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

    How to talk to parents..

    And always recommend that the student be assessed by their PCP (barring the obvious little stuff.) "I'm calling today out of an overabundance of caution. If it was my kid, this is something I'd want...
  2. ruby_jane

    Diabetes Question

    I do whatever the orders say. What do the orders
  3. ruby_jane

    elementary/middle school diabetics

    I feel your frustration. But you cannot care more than the parent. And remember the parent may still (even four years down) be grieving/controlling/whatever. It will change when the parent is willing...
  4. ruby_jane

    Gave an EPI pen for first time in years

    Amen to all
  5. ruby_jane

    Bellyache

    This is GENIUS!!! Sad reality but excellent history taking skills! Unless there's a chandelier sign (you palpate the abdomen and the kid screams and climbs the wall to hang on the invisible...
  6. ruby_jane

    No, parent of child, I don't have a lab and imaging

    And this is why we're here.....to encourage people to take their kid to the doctor. Telehealth is amazing but our district's parents aren't fully on board with usage yet. We have a group of parents...
  7. You will need to dig a little deeper and find your resilience. You don't know what the report will be. You've done well so far. You have come a long way. ICU is most def NOT the only acute care...
  8. ruby_jane

    Job searching while under investigation

    You may be reported to your BON as "resigned in lieu of termination" but resigning with the caveat that you will be considered rehireable is the most optimum situation of
  9. ruby_jane

    Postpartum?

    You are so supremely brave, and I am a little in awe of your ability to process that this situation is chipping at your well-being. Also that's a crappy policy to hold people down (and I have no...
  10. So completely unprofessional of that nurse. And btw, that's exactly how my preceptorship went so I feel this deeply for you. You do NOT need to remove yourself from the program. You had ONE bad...
  11. ruby_jane

    Sick of nurses "referring" to our specialty

    OMG WE ALL NEED
  12. ruby_jane

    Coronavirus concern for incoming student

    We may move to the following guidance which is based on CDC recommendations for physicians and hospitals: If a student presents with a fever and one or more lower respiratory symptoms (cough, SOB);...
  13. ruby_jane

    Coronavirus concern for incoming student

    Remember back to Ebola? We were instructed to take the temperature of any student coming from the affected area and ask a few health questions that were blessed by the CDC. We may start doing this...
  14. ruby_jane

    I can’t stop crying over a bad death

    I'm weeping a little. My little cold heart just grew three sizes. Thank
  15. ruby_jane

    I can’t stop crying over a bad death

    You did not have the resources to stay 1:1 and her vitals were back. You had to attend to your actual patients. You are taking this hard and personally but I want you to re-read that first sentence...
  16. ruby_jane

    Transferring into acute care- L&D

    That is some awesome advice,
  17. SEVEN???? Sweet baby moses. It's flu season right now. Find an agency that does flu shots and temp there for a minute. Look around for some time management CEs and take those classes (not that I think...
  18. ruby_jane

    Transferring into acute care- L&D

    If there's a L&D specialty board this might be a good ask for them (look under nurse specialties). In general the advice I've given and been given: Join the national specialty group, mostly...
  19. Hospitals (and indeed, some other nurses) have a low tolerance for medication errors we make. Hospital nurses also occasionally appear to have a low tolerance for those of us who are new looking up...
  20. ruby_jane

    Patient’s family threatening to report me to BNE

    That is something I wouldn't have thought of but YES. It is also possible you have an employee assistance program that may be of help as
  21. ruby_jane

    Patient’s family threatening to report me to BNE

    While it's fresh in your mind, write yourself a nurse's note on a legal pad or a diary or anything where it's apparent that you haven't torn out pages. Don't access the chart to do this unless you...
  22. ruby_jane

    First time License Renewal in illinois

    What does your BON say? That seems so odd... I recall I got licensed for a year (renewed my birthday month of the year after I
  23. ruby_jane

    First day back after mat leave

    Welcome
  24. ruby_jane

    Forced from RN to MA question

    What is it exactly you don't want to do/haven't been trained up on? Is it within your scope as a nurse? Is your issue that this is what sounds like a chaotic environment for
  25. ruby_jane

    Documentation...Can it be done?

    The first question - why isn't nurse 1 documenting? Once I got past that, I would note "Per Nurse 1....." Second question - absolutely, all the time. What ERH are you using? Skyward has a student...