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

    Coming in late with a weird question

    ruby_jane replied to Flare's topic in School

    I want to get some popcorn and follow this. Please let us know... We have all had those pot-stirring parents, right? This is just a different flavor. Good
  2. ruby_jane

    Stomach pain-not hunger

    ruby_jane replied to stephrooth's topic in School

    One of the beautiful things about school nursing is that you will get really good at focused physical assessment. My first year I assessed the everloving crap out of everyone. Come to think of it,...
  3. ruby_jane

    Fluid and Sodium Restrictions

    ruby_jane replied to lifelearningrn's topic in School

    That x 1000. Also...don't underestimate that the cafeteria manager can't or won't help. S/he can't restrict food without proper documentation, true...but you can do a little training and the staff may...
  4. ruby_jane

    Athletic Trainers

    ruby_jane replied to EnoughWithTheIce's topic in School

    The first year it may be a little awkward as you're both figuring out each other's scopes. I used to direct kids who received primary treatment from the AT back to the AT - and the ATs appreciated it...
  5. ruby_jane

    Health records- online or paper or both???

    ruby_jane replied to nursekoll's topic in School

    We have to print out one copy of the important health conditions and contact info each month because of that....but I keep it on my desktop because it's a big file. In my new district, subs don't have...
  6. ruby_jane

    How to splint a broken finger or dislocated elbow/shoulder?

    ruby_jane replied to stephrooth's topic in School

    Yes. ma'am. I am more likely to immobilize with even cardboard if I really think it's broken (as evidenced by something sticking our or gross deformity). I am less likely to provide an ace wrap for an...
  7. ruby_jane

    Teacher Frustration!!!

    ruby_jane replied to k1p1ssk's topic in School

    Mr. Ruby Jane (also a nurse) has a "kill them with kindness" philosophy that I started employing with my new teacher friends who send kids for a) bloody noses that stop bleeding before the kid gets to...
  8. ruby_jane

    Y'all know whats fun??

    ruby_jane replied to KeeperOfTheIceRN's topic in School

    Public Health is usually good for that too...but hey- you had fun! And you learned a thing. It was a good day, all things considered. I feel the same way using my rusty French, but then Google and...
  9. ruby_jane

    What happens if you put water on ketone stip?

    ruby_jane replied to Avill's topic in School

    You'll know. Believe me. Also remember...you can't care more than this kid (or family) does. Google "Motivational interviewing." I guarantee you there's something that student will find valuable and...
  10. ruby_jane

    What happens if you put water on ketone stip?

    ruby_jane replied to Avill's topic in School

    That's what I did when I wasn't sure if a kid was being honest. What do the orders say? Is the kid completely independent? Or "with assistance?" If something's ringing your bells then maybe a chat...
  11. ruby_jane

    Small nursing victories

    ruby_jane replied to pedi_nurse's topic in School

    Old Dude, I love when you do that... And feel free to celebrate your victories with
  12. ruby_jane

    Vision and Hearing Screenings!

    ruby_jane replied to jess11RN's topic in School

    There is a way to do functional vision testing (as OD describes). I have to figure it out soon because I have three that have their ARDs at the beginning of the bleeping year! Good
  13. ruby_jane

    Unusual med order?

    ruby_jane replied to J-lynn's topic in School

    Tardy to this party but...that's odd. Perhaps the student tried a longer-acting med and it did not work. Perhaps the provider is not schooled in best practice (three hard dumps of Ritalin seems brutal...
  14. ruby_jane

    Return to school after vomiting

    ruby_jane replied to BluebellRN's topic in School

    So...why did they vomit? Did you see the vomit? Did anyone see the vomit? Projectile, a la food poisoning or norovirus? Full of phlegm like they coughed to the point of emesis? So many questions, and...
  15. ruby_jane

    Difficult Diabetic Student

    ruby_jane replied to ABRN2012's topic in School

    I even went to "diabetes is a disease of the microvessels" and talked kidneys and member and fingers and toes. But that was high school. There was a BRILLIANT post on here last year by a diabetic...
  16. ruby_jane

    Sending home for suspected conjunctivitis?

    ruby_jane replied to MHDNURSE's topic in School

    What does your policy say? Mine says leave and come back with a doctor's note...I have had one really angry mom who swore up and down it was "just allergies..." Also since I switched to...
  17. ruby_jane

    MISSED Y'ALL - Pre-K-7

    ruby_jane posted a topic in School

    Missed you all so much over the summer! At the end of the year when my old district's head nurse let us know....THE LAST DAY OF THE YEAR....that we'd be losing clinic aides, and my body count would...
  18. ruby_jane

    Med admin window

    ruby_jane replied to KeeperOfTheIceRN's topic in School

    If the football coach/athletic trainers are comfy with it...can you delegate? Or just flat out say that 1430 is beyond the bell for you? Good
  19. ruby_jane

    School Nursing

    ruby_jane replied to tnbutterfly - Mary's topic in School

    Peruse the threads here. It is really tough. Listen to everyone; take everything with a grain of salt. Follow all procedures (even if "Nurse X didn't do it that way.") Try your best to educate. Grow a...
  20. ruby_jane

    CBD products

    ruby_jane replied to SaltineQueen's topic in School

    It's a tough situation....parent can certainly come administer, though. But - you need to check with school policy to see if they can administer on school grounds! Stay strong. Consult legal...
  21. ruby_jane

    Type 1 diabetics, help!

    ruby_jane replied to cjl_RN's topic in School

    Remember....insulin is a 4-hour med. So if insulin is given at 1000, at noon (or whenever lunch is) - the insulin is still working on those carbs. I have never had a kid who doesn't bolus for lunch...
  22. ruby_jane

    Weird reasons to come to school nurse?

    ruby_jane replied to Avill's topic in School

    I started to write and my hand hurts..... I'm allergic to cinnamon and I ate a cinnamon muffin.... per mom, kid is full of
  23. ruby_jane

    Weird reasons to come to school nurse?

    ruby_jane replied to Avill's topic in School

    If you're comfortable, you can. If not, you can decline. Because....you have no doctor's orders! YAY NURSING! I can and will because I used to be a TB nurse but then....I've never had to read a...
  24. ruby_jane

    Notarization Question

    ruby_jane replied to Amethya's topic in School

    In TX that's what mom has to do to get the affidavit all legal-like. Your administration is on-point. She needs to do it again. This is not rocket science. Most exemptors have done this at least once....
  25. ruby_jane

    Ugh- helicopter/tiger mom!

    ruby_jane replied to nmr79's topic in School

    Old Dude, I've missed your