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

    Coping with emergencies at any time.

    I promise that feeling goes away. It may take a year (and it may briefly reoccur every new school year) BUT it isn't
  2. ruby_jane

    Gloves at all times?

    I love these comments. If I'm donning gloves it's probably for my protection... If I'm washing my hands it's for both of
  3. ruby_jane

    Novel coronavirus

    During the Dallas Ebola 2014 we were woefully reactive at the community level. But we sure did stock up on PPE. I am wondering how much of that stuff is still good and how much breakdown you'd have in...
  4. ruby_jane

    IV push meds alcohol swabs

    I think this is the right answer (and I like the logic) but what does the policy say you're supposed to
  5. ruby_jane

    Struggling with Swing Shift Clinical

    When you're working three days (or nights) in a row you won't have the luxury of NOT forcing yourself to back away from your phone or computer, taking a warm shower, and perhaps reading yourself to...
  6. When I did my OR rotation back in nursing school I was told: If you feel faint, that's fine. You won't always feel faint. But if you feel faint, back up to the wall, slide down and sit with your head...
  7. ruby_jane

    Preceptor legal responsibility with new RN

    What does your work policy say? And do you have malpractice insurance - if so, what do they say? If the new RN administers something, make sure s/he signs that s/he did it (not that you did
  8. Please seek some help from your EAP or other professional since you are "at the end of your rope." Please consider that getting a BSN means 18-ish more months and no guarantee of improving your...
  9. ruby_jane

    What to do with Nursing students?! HS Nurse

    True story: With my BSN, we were given scanty basics but told "you'll learn this on your unit." Same with working an IV pump. There is so much click-charting now AND nursing schools are very focused...
  10. ruby_jane

    What to do with Nursing students?! HS Nurse

    ENJOY THEM!! Teach them everything you know. First, what are they able to do? If they can do procedures, train them and let them run with you observing (I do not train student nurses to do meds but...
  11. ruby_jane

    RN to BSN dilemma (for an older RN)

    Mr. Ruby Jane was an ADN who recently completed his online BSN in order to become a manager. I had a BA and went through one of those BA to BSN in 18 short month programs. Putting aside my whole...
  12. ruby_jane

    Help with topic for capstone project

    Teaching to staff? Or teaching to patients? Hand hygiene and cough courtesy come to
  13. ruby_jane

    Recently terminated- being reported to state BON

    In addition to speaking to legal counsel, write down as much as you can remember (make it in the form of a nursing note where you sign off on it). Don't speak to anyone at work. You're legally...
  14. ruby_jane

    How? Just, HOW?!

    We're teetering on surgical removal at this point. Would you remove stitches? If not - don't pull out even run-of-the-mill classroom staples without some kind of provider assessing first. I know there...
  15. ruby_jane

    New to subbing

    Just like on the floor, every day is a new day. There should be someone you can call (maybe a buddy nurse?) The only experience I have is working summer school and I went in (on my own dime) to...
  16. ruby_jane

    Influenza

    Several (vaccinated ) staff out now with type B..... It's going to be a long haul. Apropos of nothing, when I got vaccinated this year I felt like a truck hit me. It's not live so that wasn't...
  17. Maya Angelou said do the bet you can until you know better, and when you know better, do better (I'm paraphrasing). Assess, take note of improvements that can be made, and move
  18. ruby_jane

    Pertussis Parent Notification

    Yup. We're not diagnosing, just mitigating the
  19. ruby_jane

    Blood Disorder and Severe Bruising

    I appreciate the expert weighing-in about potential causes, because it's valuable. The diagnosis of both VW and thrombocytopenia would have come out (and it's likely the parent would know the name and...
  20. ruby_jane

    so lost

    Pick Med-surg and remain rehireable at the employer. Or leave, risking the "not eligible for rehire" on your employment history. I chose to leave rather than go into med-surg. I found another job (and...
  21. ruby_jane

    I regret going into nursing-what should i do?

    While you are awaiting your dream job (and it's out there) - consider if there are any companies that do flu clinics. You'll get a job, some experience, and you will become a little more
  22. ruby_jane

    Blood Disorder and Severe Bruising

    I was just about to ask...what do the orders say? I suspect if it's not a hemophilia variant or other hemoglobinopathy...not much. But I'd love to see orders. If a parent was asking me to map a...
  23. ruby_jane

    Positive PPD

    Yes....but if they've already had the skin test we're getting into the category of "the skin test said this but the blood test said that." Since the student is a late adolescent with a BCG and at...
  24. ruby_jane

    Positive PPD

    WOAH!! So...student should always be a CXR only due to previous positive. I am glad the blood test was negative but as the student will always skin test positive and we're looking to document...
  25. ruby_jane

    Help with a head injury

    SPIDEY SENSES. The 504 is less than a year old. You have a doctor's orders and you share the patient...they will likely talk with you and you lose nothing in the ask. If not, then I would call another...