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

    Is starting in OB right out of school a good idea?

    I think that's the key. I had several nursing school buddies who went straight into L&D/Mother Baby and were safely precepted into being extremely competent nurses. You should take the job that is...
  2. ruby_jane

    Skin Breakdown on the Patient Who Refuses to Turn

    ^Perfect.^ Is there family involved? If so, I would make a special effort to make sure they know you're doing your level best and that their family member is not accepting the care. That and your...
  3. ruby_jane

    High School Nurse

    2,400 here and headed to 2,500 next year. I have a well-trained, competent clinic aide. Administrators are not too challenging (this set, at least). Parents are. Every 9th grade class that rolls in...
  4. ruby_jane

    Angry Teachers

    AHH. Then it's behavioral, which comes under the umbrella of the teacher/SPED department. Or the parent. Sheesh. I have two or three that I will often email a teacher stating - there is nothing...
  5. ruby_jane

    Lice... why lice?

    I question a district that doesn't have a solid, best-practice policy about lice and won't support the nursing and ancillary staff as they try to make it through the
  6. ruby_jane

    Is It Summer Yet?!

    AWWWW! Take your break. Have fun with the dude. Sometimes over the summer I dazzle the fam by making dinner from an actual cookbook. I like Ina Garten's recipes. It's always lovely to be appreciated...
  7. ruby_jane

    Best injury explanation ever

    HAHAH!
  8. ruby_jane

    Best injury explanation ever

    PE teacher brings me a kid. This is not unusual - Coach has a student teacher and a lot of the kids in PE tend to wander when sent. Plus he's had an unusual number of weird injury things happen...
  9. I believe that per the TOS, we're not able to give you advice. As you mention, raising the question at the next appointment is probably what needs to happen. Does your facility have an ombudsman if...
  10. If you are completely having to assemble the clinic your self - put the beds together, unpack all the supplies, hang the med cabinets like I had to- 10 days is not enough. Because you'll also need to...
  11. ruby_jane

    Decline job offer and inquire about another one?

    You've been trying to get into this area for a while? Accept what you're given. Or stay where you are, where you can (I assume) get tuition
  12. ruby_jane

    C'Mon Now!

    You are PRICELESS!! That's the best answer
  13. ruby_jane

    Toxicity worries

    OH YES. Kid took a bite out of a lily in a flower arrangement. They are nontoxic to humans, in case you ever wanted to
  14. ruby_jane

    Chart Auditing and education

    Is there a specific policy at your organization? And is this a hypothetical or is it happening? There are scope of practice differences, so an LVN/LPN who was staying within his/her scope of practice...
  15. Are you stating you had a non-disclosure order that came to light? Because the TXBON apparently reserves the right to treat that as a "character and fitness" issue.... meaning (I think) that you may...
  16. ruby_jane

    Type 1 diabetes

    If the order requires it, yes. If not, no. Look at it this way: if you've given insulin two hours ago for blood sugar, you're not going to give more insulin for that same blood sugar. THat insulin you...
  17. ruby_jane

    BON

    Double check the wording on the BON's website regarding whether the offense you're describing is something that will delay or prevent a license. Was this sealed since you were a minor? If not, can you...
  18. ruby_jane

    Manager said something covertly racist

    Kudos to you for recognizing the racism and feeling uncomfortable (for yourself and your friend). I think the moment to have said "Hey, you might not have meant it this way but that sounds really...
  19. ruby_jane

    Not Everyone is meant/wants to be a leader!

    You hit the nail right on the head,
  20. ruby_jane

    Type 1 diabetes

    If that's what the orders say, then yes. In general we don't check BSG when the student is only having a snack EXCEPT if there were ketones or if it's been four hours since the last BSG check. All...
  21. ruby_jane

    Trainer Issues

    I had never even considered this but - SHAZAAAM,
  22. ruby_jane

    Ongoing lice problem

    I am going to assume this is the OTC treatment, yes? Which may or may not work anyway at this point. Hang in there. I'm confident you've done your best at this
  23. "Legally binding" in terms of the employment on that floor? Probably (you'd have to ask a contract lawyer the official definition of "legally binding"). Did that make it all the way to HR or just to...
  24. ruby_jane

    Do I have critical care experience?

    You're awesome. You are doing more than I did when I was on a medical ICU, with the exception of the Levophed. I think it depends on the hospital's definition of "critical care." Best of
  25. ruby_jane

    Trainer Issues

    Ice packs that far out are placeboes, it's true. From a nursing perspective, you administered meds, told the kid to return if still in pain, you were out of other options and chose ice. Given what you...