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 day is it?

    But you're oriented now, and alert, right? Hang in
  2. ruby_jane

    School nursing?

    Congratulations! Come to the school nurse side. There's no reason you CAN'T do this job, especially if you have the keys to your own med box (occasional stimulant medication, a couple of kids with...
  3. ruby_jane

    What is Abandonment?

    You have to have assumed care in order to abandon a patient. If you don't take assignment you cannot abandon a patient. Although I've heard managers use the term "abandonment" to mean something...
  4. ruby_jane

    1st 911 call at my new school

    Rinse, repeat....mom gave you no choice. In the absence of any other resources, EMS it is. Good
  5. Clutch the pearls! It may be a district by district decision. Here, I need an MD order for OTC medication (and we cannot dose OTC for random headaches, only for things like migraine headaches). At my...
  6. ruby_jane

    EOE

    @Davey Do I am sure you're probably tired of being summoned by the school nurses but a graphic (preferably featuring Tina Turner on a hamster wheel) would not be amiss
  7. ruby_jane

    Starting Fresh on New Unit

    You're probably a great listener! Both hubs and RJ Junior are introverts. I am an extrovert. I think I cause them pain sometimes. Your perceptions may be valid - or they may not. Either way - fresh...
  8. ruby_jane

    Why do you love your specialty so much?

    Best of luck to you. Not all of us are cut out to be acute care nurses - although you will likely make a stop in acute care-ville for a year or so. I also disliked my ICU experience but I love public...
  9. ruby_jane

    Scrubs that survive thick thighs

    I swear by the Koi cotton scrubs. But Jockey and Cherokee are now making some poly-blend scrubs that are pretty comfy and have worn
  10. ruby_jane

    Destined to Be a Flight Nurse

    And the choir says AMEN, KatieMI. OP - you'll have to decide if a delay of six-ish months is a deal-breaker. A delayed position in the hand may be worth more than a position out in town with no...
  11. ruby_jane

    Choosing comfort over challenge, am I a bad nurse?

    You've got a good solid year and a bit behind you in arguably one of the toughest nursing environments. Ever. But good news - the shift to any other PEDS specialty might be easy, given what you know....
  12. ruby_jane

    EOE

    The hamster wheel keeps spinnin' The nurses keep on winnin' Rollin/rollin/rollin through the school day (Get up doot doot doot doooot doot doot doot) I realize that anyone born before Y2K has no idea...
  13. ruby_jane

    Chicken Pox Protocol

    You could also do your local hospital or the kid's pediatrician a favor by calling before sending the parent off. Rash-like illness, possibly viral, can cause a lot of chaos if people aren't prepared...
  14. ruby_jane

    What if/Is it possible?

    Nope. It's not. Because you need to know what "normal" and "abnormal" are and you don't get that without the clinical component. We could argue about seasoned non-RN staff and how much they know, but...
  15. ruby_jane

    Trials

    Until you get a signed order from the Board, you can (and should) continue to work, continue to develop a pattern of successful practice, and do the best you can. Your interpretation of what your...
  16. ruby_jane

    EOE

    Gotcha. Document everything...but OD's right - kid needs a scope before you can be of much use
  17. ruby_jane

    EOE

    Is he on carafate? Epigastric pain? Or true abdominal pain? With it being abdominal....are we sure it's not Crohns/IBS/etc? At camp we had a kiddo with EOE on an asthma preventive (can't remember if...
  18. ruby_jane

    PARENTS say the darndest things

    A kinder threw up yesterday. Twice. Not Bigfoot pukes, either - once in front of the teacher and once in front of me about an hour before school ended. Mom comes, I give her our written policy on...
  19. ruby_jane

    New Nurse In a Step Down Unit and I hate it

    As others have mentioned, it's a lot. You're dealing with A LOT. I love the delegate what you can suggestion. In my medical ICU job if someone could ask me for a breakfast tray that meant they were...
  20. ruby_jane

    stress management classes - CA Probation

    Do you have access to an EAP? Often the EAP will offer short term, solution-focused classes like stress management (mostly those are conducted by MSWs but sometimes an LPC). Failing that...can the...
  21. ruby_jane

    Already Over Bedside...

    So....which bedside are you at? Is there someplace less busy in your hospital? are you laughing at me right now??? I remember feeling like I was killing myself with 3-4 ICU patients but it wasn't...
  22. ruby_jane

    Nurse Charged With Homicide

    So much is wrong. Yes, she blew through every safeguard imaginable and failed to properly monitor a patient whom she thought was getting versed. Med error, failure to provide care...for that, she goes...
  23. ruby_jane

    Invites to IEPs

    Unfortunately, you've called it correctly: You're out of sight. And nobody has time for rescheduling....I hate it but I'm still on campus so I can invite myself whenever I feel like it. What I've...
  24. ruby_jane

    Preschooler out by ambulance the other day

    Waiting for @OldDude to chime in, but WOW. Good nursing assessment, and I'm glad it wasn't the
  25. ruby_jane

    Latex Balloons

    And here is where the rubber meets the road (see what I did there)... A kid with anaphylactic allergies to insects should not be encouraged to play golf, soccer, or outside sports. A kid with latex...