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

    What is considered a positive reportable TB test?

    The public health doc explained it this way: pick one or the other because which result will you believe? His orders were that we do one test and treat based on that result. That was nine years ago. I...
  2. ruby_jane

    checked off a first from my list

    And my grinchy heart grew three
  3. ruby_jane

    Diabetic question!

    Ummm.....yeah, mine too. What does that A1C look like with 248
  4. ruby_jane

    Phone Calls

    Sweet Baby Moses. My parents are nicer than your parents..... Did you want to say "be careful what you wish for, Crotchety
  5. ruby_jane

    How to be on an ICU Nurse's good side?

    ICU nurses are a particular bunch and until you demonstrate competence they may look at you as very much being in their way. Don't take it personally. Show up, do your job, and realize that sometimes...
  6. Yay Cats! I wish you the
  7. ruby_jane

    What is considered a positive reportable TB test?

    When I did TB nursing we weren't supposed to "break the tie" as it were by doing the blood test - but it sure is tempting. OP- revisit the risk history one more time on this patient. No travel to...
  8. ruby_jane

    checked off a first from my list

    WOOHOO!! Glad everything worked out for the
  9. ruby_jane

    OMG ?

    How long have you worked in a hospital? Most of us who've worked in hospitals are likely MRSA positive anyway even if we are scrupulous on infection control.... I am also awaiting a @Davey Do special...
  10. ruby_jane

    Mistake

    Hats off to you, Ruby, for your unflinching honesty about yourself, the incident, and what happened afterward. Sometimes we learn to do the right thing by doing the wrong
  11. ruby_jane

    MD orders to discontinue...?

    I used to accept parent orders (written). Then someone questioned that practice, because it's a doctor that ordered it....we're in a weird place, being an extension of the home environment. Hasn't...
  12. ruby_jane

    STOP!!!

    If you show up in my clinic before....oh, say 10 AM, and you're afebrile and are not vomiting up your toenails, I will ask "Do you think mom/dad meant to come in right away when you got here or do you...
  13. ruby_jane

    Safe staffing vent

    I just had a flashback to the morning I decided I was done with the ICU... hang in
  14. ruby_jane

    Thoughts on vegetarian/ vegan diet

    Someone just asked me "what is a carb?" I gave them the knowledge that I had, which is tiny, and then a referral. As has been pointed out, education is different than opinion and recommendation, but...
  15. ruby_jane

    C'Mon Now!

    Amen, Oy.
  16. ruby_jane

    Intermediate to high school

    High schoolers are awesome. When their eyes aren't rolling back up in their heads... You have survived one of the toughest gigs in school nursing - middle school! Your 9th (and some 10th)graders are...
  17. ruby_jane

    any reason to keep Lpn lic. after getting Rn?

    I imagine that if you lost your RN license there'd be a reason you probably shouldn't practice as an LVN/LPN... and maintaining that license wouldn't be a work-around. Congratulations to
  18. ruby_jane

    $750 CA RN License??? No way!

    Sweet baby Moses. You're probably
  19. ruby_jane

    Phone Calls

    SWEET BABY MOSES!!! When do they get you an
  20. ruby_jane

    LVAD Careplan

    And this is why I love our little corner of All
  21. ruby_jane

    Switch to elementary?

    I had an interview yesterday at an elementary school in another district that's two miles from my house! Y'all know I love the teenagers. Next year I will have 2600 of them and there's no relief any...
  22. ruby_jane

    HRSA nurse corps repayment 2019

    Because it's a federal program? That's a
  23. ruby_jane

    Most common diagnoses and meds

    Amen. Also you will realize that our inpatient system is like a car with three bald tires....this is not a critique of the nursing personnel who work there by any means. You will have to suspend your...
  24. ruby_jane

    Already feel like giving up

    WAAAAY too soon to give up. Can you get a job at a seasonal influenza vaccine clinic while you're awaiting your real job? What you're experiencing is real. In most places there is no "nursing...
  25. ruby_jane

    Heard a heart murmur

    actually...in this case all murmurs are guilty until proven