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

    Stomach Pain for 3 Weeks

    Tamiflu may produce transient diarrhea and stomach upset, but this seems like a long time for this to go on. What's the age of the student? And what is mom/dad prepared to
  2. ruby_jane

    What do you eat during your shifts?

    Balance Bars (the double chocolate are the bomb) if you can tolerate soy, some kind of plant-based protein shake that's prepackaged, prepackaged apple
  3. Consider ambulatory care? I mean...people still whine. But I care a lot less about
  4. ruby_jane

    Bananas

    I love everything about this thread. "For the love of God don't tell my
  5. ruby_jane

    Immunization Question!

    I am unfamiliar with the rules in your state. In TX there are rules for child care and rules for school age (but they're remarkably similar). What is the district policy for starting with or without...
  6. ruby_jane

    I hate to tell you I told you so........

    Fairly certain Enoughwiththeice would have done
  7. ruby_jane

    CBD Administration in School? Policy?

    I love this guidance. It walks a line. I imagine that this is difficult for the parent. Does anyone know what the dosing on this is? Also...y'all, Marinol has been prescribed for decades (usually for...
  8. ruby_jane

    RN Residency and Pregnant

    You do not have any actual proof you're pregnant, so please follow up on that. Legally you are not required to tell your employer about your pregnancy. It would be a good idea to do so after maybe the...
  9. ruby_jane

    Can I refuse an infant patient??

    OK so.... Is this a kid with failure to thrive or something otherwise relatively benign that requires just a g-tube? If so - refresh your g-tube skills and you might enjoy it. If not- then you're...
  10. ruby_jane

    Where do I go from here?

    Come to the school nursing side! Seriously, KatieMI gave you a lot of good options. Once you leave bedside and the pressure to know and do instantly you might find that you can actually do, and you do...
  11. ruby_jane

    Smelly Kids

    SOOOO awkward. I like that you had someone in administration do the reaching out. That way the bounceback wasn't on you. I would also say in the handful of times I've had this situation....I would...
  12. ruby_jane

    CBD Administration in School? Policy?

    But none of those studies are clinically controlled. Please understand that as a nurse, you cannot give a medication just because a doc says to. Please also understand that what you're taking is not...
  13. ruby_jane

    Smelly Kids

    Beautifully said. Here's the thing...does the kid have a home? Do they have a washing machine and a dryer that actually work? Is there something neurodevelopmental where the kid will only wear certain...
  14. ruby_jane

    "Survivor" Show is looking for a nurse or medic

    Davey is the Most Interesting Nurse In The World. I am sure he's been there and done
  15. Depends on the hospital's policy for nursing. EMTs would need to weigh in for that specialty. At one point nurses were being told to cover visible tattoos (I am that old!) but lately both in inpatient...
  16. ruby_jane

    Providing Care to Staff

    Sweet Baby
  17. ruby_jane

    Student Overdoses

    My first year as a hs nurse I had a student attempt to slit her wrists with the razor thingy from a pocket pencil sharpener. I was saved by our athletic trainers who pressure wrapped the wrists and...
  18. ruby_jane

    New grad PRN? Year off? Help.

    The only PRN job I'd even recommend you look at is at one of the mobile vaccine clinics where you' d be travelling to give flu and B12 shots. And there's not a lot of work there between April and...
  19. You have described everything about my first preceptorship in the ICU so I have the feels for you. Document EVERYTHING. Everything the person says and does. Speaking to the preceptor on your own may...
  20. ruby_jane

    Traveling after probation?

    Do you have an order that says you cannot? I am assuming you're in Texas; what do they say about your question? Will you always need to declare your time with them? Best of
  21. ruby_jane

    Gave an EPI pen for first time in years

    Also, apropos of noting, it makes a satisfying "THWOCK" noise going in, doesn't
  22. ruby_jane

    OMG I got teary-eyed reading this...

    GAAAAA. Mascara alert. Three series of shocks (which means....what, at least six minutes of CPR, probably
  23. ruby_jane

    Parent with Borderline Personality Disorder

    YUP!!! It's going to take a lot of time to untangle. Stay
  24. ruby_jane

    CBD Administration in School? Policy?

    It is not evidence-based, no matter what the MD says. Or the neuro. How many docs write for absolutely worthless stuff because parents ask for it? We need more studies, and if it does work than the...
  25. ruby_jane

    Bellyache

    Jumping up and down on toes was an ER doc's tip to me for ruling out appendicitis, and I use it to this day. However, if there's impacted poop up in there, the kid will also complain of pain so it's...