ruby_jane BSN, RN

ruby_jane has 15 years experience as a BSN, RN and specializes in ICU/community health/school nursing.

Latest Activity

1. 

   Annoyed Parent

   ruby_jane replied to RuralMOSchoolRN's topic in School

   Oh my goodness - I have missed you all so much - but NOT THIS! You documented what you did. I likely wouldn't have done anything differently. Let the teacher field the ER bill...
2. 

   Epi pens and stomach pain

   ruby_jane replied to schoolnursenewbie's topic in School

   My experience was that the kid had almost projectile vomiting as the GI response. Stomach ache - not so much BUT it's not impossible. But if the kid denies ingestion...what do you do with this? In a perfect world I'd monitor. Covid has messed with m...
3. 

   Under the Influence Assessment

   ruby_jane replied to OyWithThePoodles's topic in School

   I hate the "can you check him out? He smells like pot" assessments. Our old form had me assess nystagmus like five different ways..... Seriously, unless you have a doctor's order and a pee test, you are only documenting vitals, what you observe...
4. 

   Menstrual changes following vaccine?

   ruby_jane replied to kidzcare's topic in School

   Well this is interesting! I don't have a uterus anymore so I am no help. We are in phase 4 trials, folks. That's when all the unusual side effects show up.
5. 

   doubting myself...

   ruby_jane replied to pineappleupsidedowncake's topic in School

   You don't want to be "that nurse." The nurse who wanders away from handing over the inhaler because the symptom is unclear. My general practice is that I assess (PSO2, RR, auscultation for a good long time) and if I don't hear the wheezing and the RR...
6. 

   COVID-caused conjunctivitis

   ruby_jane posted a topic in School

   I learned yesterday that in (less than) 5% of our kiddos, goopy bloodshot eyes may actually be COVID-related. As in, this is a new symptom we've discovered. But that opened up the can o' worms: If I send a kid out for diagnosis and the doctor do...
7. 

   Drug Cost Assistance- Flovent

   ruby_jane replied to SchoolNurseK's topic in School

   Is the teacher's doc aware of the fact the teacher isn't compliant because of the expense? Is there any other med that they can take? My beloved Dr. Singhania (if you're in the NTX and need an allergist or care for your asthma that is allergy-re...
8. 

   Anyone familiar with this training...?

   ruby_jane replied to Jedrnurse's topic in School

   It DOES look interesting....but looks like it would be for newer school nurses. I think you could speak effectively to (if not teach) many of these topics.
9. 

   SECOND nurses office?!

   ruby_jane replied to ihavealltheice's topic in School

   This is a great suggestion, for several reasons. Including....if the main office got contaminated or otherwise unusable there is a back up and it's stocked with supplies!
10. 

    504 T1D, ADHD, OCD, Anxiety, food allergies.

    ruby_jane replied to ajessrn's topic in School

    Not....necessarily. Pretend you don't know anything about SPED and ask for the evaluation.
11. 

    504 T1D, ADHD, OCD, Anxiety, food allergies.

    ruby_jane replied to ajessrn's topic in School

    In my district in north Texas he would likely meet the SPED category emotional disturbance, or possibly Other Health Impairment. The SPED assessment process is lengthy but we need to answer the question: Does this student need modifications to be su...
12. 

    Letter of completion?

    ruby_jane replied to ConfusedRN000's topic in Recovery

    Did you go through a lawyer or just by yourself? If you lawyered up, have them ask for you. Otherwise I would call the case manager...TXBON is not known for happy surprises but I hope yours is a happy surprise.
13. 

    Questions to ask applicant for Director of Nutrition Services

    ruby_jane replied to MHDNURSE's topic in School

    I'm just dazzled that they thought to invite you. Nurses and nutrition staff work hand in hand a lot but a lot of people don't know that. Scenario: You have a kid who has a negative lunch balance, and parent has been informed but has not made an...
14. 

    Med Usage

    ruby_jane replied to BrisketRN's topic in School

    Generalized anxiety disorder? Dexmethylphenidate is a stimulant and I cannot imagine my anxious RJ Junior taking that to "help" the GAD she has. Yeesh. Because the brain's biochemistry is so individualized and because our psych models work like ...
15. 

    Stroke Sx’s....Complacent Teachers

    ruby_jane replied to schoolnurse1118's topic in School

    Days like this I miss OldDude. BAM! Snatched from the jaws of death!! Or not. But you have NO WAY OF KNOWING! So, based on your assessment - a prudent nurse would not have allowed that teacher not to go to the hospital. She looked like she was h...