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. What is the institution's policy? I realize this is not an answer but this is a situation we don't drill or prepare for. If you have the right to refuse you should know it and do it. If not, I'd press...
  2. ruby_jane

    Prepping for School Nurse Job Search

    It is a shared practice. The principal cannot tell you how to do nursing things and the health director cannot dictate building policy (unless the policy converges and impinges on a nursing decision)....
  3. ruby_jane

    Do you keep clinic door open?

    Open all the time. Because I won't be alone with a student without a witness - even if the witness is in another office. My FALS teachers used to check on us, and we'd do the same for them, which was...
  4. ruby_jane

    Panic Attacks

    And consider a 504. A 504 is usually driven by a doctor's order BUT if the student is consistently unable to attend class due to being in your office - that might drive something in the parent. This...
  5. ruby_jane

    A week later, and the job is done

    An everything bagel for you with extra poppyseeds? Good
  6. ruby_jane

    TB testing 2020, good riddance?

    WOOHOO!!! I actually haven't been tested in three years. I guess the district doesn't want the news. One of my favorite bosses in TB world used to say "A decision to test is a decision to treat." And...
  7. ruby_jane

    appendicitis

    Apropos of nothing, I had an 11th grader also writhing on the floor, begging me to call EMS, who transported her and mom (who got there and was not able to be talked away from transport). It was gas....
  8. ruby_jane

    Prepping for School Nurse Job Search

    If there's nothing open in the district you desire, make contact with the lead nurse/health services director. S/he may then consider you when an unusual mid-year position opens. You can also go to...
  9. ruby_jane

    Who gets the backpack

    "I cannot leave the clinic due to health and safety reasons." I usually call the teacher and the backpack magically shows up, if the student is truly unwell enough to go get it him/herself (which is...
  10. ruby_jane

    Sibling Visits in the PICU

    I am curious how this progressed now that we're wandering into flu
  11. ruby_jane

    What is your late pick up policy?

    Holy H-e-doublehockeysticks.... This is not an ill child, right? This is just a late parent? We've done two things in the past - Put them in after school care at a cost to the parent (it is my...
  12. ruby_jane

    When do you question the testing?

    I don't have an answer for you but I love your sense of humor. At least it's winter! Hang in
  13. ruby_jane

    How Do You Fit In 30mins Of Exercise In Your Work Day?

    I have no good answer for this except that I keep a gym bag in the car and that triggers me to stop at the gym many nights, even for just 30
  14. ruby_jane

    "huge puddle of blood!"....oh boy

    Their definition of legitimate need to know leaves something to be desired, no? Hang in there. Also I get the custodian involved for a huge puddle of
  15. ruby_jane

    Common clinic visits (elementary)

  16. ruby_jane

    appendicitis

    True story: Mr. Ruby Jane (also a nurse) and I both missed RJ junior's hot appi. Because she presented exactly like what you saw. And progressed exactly as you describe. I had a nauseous tween in the...
  17. ruby_jane

    Wiping bottoms

    Whelp....since I have moved into a new semi-administrative gig, I will cast this wisdom: What does the DOCTOR say? I mean, mom can ask for whatever mom wants for sweet baby but is this medically...
  18. ruby_jane

    The rules apply...until they don't...

    That day was just working your last nerve. I get it. What I don't think parents understand is that when they constantly mow the lawn in front of sweet baby, sweet baby doesn't develop real-world...
  19. ruby_jane

    LPN to RN worth it?

    So...what do you want to do with the rest of your life? And how close are you to retirement? My sister is an LVN. She never, ever wants to do the bridge program even though she has 25-30 more...
  20. ruby_jane

    Wiping bottoms

    Oy. This is a hill I would die on, I think.... I second the "nope, nope, nope." Do we have a behavioral intervention in
  21. ruby_jane

    Quitting HCA after 5 months

    Whelp, you already left. You will probably have to account for those three months, and it's best to say something to the effect of "There was no way I could learn to practice safely in that...
  22. ruby_jane

    New Nurse, Med Error = Lost Job

    At less than three months in....NONE of us have made the transition from task-oriented to critical thinking. Not a one of us. I am sorry this happened. Did other events occur that cumulated in your...
  23. ruby_jane

    Sped Diabetic Student Requesting Escort

    Hang in there, Dimple. When we start insisting that the parent needs doctor's orders for anything out of the ordinary and that parent keeps missing our ARDs, usually things are turning around....
  24. ruby_jane

    HOTV vs LEA ?

    I was just about to say check your state's guidance and your district policy. This may be a best practice thing where we are behind the
  25. ruby_jane

    Seizures! Diastat!!

    Our bus drivers cannot administer anything (maybe Epi IF the student carries it) so it would be EMS only. I love the rest of your response. Even hands only CPR is good. But not necessarily for this....