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

    A Sense of Alarm as Rural Hospitals Keep Closing

    ruby_jane replied to Not_A_Hat_Person's topic in Nursing News

    When I was a public health nurse, the one rural hospital in four counties quit providing labor and delivery services. Because of EMTLA, a few deliveries occurred in the ER but the closure of that wing...
  2. ruby_jane

    Parent rights to school medical records?

    ruby_jane replied to naveiak's topic in School

    What does your policy say they can have? FERPA (federal law) pretty much guarantees parents the right to access the educational records of their children, and it is my understanding that health...
  3. ruby_jane

    Epi Spritzers

    ruby_jane replied to Julius Seizure's topic in General Nursing

    I learned a new thing, Julius. Thank you. Also I will see if my local happy hour will make me a dirty Epi
  4. ruby_jane

    Allergy reactions

    ruby_jane replied to RN4kids18's topic in School

    If the order says Benadryl first then Epi...and assuming I had Epi...and in the presence of exposure to allergen....I would say wait until the mild becomes more severe. It will in a hot minute. If the...
  5. ruby_jane

    To those with stock Epi:

    ruby_jane replied to KeeperOfTheIceRN's topic in School

    Does your nursing supervisor support you? Is someone at the district willing to fund the whateveritcosts to have a physician sign the orders? Do you have a physician working with the school anyway -...
  6. ruby_jane

    Help

    ruby_jane replied to Briana1994's topic in Health, Stress Management

    Great news! You've had two years of experience in a fast-paced acute care environment! You can go almost anywhere and the world is your oyster. You are not frozen to this situation which you don't...
  7. ruby_jane

    I want to quit

    ruby_jane replied to hmarine88's topic in Health, Stress Management

    You have a lot of major stressors on the Holmes and Rahe stress inventory (google it). So of course, you're feeling overwhelmed. Don't beat yourself up. You will likely not be able to work during...
  8. ruby_jane

    Guidance please

    ruby_jane replied to naveiak's topic in School

    You have to see the kids in front of you if the aide is out. When you get asked why you haven't done the screenings, "There were 40 (or however many) kids a day I had to assess." Also consider...
  9. ruby_jane

    Allergy reactions

    ruby_jane replied to RN4kids18's topic in School

    Do you have doctor's orders? Or parent orders if you don't need doctor's orders for OTC medication? If neither...I agree with Old Dude. If all I had was Benadryl, I'd be tempted to use it and ask...
  10. ruby_jane

    Not today!!

    ruby_jane replied to Flare's topic in School

    Wow. Yes...the idea that "S/he can just avoid apples" so no Epi-pen is needed....that happens a lot. So glad you had Epi. Just out of curiosity, how soon did EMS arrive and did they give anything...
  11. ruby_jane

    BSN bump in pay?

    ruby_jane replied to kedmo821's topic in School

    In both districts where I've worked you do not get more for your BSN, although the last one wanted everyone to have a BSN. I got no bump for my NCSN. As others have said, the bump for MSN or the like...
  12. ruby_jane

    Not today!!

    ruby_jane replied to Flare's topic in School

    Awaiting Old Dude here but WOOHOO! Superior nursing assessment and diagnostic skills there, Flare. Also, Epi makes quite a loud "THWOCK" when you administer it in pen form. The sound is...
  13. ruby_jane

    Audiometer.

    ruby_jane replied to Amethya's topic in School

    WHHHAAAAT? There's a budget for it, right? That just sounds odd. Ambco 500 was what I used in the last district. I have an ancient Beltone Audio Scout here and it still works great! Those are about...
  14. ruby_jane

    Therapy dogs and Allergies

    ruby_jane replied to NutmeggeRN's topic in School

    (((hugs to you mama!))) You are blessing him with the gift of wings. When he needs to fly he will be much
  15. ruby_jane

    Guidance please

    ruby_jane replied to naveiak's topic in School

    It's a multidisciplinary solution to your problem. The self-dx is worrisome, but if she's not asking for services for the kid then you don't "need" a doctor's orders. You could consider pushing for...
  16. ruby_jane

    Primary Care and Immunization Compliance

    ruby_jane replied to MHDNURSE's topic in School

    I occasionally wake up confused, thinking I am back in public health-ville and my refrigerator alarms have gone off. We had thousands of dollars of federally funded vaccine in those refrigerators and...
  17. ruby_jane

    A "name" in nursing

    ruby_jane replied to 1fly's topic in Nursing Career

    I went to nursing school in the NTX in 2009. That was right after Enron and people's retirements going belly up, and nurses who were retirement age weren't able to retire. So nobody was hiring new...
  18. ruby_jane

    7th Grade Vision Screening

    ruby_jane posted a topic in School

    I am new to the world of vision screening almost every grade. I thought that the PreK/K would knock the stuffing out of me but no...it was the 7th grade. Bless them. Most of them are super-fun to talk...
  19. ruby_jane

    Therapy dogs and Allergies

    ruby_jane replied to NutmeggeRN's topic in School

    Pretty sure the parent was not on campus frequently. Pretty sure it was the idea of rather than the actuality of the
  20. ruby_jane

    Medication Changes

    ruby_jane replied to PediNurseNYC's topic in School

    Come to think of it, when we register RJJ for her camps, the medication boxes (along with all the home info and insurance info) come prepopulated! That would be an idea. I wonder how to do that. But...
  21. ruby_jane

    Therapy dogs and Allergies

    ruby_jane replied to NutmeggeRN's topic in School

    Last year Ruby Jane Jr.'s school had a fully trained and vetted comfort dog (in a revamped closet in the nurse's office). The counselors reported anecdotally that students who were stressed...
  22. ruby_jane

    Unsure if this is right for me...

    ruby_jane replied to hannahkathy123's topic in Nursing Career

    Great news! You have almost two years of experience! You'll be in demand wherever you decide to go. You've also had one of the biggest life stressors in the last year - you got married. Maybe you...
  23. ruby_jane

    "You made a mistake."

    ruby_jane replied to CharleeFoxtrot's topic in General Nursing

    I can't "like" this, but YESSS! I have been out of ICU for eight years and sometimes I wake up to the sound of cardiac monitor alarms
  24. ruby_jane

    Weird reasons to come to school nurse?

    ruby_jane replied to Avill's topic in School

    AWWW KID!!! High
  25. ruby_jane

    Medication Changes

    ruby_jane replied to PediNurseNYC's topic in School

    Oh, I don't disagree with you one bit. I am just guilty as