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

    Anoxic Brain Injury - Nurse Accused of Not Treating Asthma

    ruby_jane replied to Katillac's topic in School

    Holy h-e-double-hockeysticks. And I wonder...did the nurse have the peak flow meter and orders (I've never had one at school)? The nurse did not write a 504 plan - that's written by counselors. The...
  2. ruby_jane

    No EpiPen, No Field Trip?

    ruby_jane replied to BrisketRN's topic in School

    That is so interesting to me. I am not understanding the aspect of a field trip as it applies to FAPE, I think. Then I was on the right track with getting legal to develop an affidavit that the parent...
  3. ruby_jane

    Petty and not proud of it

    ruby_jane replied to ruby_jane's topic in School

    Are you grouchy or hangry? Because someone up in here has GOT to have saltines.... Seriously, I know that I cannot multi-task. Ever. Worse now in my 50s. And they're probably reading things on a tiny...
  4. ruby_jane

    Petty and not proud of it

    ruby_jane posted a topic in School

    Ok so - first fire drill of the season is WELL-ADVERTISED. As in, if you'll bother to read your email you will see the time today we're all getting an unplanned recess. How many kids come to visit...
  5. ruby_jane

    No EpiPen, No Field Trip?

    ruby_jane replied to BrisketRN's topic in School

    Whelp.... After documenting the pants off of "The district is liable regardless of what the parent says in his/her email"; And short of getting legal to look at an affidavit that must be notarized...
  6. ruby_jane

    Anoxic Brain Injury - Nurse Accused of Not Treating Asthma

    ruby_jane replied to Katillac's topic in School

    Yup. Right
  7. ruby_jane

    Questions from staff: week 2 version

    ruby_jane replied to guest464345's topic in School

    Please know that I giggled way more than I should have at this post, @laflaca . Hang in
  8. ruby_jane

    Should I report this?

    ruby_jane replied to Mavnurse17's topic in School

    School probably doesn't have a leg to stand on here. And next time you'll know to say something along the lines of "I cannot tell if the student is under the influence of (insert substance here). I...
  9. ruby_jane

    Petty and not proud of it

    ruby_jane replied to ruby_jane's topic in School

    OY!!!!! Oy all the way
  10. ruby_jane

    Student Returning To School After Seizure

    ruby_jane replied to Melmel75's topic in School

    New onset seizure or big one but a known disorder? Neurological or psychological? I am not much help. How's the kid acting? If the behavior is WNL for this student....let it
  11. ruby_jane

    Anoxic Brain Injury - Nurse Accused of Not Treating Asthma

    ruby_jane replied to Katillac's topic in School

    Epi was (not sure it still is) part of the cascade program for cardiac arrest in the hospital I worked at 10 years ago. That's what made me think of it. But I'm wandering far out of my
  12. ruby_jane

    New grad needs help finding a job?

    ruby_jane replied to Lovethenurse2b25's topic in General Nursing

    At this point...you may not be able to be choosey since it seems you do not live in a medical shortage area (and those do exist). It's flu clinic time. See if you can get a PRN gig with one of the...
  13. ruby_jane

    40 Students per day... YIKES!!

    ruby_jane replied to BooBooCrew's topic in School

    YAAAS. Also send the buddies out pronto. If the teacher is really worried about the little darling wandering back, call him/her as LD
  14. ruby_jane

    Anoxic Brain Injury - Nurse Accused of Not Treating Asthma

    ruby_jane replied to Katillac's topic in School

    Oh dear heaven above. This is why I auscultate breath sounds on someone with a known case of asthma. Every. Time. I, too, wonder if the parent chose to complete the asthma action paperwork, notify the...
  15. ruby_jane

    Chest Pain in HS

    ruby_jane replied to Mavnurse17's topic in School

    OOOH - add have you been coughing today. Nice call. I learned a new
  16. ruby_jane

    Drug Seeking Patients

    ruby_jane replied to Quinnbee's topic in General Nursing

    You are an excellent nurse. Beautifully stated especially the part about self care. I love the use of adjuncts (like something to quiet nerve pain). Not all pain is the same
  17. ruby_jane

    Drowning

    ruby_jane replied to MrsNurseJay's topic in School

    In addition to jne's excellent advice: What's the priority? Is it making sure that all kids are vaccinated? Then do that first. Everything else - the IHPs, the forms, can wait. What's second? Probably...
  18. ruby_jane

    Chest Pain in HS

    ruby_jane replied to Mavnurse17's topic in School

    Keep your cardiac brain. You'll need it. But also: Dehydration and stress can make you feel wonky with normal heart sounds. Normal treatment is rest and water. 20-minute disco nap works wonders. Ask...
  19. ruby_jane

    Standing orders

    ruby_jane replied to PSYCHGIRL's topic in Patient Medications

    Wow. I would have been hesitant to continue a script without notifying the doc first but that is my personal practice. In public health we had protocol orders for TB medication to continue through...
  20. ruby_jane

    High Absentee Rate in your district?

    ruby_jane replied to MHDNURSE's topic in School

    29%?!?!? Yeeps. Also this year I was successful at my Gandalf-in-the-river stance; no vaccine, no admit to school. Best year
  21. ruby_jane

    Where are my work-at-home homies?

    ruby_jane replied to Lunah's topic in General Nursing

    WOW! This is so cool. I'm just a little jealous, not a real contributor here. Do you have to be licensed in multiple states, or are all the appeals from your home
  22. ruby_jane

    High Absentee Rate in your district?

    ruby_jane replied to MHDNURSE's topic in School

    I think this is amazing (and I think you'll do great at this). I'm now at the elementary level. In high school, if you missed a certain number of days, you absence failed the class and had to come in...
  23. ruby_jane

    Help! Parents don’t submit paperwork!!

    ruby_jane replied to NurseDew's topic in School

    It is a violation. And I take away everything but EpiPens and HFA inhalers because I do not want to be that nurse....but I document, document, document and get admin involved. My favorite story: HS...
  24. ruby_jane

    I guess we're all back now

    ruby_jane replied to Nurse Trini's topic in School

    The party was over!!!!! I am laughing hysterically under my desk up in here. Welcome
  25. ruby_jane

    Help! Parents don’t submit paperwork!!

    ruby_jane replied to NurseDew's topic in School

    You absolutely cannot care more than the parent does. I have a three tries rule and then, as Tadaaaa says, I document document document. In the third try I get real with the parent, either by phone...