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

    New Graduate Shift Concerns

    Consult with a sleep specialist. Your circadian rhythm is horribly askew but there may be non-pharm and pharmacological solutions available. You just need to get thru a year. Hang in
  2. ruby_jane

    Drug Seeking Patients

    So....this is one of the problems, and it's completely out of your control. I don't know I'd be doing anything but the stuff ordered if I had six or seven patients in a shift. Is it possible that...
  3. ruby_jane

    Drug Seeking Patients

    Beautifully said. OP, you said you've been a nurse for six months. What's the average number of patients you care for in a shift? Just curious. I would tell you to stick out your tenure for the...
  4. ruby_jane

    Allergies

    YES. Or pork. And when I ask.... the family is Muslim and they don't eat pork. And when I say that we don't have any pork-containing products in the line....they still say student allergic to
  5. ruby_jane

    Pregnancy

    Been there - two pregnant students and more pregnant teachers than I could count. Odds are - nothing is going to happen at school. Keep repeating that. Make sure you have doctors' offices phone...
  6. ruby_jane

    Translating at Work

    You ask a great question, Meow. Just because I can, doesn't mean I should. This goes for everything from wearing Spandex to dying my hair green to the informal translation services you are generously...
  7. ruby_jane

    Petty and not proud of it

    I love your documentation of this (non-urgent) visit. I am going to put "No health issue identified" in my charting orificenal
  8. ruby_jane

    LPN supervising RNs?

    LVNs have a scope of practice, just as we do. Is the LVN working within his/her scope? In general (and this is a big generality) a non-RN cannot direct how you practice nursing. S/he may be able to...
  9. ruby_jane

    New psych nurse but wanting ER

    You might post the question to the Emergency Nurses specialty. Or better yet, pop on there and search. This has bound to have been asked and
  10. ruby_jane

    New psych nurse but wanting ER

    One of my nursing school classmates started in psych, and now works the ED. Her skills are valued and prized especially with those recurring patients. Be where you are for a year and then see where...
  11. ruby_jane

    Spouse of nurse

    My opinion: You probably need to talk to a counselor, pastor or someone more qualified than a bunch of random strangers on the internet. Although I did freeload off Mr. Ruby Jane's nursing salary when...
  12. Best feeling in the world, isn't it? Congratulations and
  13. ruby_jane

    fluid/electrolyte replacement

    Our camp went so far as to put a urine color chart in every.single.stall that advised if your pee was any other color than straw yellow, you needed to drink water. We also did hydration stations....
  14. ruby_jane

    Petty and not proud of it

    OOOHHH - a student store! My practice has been revolutionized by the presence of a student who needs daily catherization. YAY! Raising/lowering cot in my clinic! YAY! No room for his wheelchair and...
  15. ruby_jane

    Surgeons - ugh!

    OP - here we are in the middle of an opioid crisis and you're being told that alternate modalities of pain relief (which are nonaddictive and cheap) are not in your lane to suggest - Yeah. No. As a...
  16. ruby_jane

    So Glad School Is Back

    We love you! Have fun adulting
  17. ruby_jane

    Nursing judgment question??

    I love the way you phrased this. My nursing judgment does not necessarily apply to parametered orders. My judgment would actually be to call the doc if I feel the med should be
  18. ruby_jane

    Petty and not proud of it

    Petty thing today: It's the freaking beginning of the year and all parents are required in our district to update their kid's electronic record (which includes phone numbers and contact info). Week 2...
  19. ruby_jane

    First T1D returning to school

    @JenTheSchoolRN you are the
  20. ruby_jane

    Tree Nut allergy

    Oh Lort. I wish Old Dude were still here. This just opens up a crazy can of worms, doesn't
  21. ruby_jane

    Petty and not proud of it

    GREAT BIG SMILEY FACE. If I have the time and I'm feelin' it...I will call a teacher to tell her that. Somehow taking up her time makes it worth it. I'm petty and I know
  22. ruby_jane

    Medication Consent

    YEEPS. Yes...this is what I hate. And you are well within your scope to refuse in a non-emergency situation. I dislike intensely when a parent's (in)action puts my nursing license at risk. At least...
  23. ruby_jane

    Nursing School with Hearing Loss

    That is so cool!! And yes, my old (and older) doc had a stethoscope that worked with his hearing aids. OP - don't pick a career because it might/might not be more or less difficult than another...
  24. ruby_jane

    Petty and not proud of it

    She sure as poop did violate the student's right to privacy. Anyone can violate privacy. ? FERPA sort of dictates need to know so she violated that as
  25. ruby_jane

    Your Favorite Nursing "Hack"

    These are