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

    Immunization Audit—-fail?

    ruby_jane replied to cmh1118's topic in School

    1. There is a history of poor compliance - not her fault. 2. All parents must obtain an exemption for conscience from TDH. No exceptions except - 3. Medical exemptions are a thing with a note from...
  2. ruby_jane

    Used to love my job, pandemic changed everything

    ruby_jane replied to Baconpancakes's topic in General Nursing

    Deep breath. Sorry - this sounds like a plate of poop for you. Don't be nice to the people and don't talk so long?? Really, is that what you're being told? SO....when you're done having the baby,...
  3. ruby_jane

    Nurse Practitioners in the school setting

    ruby_jane replied to Ashley17's topic in School

    That makes my heart happy for you. The ambulatory care NP situation in Texas is pretty bad right
  4. ruby_jane

    Summer camp called it

    ruby_jane replied to ruby_jane's topic in School

    I am so glad RJ Junior is 19 and driving. Although she's been doing essentially that since March as well. She signed up for Physics 1 and 2 (EEESH) because 1) she only needs it for med school and 2)...
  5. ruby_jane

    Temps at the door?

    ruby_jane replied to cmh1118's topic in School

    Fact (from the large children's hospital n the NTX): Most children are asymptomatic. The majority of the tiny amount of pediatric cases were incidental finds when an adult actually had COVID-19 and...
  6. ruby_jane

    So frustrated.

    ruby_jane replied to SchoolNurse91's topic in School

    "This is what I found. Take it or leave it." Old Dude just popped out of me, sorry. But seriously, that's the answer. Tell them more nicely than I did. It's a profiteering economy right now. Best of...
  7. ruby_jane

    communicating visits

    ruby_jane replied to Flare's topic in School

    My ap is called the spreadsheet I make for mahselfs. Seriously. You could probably use your EHR (we have Skyward) to calclate the number of visits daily BUT I was never successful in pulling out the...
  8. ruby_jane

    How do you know if nursing is right for you in the long term?

    ruby_jane replied to pinkdoves's topic in General Nursing

    If you had asthma or diabetes, would you let yourself go untreated? We are not allowed to give clinical advice. But from what you describe the anxiety is clearly affecting you. You'll need to actually...
  9. ruby_jane

    Nurse with mental issues?

    ruby_jane replied to Nurseunite's topic in General Nursing

    THE FEELS. That lack of respect - I am not sure it gets better. It really depends on the situation. As an RN you can delegate a bit more but then you are doing more (mostly charting). Hang in there....
  10. ruby_jane

    Full time jobs hard to find ?

    ruby_jane replied to Anotherdegree4me's topic in General Nursing

    OP you've gotten great advice from people who've been doing this a lot longer than I have. If you're going to go to nursing school you'll need to get in the best shape of your life, physically and...
  11. ruby_jane

    Nurse with mental issues?

    ruby_jane replied to Nurseunite's topic in General Nursing

    We're all in a bit of a funk. It's normal to question your purpose (especially when you either have a lot of time or you're working on the inside of a pandemic). Your post hit me in the feels today....
  12. ruby_jane

    Nurse Practitioners in the school setting

    ruby_jane replied to Ashley17's topic in School

    I don't suspect you'd be able to use your FNP in a school setting (you would not get paid what you want). A district that had a roving FNP to see all the "might be pinkeye" rule outs, though...that...
  13. ruby_jane

    Job loss

    ruby_jane replied to Schoolnurselpn's topic in School

    Our nursing director requested that we document two hours of work daily. Which was pretty easy. I've sat in on a surprising number of ARDS and written some glorious care plans (and I managed to go...
  14. ruby_jane

    Job loss

    ruby_jane replied to Schoolnurselpn's topic in School

    How are they going to manage the immunization records without you? The state still requires records with students on-line....Jussayin. Also I believe that next year a BUNCH of parents are going to be...
  15. ruby_jane

    Leave School Nursing?

    ruby_jane replied to KSM-RN's topic in School

    While I wish you the best: How close are the chirren to going to college? I kept the school nurse gig into RJ Junior's first year of college. It is my deeply held belief that there are two critical...
  16. ruby_jane

    Looking for advice dealing with BON and NPDB

    ruby_jane replied to Sbhope's topic in Nurses Recovery

    OP you're asking a bunch of strangers on the internet for advice and we're not allowed to give particulars, but there is no way in h-e-doublehockeysticks that I would face this without a lawyer. It's...
  17. ruby_jane

    What will school nursing look like after this pandemic?

    ruby_jane replied to MHDNURSE's topic in School

    I didn't think about the consequences of a nurse having to stay out for 14 days post-exposure either so YAY for the HIVE
  18. ruby_jane

    Tx Tpapn Home Health?

    ruby_jane replied to Direct's topic in Nurses Recovery

    Can you ask your peer advocate? If the BON doesn't specifically allow it it's usually not going to
  19. ruby_jane

    Looking for advice dealing with BON and NPDB

    ruby_jane replied to Sbhope's topic in Nurses Recovery

    Did you contract with a
  20. ruby_jane

    The fate of camp this Summer

    ruby_jane replied to GatezRN's topic in Camp

    Our camp in Central Texas pulled the plug a couple weeks ago. I survived the H1N1 season (a small group of kids all went to one party and brought the H1N1 to camp) and the probable-norovirus season...
  21. ruby_jane

    Critical students

    ruby_jane replied to Purple036's topic in School

    I imagine my documentation will look something like this: parent verbalized understanding of current issues with COVID and has been advised that their student may be high risk for this and other...
  22. ruby_jane

    What will school nursing look like after this pandemic?

    ruby_jane replied to MHDNURSE's topic in School

    The majority of students will be asymptomatic (per my local Children's Hospital). The majority won't be febrile when they arrive at school (and we know this is true because we survive flu season every...
  23. ruby_jane

    DNR Policies in the School Setting

    ruby_jane replied to beachynurse's topic in School

    I would have trouble even attempting to override a DNR that's real and something the parent wants. Especially if it's something the student wants. Having said that we have more actual kids where I...
  24. ruby_jane

    Complications in pediatric cases of COVID-19

    ruby_jane posted a topic in School

    https://www1.nyc.gov/assets/doh/downloads/pdf/han/alert/2020/covid-19-pediatric-multi-system-inflammatory-syndrome.pdf The cytokine cascade caused by SARS-CoV2 is well-described in adults. And now it...
  25. ruby_jane

    Summer camp called it

    ruby_jane replied to ruby_jane's topic in School

    Central Texas. I would think long and hard about working a Summer camp that took kids from NY, NJ, or anywhere else where there was a large number of cases....because kids are mostly asymptomatic......