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

    "Thats the nurses job!"

    ruby_jane replied to ABRN2012's topic in School

    It's a tetchy, tetchy thing, those SPED classrooms. We get a lot of "I just wanted you to document..." (....that the kid picked his nose and smeared the blood on his face). Hang in
  2. ruby_jane

    Sepsis protocols causing a future superbug??

    ruby_jane replied to Alexx_xox's topic in General Nursing

    That's a lot of food for thought. Thank you. It's been a long time since I was bedside but at the time I worked ICU we were taught to see sepsis everywhere and aggressively treat (for many good...
  3. ruby_jane

    First year nurse, feel so miserable and alone

    ruby_jane replied to stacylethani's topic in General Nursing

    Whelp, you're probably not meant to be a night-shifter. I wasn't. Your comments about being "miserable" and "alone" tug at my heart. Please make sure you are getting an adequate amount of sleep,...
  4. ruby_jane

    Asthmatic Child

    ruby_jane replied to cjl_RN's topic in School

    That's because you're a good nurse! Document the pants off of "parent declined to pick student up." If you could not reach a parent and you did not feel confident sending the kid on the bus....I'd...
  5. ruby_jane

    POA / Guardian abuse

    ruby_jane replied to Jenn197047's topic in Geriatric, LTC

    Document the pants off of all of this... There are many different cultural implications to consider when someone is dying in hospice. If it's the family's deeply-held belief that she needs silence as...
  6. ruby_jane

    HIPPA/ Student confidentiality?

    ruby_jane replied to Avill's topic in School

    The quick answer is no, not really because you're not a "covered entity." The longer answer is probably not. We're a "need to know" world. Maybe the other nurse needs enough detail to properly answer...
  7. ruby_jane

    Admin just not getting it

    ruby_jane replied to ABRN2012's topic in School

    WE GET IT! The administrator could spend a few (thousand) bucks and get you a set of doctors' orders to administer the Tylenol, ibuprofen, aleve, what have you.... Weirdest thing - summer camp is...
  8. ruby_jane

    Admin just not getting it

    ruby_jane replied to ABRN2012's topic in School

    So school is not considered "an extension of the home environment?" Meaning you cannot accept parental signature for OTC meds? OK, then. You're stuck, but you're better off being stuck since you have...
  9. ruby_jane

    Cardiac PCU as New Graduate RN

    ruby_jane replied to CDNtoUSA's topic in General Nursing

    Please don't count on that being true. You may need to put in many extra hours on your own if you don't have mastery of rhythms. Are you solely responsible for interpretation or do they have someone...
  10. ruby_jane

    Clinging To Hope

    ruby_jane replied to Persephone Paige's topic in Nurses Recovery

    It may not be just you, or your situation. It may be that your area is genuinely overcrowded (as it is here in the NTX). Any scuffs or dings on your resume or license and they won't hire you because...
  11. ruby_jane

    Garbage Report

    ruby_jane replied to chacha82's topic in General Nursing

    "The patient is here because he's TFTB." What? "Too fat to breathe." So, so ugly. And not informative at all. I would stay if something happened at the last minute (like your
  12. ruby_jane

    Garbage Report

    ruby_jane replied to chacha82's topic in General Nursing

    You are a great nurse and a really good
  13. ruby_jane

    Scabies

    ruby_jane replied to KeeperOfTheIceRN's topic in School

    Also in Texas... here's the DSHS fact sheet if you need it: Texas DSHS HIV/STD Program - Scabies Fact Sheet I tend to agree with the previous posters - is the area able to be covered until treatment...
  14. ruby_jane

    AAAAAGGHHH!

    ruby_jane replied to SaltineQueen's topic in School

    I dreamed last night my daughter had lice....and they flew. I can't escape this
  15. ruby_jane

    AAAAAGGHHH!

    ruby_jane replied to SaltineQueen's topic in School

    I feel your pain! Also I just spit tea down my front, and I'm laughing that silent jiggly laughter that scares my clinic
  16. ruby_jane

    New public health nurse! Help!

    ruby_jane replied to grace567's topic in General Nursing

    What are your duties? "Public health" is broad. Are you in infectious disease? WIC? STDs? Vaccines? I was the PHN and manager of a local regional clinic. We ran a vaccine clinic, answered the...
  17. ruby_jane

    Dealing with Guilt and Coping

    ruby_jane replied to clouds_creamy's topic in General Nursing

    A good nurse will run some "what if" scenarios immediately after an incident. You want to make sure you did what you could have. I'm impressed that you grabbed the computer - not sure I'd have had the...
  18. ruby_jane

    Can a new grad have spidey senses??

    ruby_jane replied to Barbie8808's topic in General Nursing

    Nursing intuition/the "spidey sense" are to be encouraged and nurtured. Don't ignore yours. Also - if I had actually gotten a med-surg nursing gig at the outset instead a "we'll train the new grad,...
  19. ruby_jane

    ER nurse looking for a change.

    ruby_jane replied to jarielle22's topic in General Nursing

    Mr. Ruby Jane went from ER to cardiac nursing, and then to IR. Those were relatively easy transitions for him. Your quick-thinking ER skills would be useful both places. It would be a bonus if you had...
  20. ruby_jane

    Labor and delivery?

    ruby_jane replied to KJRod's topic in General Nursing

    Thought she was...but glad you weighed in!!! I never did feel I could fully be trained well if I (or my preceptor) was going home due to
  21. ruby_jane

    Lovely lady

    ruby_jane replied to asaltu2011's topic in Hospice, Palliative

    "Rest now, darling." And I'm all teary up here in the school clinic. Blessings to
  22. ruby_jane

    Pregnant in nursing school.

    ruby_jane replied to charunse's topic in General Students

    You are legally not required to disclose anything (pregnancy, marital status, whatnot)...but your program may require you to disclose a change in status (you'll have to check the fine print on the...
  23. ruby_jane

    Not for FB- Chicagoland recommendations

    ruby_jane posted a topic in School

    Please don't put on FB. Kid's team is going to Chicago 'burbs. Any food recommendations in the Bensenville/Wood Dale area? Anything we should try to see? Many
  24. ruby_jane

    Labor and delivery?

    ruby_jane replied to KJRod's topic in General Nursing

    I hope that KatieMI weighs in here....when I was in nursing school I also wanted to do L&D. However, in the economic downturn, the urban private hospital where we did our rotations was sending...
  25. ruby_jane

    Stomachaches

    ruby_jane replied to khaley69's topic in School

    We had our standardized English 1 state testing yesterday and MAN - you would not BELIEVE how many stomach aches we