.
Apply critical thinking skills to distinguish clinical assessment from protocol-driven care, using patient presentation rather than isolated lab values or test results to guide nursing judgment.
Discuss the principles of antibiotic stewardship as they relate to responsible nursing advocacy and patient education in acute care settings.


Upon completion of this continuing nursing education activity, the learner will be able to:
Describe the physiological purpose of fever as an immune and inflammatory response, distinguishing between fever as a symptom to suppress versus a mechanism to support.
Explain the relationship between acetaminophen use, glutathione depletion, and implications for detoxification — particularly in pediatric and obstetric populations.
Identify the nurse’s ethical obligation under the ANA Code of Ethics (Provisions 1, 2, and 3) to provide patients with complete information necessary for informed consent, including when physician orders involve medications with documented risks.
Apply critical thinking skills to distinguish clinical assessment from protocol-driven care, using patient presentation rather than isolated lab values or test results to guide nursing judgment.
Discuss the principles of antibiotic stewardship as they relate to responsible nursing advocacy and patient education in acute care settings.
Lawrence B. Palevsky, MD
Board-Certified Pediatrician • Northport, NY • drpalevsky.com
Lawrence B. Palevsky, MD is a New York State licensed, board-certified pediatrician who received his medical degree from the NYU School of Medicine in 1987. He completed a three-year pediatric residency at The Mount Sinai Hospital in New York City in 1990, followed by a pediatric fellowship in the ambulatory care outpatient department at Bellevue Hospital, NYC.
Dr. Palevsky began his clinical career in the emergency room of Our Lady of Mercy Medical Center in the Bronx, NY (1991–1995), then served as Chief of the Pediatric Acute Care Unit at Lenox Hill Hospital in NYC (1995–1998). In April 2000, he joined the Center for Health & Healing, an integrative and complementary care facility affiliated with Beth Israel Medical Center in NYC. For over 20 years he has been providing integrative and holistic solutions to children and families, bringing a depth of clinical experience and patient-centered philosophy that is rare in contemporary pediatric medicine.
Dr. Palevsky is a Diplomate of the American Board of Integrative Holistic Medicine and Past-President of the American Holistic Medical Association. His clinical experience spans pediatric emergency and intensive care medicine, inpatient and outpatient pediatric medicine, neonatal intensive care, newborn and delivery room medicine, and holistic and integrative pediatric private practice. He is a medical advisory board member to the National Vaccine Information Center and Developmental Delay Resources, and teaches holistic integrative pediatric and adolescent medicine to parents and medical and allied health professionals both nationally and internationally.
He is the co-host of the weekly podcast Critically Thinking with Dr. T and Dr. P and maintains a private practice in Northport, Long Island, New York.

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Jodi O’Malley, MSN, RN, founder of Nurses Out Loud is a long-standing provider of accredited Nursing Continuing Professional Development through the Kansas State Board of Nursing (Provider #LT 0345-1225)
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Thank you for standing with us.
Let’s keep the volume up — together.
Jodi O’Malley, MSN, RN, founder of Nurses Out Loud is a long-standing provider of accredited Nursing Continuing Professional Development through the Kansas State Board of Nursing (Provider #LT 0345-1225)
For monthly donor options, sponsor recognition, or collaboration inquiries, email us at: [email protected]
Thank you for standing with us.
Let’s keep the volume up — together.