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

    Primum non nocere

    ruby_jane replied to guest974915's topic in General Nursing

    I think that like anything, we'd all be able to provide more competent care if we had more time. We do not. Education empowering people to ask for pain medication when their pain is, say, a five as...
  2. ruby_jane

    Joint Commission Citing & Employee Files

    ruby_jane replied to brockclan3's topic in General Nursing

    OK so...in a non-acute care setting none of the diabetics I've ever seen wipe that first drop. What were you trained to do? I assume if you were trained to do it the way you did it, everyone gets...
  3. ruby_jane

    How to get a clinic job?

    ruby_jane replied to missmaddie's topic in General Specialties

    Define clinic - Most doctor's offices don't have a nurse. My internal med doc employs one nurse and two NPs - the nurse pretty much does follow up, education, etc. All procedures are done by a MA or...
  4. ruby_jane

    Fun end of year complaints

    ruby_jane replied to kidzcare's topic in School

    Valium salt lick probably isn't hygenic. I think NASN is on board with the Ativan diffuser as long as it doesn't have essential oils in
  5. ruby_jane

    How many Male School Nurses are out there!

    ruby_jane replied to jchesty_rn's topic in School

    Has nothing to do with male or female or normalizing...sometimes gals don't choose to engage in conversation, or they will with me but not if another student's present (which is....like 98% of the...
  6. ruby_jane

    Transgender man has stillbirth

    ruby_jane replied to DaveICURN's topic in General Nursing

    I think in the best of circumstances a thorough history, while invaluable, gets skipped sometimes because of work load. I'd like to think I'd do better. Given all those variables I don't know how I...
  7. ruby_jane

    C'Mon Now!

    ruby_jane replied to OyWithThePoodles's topic in School

    I was asked to get gum out of a student's hair (not a nursing task). We don't have peanut butter, which is what I used that one time RJ Junior fell asleep with gum in her mouth. SHE CAME TO SCHOOL...
  8. ruby_jane

    How many Male School Nurses are out there!

    ruby_jane replied to jchesty_rn's topic in School

    Welcome!! Here is a tip for both male and female nurses which I implemented in my former HS clinic: Have a filing cabinet drawer marked "Girl Stuff." That way kids can help themselves to pads without...
  9. ruby_jane

    Is it like this everywhere now?

    ruby_jane replied to Forest2's topic in General Nursing

    I learned a thing and I'm stealing and using
  10. ruby_jane

    Is it like this everywhere now?

    ruby_jane replied to Forest2's topic in General Nursing

    BEAUTIFUL. We won't do more with less. We'll only do less with less. Unfortunately the supervisor is responding to a complaint from a family member. No amount of logic is going to help
  11. ruby_jane

    Fun times

    ruby_jane replied to kidzcare's topic in School

    So the sky was really falling in high
  12. ruby_jane

    It’s a Lice Celebration

    ruby_jane replied to halohg's topic in School

    YAY! So, when you meet with the teachers, start by saying "I'm going to ask for grace on this." Because 90% will hear you better. Meet with your principal prior to the all-staff meeting in the summer....
  13. ruby_jane

    just a Thursday vent

    ruby_jane replied to TLS9544's topic in School

    See...for the high schoolers, I had no Vaseline. I hate Vaseline. Here in PK-7 I find that the littles just.can.not if their lips are chapped. Unfortunately parents cannot manage to slip a chapstick...
  14. ruby_jane

    just a Thursday vent

    ruby_jane replied to TLS9544's topic in School

    YES. That. Also the therapeutic silence is
  15. ruby_jane

    just a Thursday vent

    ruby_jane replied to TLS9544's topic in School

    Also I am the only keeper of Vaseline in the whole of the
  16. ruby_jane

    just a Thursday vent

    ruby_jane replied to TLS9544's topic in School

    I got a preK in with her teacher's aide who stated that the PreK "says her butt hurts." Yeah...well, it moved on quickly from not being a nursing issue. Happy
  17. ruby_jane

    Show me...

    ruby_jane replied to NurseMrn's topic in School

    I am not able to take a picture BUT - get the art "club" or the art classes to decorate your words. Meaning - write out a concept like handwashing (the steps, etc.) and have the students draw out the...
  18. ruby_jane

    Countdown roll call

    ruby_jane replied to catsmeow1972's topic in Nurses Recovery

    Congratulations!! My longtime buddy became a NP in GI. She said it was kind of refreshing to write the order for an enema and not have to carry out the order for the enema. Hang in
  19. ruby_jane

    Are we allowed to notify parents of pregnancy?

    ruby_jane replied to cowboysandangels's topic in School

    Google Guttmacher Report and that should provide a list of what services teens can consent to at what
  20. ruby_jane

    Current Situation: Symptomatic Asthmatic

    ruby_jane replied to jnemartin's topic in School

    It bothered me the first time. It no longer does. And PRAISE and THANKSGIVING I am in a different district where the guys on the rig listened to me both times that I called EMS and had no issues...
  21. ruby_jane

    Are we allowed to notify parents of pregnancy?

    ruby_jane replied to cowboysandangels's topic in School

    The answer is...it depends. What is your district policy? Consent age for treatment for STDs and pregnancy varies by state. Also be careful....we cannot diagnose a pregnancy. I have declined the offer...
  22. ruby_jane

    Poll: do you have professional liability insurance?

    ruby_jane replied to SDANG's topic in General Nursing

    If you're working as a good Samaritan (check your state law) then you are not held liable (unless you really show poor nursing judgment). I always respond the the neighbor visit with "What does your...
  23. ruby_jane

    And The Reason Nurses Don't Get Fired

    ruby_jane replied to Ruby Vee's topic in General Nursing

    Nurse manager not fired for working his PRN job while on duty at the job he was paid to work. His justification - he was available by phone remotely to staff. Same nurse manager did not fire the...
  24. ruby_jane

    Current Situation: Symptomatic Asthmatic

    ruby_jane replied to jnemartin's topic in School

    I've thought a lot about what you wrote. In our current situation, in the absence of orders or a supervising doctor...just because we CAN doesn't mean we SHOULD. Three times a fire captain rolled his...
  25. ruby_jane

    Current Situation: Symptomatic Asthmatic

    ruby_jane replied to jnemartin's topic in School

    Hang in there, darlin. It's the right call. You have nothing else (no emergency albuterol and Flovent is a preventive, not an emergency treatment as OD said). Never trust a pulse ox over your ears...