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

    C'Mon Now!

    I love you. I'm under my desk,
  2. ruby_jane

    Suicidal Thoughts in School

    I am glad that the counselor "stopped the line" to come to you. I am glad your background is in EMS and ER!!! You are preparing yourself for next time - because there will be a next time and we need a...
  3. ruby_jane

    Why two weeks?

    I am wondering if this is one of those sacred cow things that none of us question. Of course when RJ junior had the lice in the 2nd grade we got rid of a lot of stuffed animals she never wanted but...
  4. ruby_jane

    Suicidal Thoughts in School

    Do you have a rapid assessment tool in the district to use? That question may be one to ask the head of counseling, just so counselors and nurses are using the same tool. If no: you want one - and...
  5. ruby_jane

    When do you call?

    Sweet baby
  6. ruby_jane

    When do you call?

    We have both A and B strains here in the NTX, along with the virus that looks like the flu but is neither A nor B. PLUS a wicked stomach bug. When I went to the doc in the box on Sunday to treat what...
  7. ruby_jane

    When do you call?

    We report weekly to the county. So the county already theoretically knows. It's a dual report- mine and the PEIMS clerk's actual body count. What does your policy
  8. ruby_jane

    Action Plans

    Welcome to the school nurse side! We have saltines! This falls under "need to know." As in, there may be something the teacher needs to do for this student. When it's something unusual - I usually...
  9. ruby_jane

    Diabetes

    Ay yi yi. Whelp...can the parent provide one to be kept in the room as
  10. ruby_jane

    My very first squad call

    As an aside - school nurses are generally a creative, make-do bunch and we routinely spin straw into gold every day. You'll get varying answers about splinting, and about things that you "could" do...
  11. ruby_jane

    My CI is doing things that are unsafe

    Worry the most about YOUR practice. You are doing it right. Look it up, have the data to support your clinical decisions. Don't worry about everyone else's practice until they do something blatantly...
  12. ruby_jane

    Will anywhere hire with pending charges?

    Define "pending." If you have a sealed and signed order, that's not pending. If you're under investigation, unless you've been specifically told to disclose the gory details, do your best, seek...
  13. ruby_jane

    C'Mon Now!

    Flare, I am so counting on this today...it's my first Valentine's Day in
  14. ruby_jane

    Forged signature

    Follow your chain of command. You may or may not see any result from management as most times we won't know what happens with our co-workers' disciplinary action. Has this risen to the level of...
  15. ruby_jane

    Measles!! No MMR #2 advice

    "Terrible reaction" means what? I have seen febrile seizures in kids who were predisposed to such AND who had the MMRV at 12-18 months. As in...two kids, out of the hundreds I vaccinated. At this time...
  16. ruby_jane

    My very first squad call

    You'll never forget you emergency bag again. This is how we learn. Whilst waiting for @OldDude to chime in - you did well. Don't listen to people who don't have medical expertise. EMS is on the way...
  17. ruby_jane

    Late to clinical

    In the real world you're late for a shift - if it's not often - a coworker will pick up your slack, just like you picked his/hers up last week. Nursing school isn't the real world. As previous...
  18. ruby_jane

    Whiskey peg tube flush?

    I love this post and this comment most of
  19. ruby_jane

    School nursing?

    Fingers and toes and everything else crossed for
  20. ruby_jane

    EOE

    This is EXACTLY how I saw
  21. ruby_jane

    Diabetic question!

    Sadly,
  22. ruby_jane

    Diabetic question!

    Sweet baby Moses. There is no reason he needs to be home like that. The kid cannot be punished by staying home for something not totally within his/her control. I don't know what your policy says;...
  23. ruby_jane

    Nurses Call the Governor of Tennessee

    She has the right to a fact-finding that isn't contaminated by hearsay - sort of like being innocent until proven
  24. ruby_jane

    Diabetes

    When I have orders that say they're independent. Even then, I like to have a spare meter and supplies because they'll
  25. ruby_jane

    Nurses Call the Governor of Tennessee

    The BON will allow her license to read as unencumbered until she is charged with something. For all we know they've been working on this for the balance of a year. But discipline is only applied after...