ruby_jane BSN, RN

ICU/community health/school nursing

"Living life on far too little sleep" - Jason Boland.<br /> "Not all who wander are lost" - JRR Tolkein. Except middle schoolers...sometimes they wander until they get lost.

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All Content by ruby_jane

  1. ruby_jane

    Destroying of files

    What does your policy say? Ours is two years in clinic and then a certain number of years offsite for a total of 7 (but SPED is
  2. ruby_jane

    The Many Ways Opening Schools Could Go Wrong

    Wuzzie, I love your posts. We have places all over the country where masks are optional. This is the reality and yes, the article sums up what I've been saying: We can either open the schools or the...
  3. ruby_jane

    It felt wrong...

    It IS going to be so hard. As you know, sometimes parents err on the side of "my child is a drama queen" and then have no choice but to be cool when we call. Well, they do have a choice so glad the...
  4. ruby_jane

    We start on Monday - full in person

    If I had an N95 mask for all the N95 masks I disposed of after one use....I'd be a happy
  5. ruby_jane

    How do I refuse to care for a patient

    What does your documentation on these incidents look like? I am assuming you chart on specifics - what fluid, route, complications, etc. I don't know because I've never worked dialysis! In school...
  6. ruby_jane

    We start on Monday - full in person

    At this point my best advice is that parents will or won't send masks and kids will or won't wear them so do the best that you can. The American College of Medical Toxicology is telling us that a...
  7. ruby_jane

    New RN who wants to skip the hospital.

    Our district now requires two years' experience. I also knew that acute care was not for me after four months in the ICU. I don't regret it BUT now I am not eligible for many nurse manager positions...
  8. ruby_jane

    We start on Monday - full in person

    Do I remember you're in West Texas?? May the odds be ever in your
  9. ruby_jane

    Strange New World

    We are receiving any results from that AM screening (each nurse on her campus). Many are "Oh, I did not mean to check yes." Hang in
  10. ruby_jane

    Too strong of a personality?

    May I ask: Are you a person of color? And are the people who consider you "strong" not people of color? It may not be that simple. In school nursing there's a lot of discussion right now on how...
  11. ruby_jane

    Strange New World

    Welcome back! Much like screening the whole campus for lice....we're trying to stay away from thermometer duty on the grounds that parents will have given a borderline ill-feeling student something...
  12. ruby_jane

    Isolation room set up?

    GOOD JOB. Necessity is a mother, isn't
  13. ruby_jane

    MD Orders??

    Also remember: ADA only applies to those with a condition covered by the ADA. ADA does not protect anyone who just doesn't like a mask. There are a few bonafide health reasons that would exempt one...
  14. ruby_jane

    Vault mail in testing?

    Check the sensitivity/specificity on these. It's interesting and I want to research
  15. ruby_jane

    Sending Home Any Covid Sx?

    We are discussing this right now. It will likely be more than a cough but less than four or more. We are leaning heavily on the local health jurisdiction for an algorithm. Here's the problem: We want...
  16. ruby_jane

    Elementary nurses - mask question

    There isn't good guidance. Because....this is the first time that I'm reusing a surgical or N95 mask!! Inside folded together sounds good to me. Also we'll need to instruct on proper mask removal....
  17. ruby_jane

    worth buying this stuff?

    What a budget! Yes to the ice maker if feasible. Yes to the glucometers but remember the strips expire and you will likely go a year and only use two strips. When I was a HS nurse one year I had a kid...
  18. ruby_jane

    Pregnant New Grad Nurse

    I do wish you the best! You will potentially hamper any other nursing option if you do ambulatory care first. Couple that with a distinct lack of real PPE - I am nervous for you. Good
  19. ruby_jane

    Isolation Room

    So....in our district the initial plan is to have the nurse be detailed to the isolation room (in full PPE) IF the kiddo needs that much observation. The clinic assistant gets the rest of the kids. If...
  20. ruby_jane

    Want to become a School Nurse, but is it worth it?

    Your LVN experience is worth something for sure....but I think you're limiting yourself if you go to school nursing right out of RN school. Love from an ICU and public health nurse who's now a school...
  21. ruby_jane

    What will you wear?

    Former ICU nurse here. I did not alter the scrub top. Just lifted it up and over. Wash hands, doff garb, wash hands again. Do you have long hair? If so, put it up/cover
  22. ruby_jane

    Summer camp called it

    I'd signed up to work the second session of Summer camp, which is my side gig. Previously RJ Junior's attendance at said camp was made possible by my work there. But now they just pay me! This...
  23. ruby_jane

    What is it like to be a school nurse?

    Most of us are already off contract and gone! I suggest you put your question in the search bar as this has been well-addressed. We'd welcome your skill set, especially at the high school level....
  24. ruby_jane

    I'm so ashamed of myself

    Why are you ashamed? It's a good
  25. ruby_jane

    Ethical Issues

    Yep. THat's what they tell us. And the held to a higher standard part is definitely true. Why are you worried about "someone?" Unless the someone is