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

    Petty and not proud of it

    Wow. That went well beyond need to know. So...if it was me, I'd start with the principal and discuss the intersection of HIPAA and FERPA, and the potential liability for the school regarding such a...
  2. ruby_jane

    Landing a job in hospital after stipulations

    You only need a year of experience. You only have 9 months left (I realize that sucks but I want you to consider that 9 months in the larger scheme is relatively small). Get the year of experience and...
  3. ruby_jane

    New job purgatory; please talk sense to me

    You have a plan, and it's a good one. Remember, you've got some stressors piling up - left job, new job, school. Short of getting married or having a relative die I think those are the highest points...
  4. ruby_jane

    CMA oversight

    Good! Something in place. When I am out and do not have a sub I can, by state law and district procedure, delegate medication tasks to the campus designee (the secretary). But when I'm out unless it's...
  5. ruby_jane

    No AED in infusion clinic

    In your state are you legally able to take orders from a chiropractor? Besides all that - You've identified a real area of risk. You happen to be ACLS trained but most of your folk will not be. I...
  6. ruby_jane

    CMA oversight

    What else can she do per MD law? I am assuming things with orders, but she has no nursing judgment, so how often should she be calling? My day has been full of stomach ache , headache, stuffy noses....
  7. ruby_jane

    Diabetes Question

    I have never, ever heard of not counting carbs. I mean...that's what drives the need for insulin, no? Oy. Weird question....is this paperwork from a reputable children's hospital or a random doc?...
  8. ruby_jane

    Is Anyone NOT Going to be an APRN?

    Nope. Too many of them right here right now in the DFW. Also I have a HUGE issue with NP programs that require the students to get their own preceptors. Because, did I mention the glut in my
  9. ruby_jane

    Early Flu?

    Apparently the Australians had an early flu season as well. Not sure what that
  10. ruby_jane

    Free at last, free at last, thank God almighty.....

    You'd do well at that. Best of luck to
  11. ruby_jane

    Leaving in middle of school year

    You are breaking a contract to do so. This may render you "unhireable," and may give you a negative referral from HR (they will simply say you broke a contract and leave it at that but that is...
  12. Mr. Ruby Jane, who is also a nurse, was told back in nursing school in 1999 that OB/Women's Health would not hire a man for the job. AND he was given an "alternate assignment" for assessing the cervix...
  13. School nursing. I love my autonomy (right until I have the kiddo with the anaphylactic reaction to XXX and no EpiPen or the diabetic with no
  14. ruby_jane

    Pigeonholed Wound Care

    Wound care is so cool!! But are there certifications or courses you could take to make you more marketable (ACLS comes to mind and there may be more). There are areas of the country where HR can be a...
  15. ruby_jane

    Introduction

    I couldn't remember who did this. Now I can summon you when I need a "One of
  16. ruby_jane

    Immunization compliance and exclusion

    Exactly how you did it. I do feel sorry for the kid but it's not like the parent did not KNOW about this. It's amazing how fast we get UTD records when the parent has to come pick the student up. It's...
  17. ruby_jane

    Introduction

    Welcome! You have such a great wealth of experience in what is "normal," and conversely, what is NOT normal. What you are struggling with is not nursing care. It's the autonomous nature of the school...
  18. ruby_jane

    Peak flow meters

    Not a single school asthma action plan has peak flow on my campus. Not a one. Last time I went to my personal doctor for my asthma check up we did a peak flow in the office (billable) but I have no...
  19. I think the larger issues are: 1. She's paid to work 1-1 with that student. Her agency may actually have a policy that says she cannot leave that student. 2. She is unfamiliar with the care for the...
  20. ruby_jane

    just a little vent...

    So....student stable, not in any respiratory distress? Wow. Whelp... I *might* have run by that kid, but then again....if the student was stable and not in any respiratory distress, with nothing...
  21. ruby_jane

    I'm Feeling Overwhelmed and Underappreciated

    Holy H-E-doublehockeysticks. WHelp - sorting forms is not a priority. They are likely upset because they don't notice when you do something, only when something is undone. I would make sure that admin...
  22. ruby_jane

    No calls after my interview!

    I really appreciate your perspective on this. OP - six days feels like a long time for you but it's not. It's also not a bad idea to keep looking. Just in case. Best of
  23. ruby_jane

    How often do you wash your scrubs? :)

    YUP. When I worked ICU I would literally strip at the inside of the door and dump the stuff in the
  24. ruby_jane

    TB Assessment Form

    Former TB nurse here. The screening forms may or may not be useful. And...what are you going to do with a staff person who spent the summer in a high-risk area? Has a cough of nine months' duration...
  25. ruby_jane

    Early Flu?

    Remind me where you are?? Nothing here in the NTX yet but I seem to have a cold. I am drowning in my own