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

    PPE concerns as we return

    I've had the opportunity to attend some DYNAMITE Zoom/remote conferences during this time. So, here's what I worry about for fall (because I really hope we're back in the fall!) We will need PPE for...
  2. The Texas governor signed an order allowing new grads to practice and reducing the amount of clinical time that student nurses must have to graduate, citing the pandemic. I would encourage all new...
  3. ruby_jane

    Texas student nurses/new grads

    There is not a nursing shortage in our big cities. This is true. There is a shortage of acute care nurses and there is a shortage of hospitals willing to train up ICU, Telemetry, etc. nurses (my ICU...
  4. ruby_jane

    PPE concerns as we return

    In the Ebola Days, the Ebola confinement area would have been the bathroom. Not the best idea. In my clinic I think I have six feet from door to door and another six feet from the cabinet area to the...
  5. ruby_jane

    Future Nurses are Brighter Than Ever

    In many places there is no real nursing shortage. In north Texas there are three colleges/universities and four junior colleges all lined up to get their students into clinicals with THREE hospital...
  6. ruby_jane

    Mailing Meds

    For you with a nursing license, yes because we're not pharmacists and it has not been blessed by a pharmacist. That's my understanding. For me to mail to RJ Junior in college....whelp....you know. I...
  7. ruby_jane

    Policy/protocol for Nasal Versed or stock Epinephrine

    It's locked in my med cart in the school where they took away my 24hour access because....we're sheltered in place. SORRY!! But call your children's hospital and talk to a
  8. ruby_jane

    Did I make the wrong call?

    Double down on the YES. I am afraid to volunteer for a shift in a hospital because I've been ambulatory care so long. This post is
  9. ruby_jane

    Do you think schools will resume this year?

    Governor called it. But we can start doing retail with pick up only...not sure what that looks
  10. ruby_jane

    Rethinking Exclusion Policies

    AAAND I bet we add cough to some kind of exclusionary criteria. Despite the fact that the majority of data show (here in the NTX, it may be different where you are) that kids without severe immune...
  11. ruby_jane

    Vaccinations are ALREADY a problem with some...

    I am not sure we can mandate a SARS-COV2 vaccine. Much like the flu shots... oft times entire classes and even grades are out because a handful of bebes got the flu. This is not on the top of my worry...
  12. ruby_jane

    And just like that.....

    I love you right
  13. ruby_jane

    Partner doesn't like that I'm a nurse

    So...it's not going to get any better. We always bring germs home. When I was an ICU nurse I used to strip at the garage door and dump my scrubs in the wash immediately. Even Mr. Ruby Jane, who has an...
  14. ruby_jane

    Abandonment

    @nurseynurse, a long time ago (10 years or so) the majority of charting was done on paper. Nurses' notes were sequentially added. If you forgot something you wrote "addendum to note dated XXX" and...
  15. ruby_jane

    Abandonment

    While this is all fresh in your mind, write it down on an 8x11 notepad or journal or something that cannot be altered (like they'd see if pages were ripped out). Sign it like a nurse's note and keep...
  16. In my (limited Summer camp) experience, only a few providers knew about the ivermectin dosing (one now, one in 7-10 days pills) for lice! It's well-known to public heath but far more tropical than to...
  17. ruby_jane

    Landing a job in hospital after stipulations

    Nope. My advice is based on the sum total of wisdom acquired manually and from these
  18. ruby_jane

    Policy/protocol for Nasal Versed or stock Epinephrine

    I wish I had one for intranasal versed. I had a pharmacist at our children's hospital provide some data on efficacy of this route compared to diastat...but my health services director at the time...
  19. ruby_jane

    Nursing Graduation Party Help

    The Littman Cardiac scope is the BOMB. Also if she's ever tried on a pair of Dasnko or Allegria, consider those but only if she's been able to try them on. Then when she's been at her job six months,...
  20. ruby_jane

    I really want to quit..any advice?

    I have a job I love ten years into my career. Don't give up after month one. It gets
  21. If you have a compact license and you really want to work, come to Texas. Our governor just jumpstarted the careers of new grads by mandate. Hospitals need to backfill the telemetry and high-level...
  22. ruby_jane

    Now that we are working from home . . .

    Do y'all have a local Medical Reserve Corps (Google it if you don't)? Usually you have to have some FEMA training and a HIPAA type training to participate but I bet they're waving all but the HIPAA at...
  23. ruby_jane

    Texas School Nurses + Covid-19

    Our district closed indefinitely. For the year. But enrollment just started so there's
  24. ruby_jane

    Another job??

    Guilty. I've only been with the district for two years so I have limited tenure. I am not sure what will happen next year - I am sure we'll be in school but I am not sure how the budget hit will be...
  25. ruby_jane

    Formal Charges Filed

    What does your lawyer say? In general if you do not have orders (stipiulations, education, etc.) then until you do...you don't and can say "no" to that question. If I understand you, you license says...