ruby_jane BSN, RN

Oh my goodness - I have missed you all so much - but NOT THIS! You documented what you did. I likely wouldn't have done anything differently. Let the teacher field the ER bill...

RJ Junior's (former) sleep-away camp just posted that they're taking early bird reservations for Summer!! I had signed up last year to work because RJ Junior is no longer a camper so I could get paid in cash instead of camp credit. However, the ...

My experience was that the kid had almost projectile vomiting as the GI response. Stomach ache - not so much BUT it's not impossible. But if the kid denies ingestion...what do you do with this? In a perfect world I'd monitor. Covid has messed with m...

I hate the "can you check him out? He smells like pot" assessments. Our old form had me assess nystagmus like five different ways..... Seriously, unless you have a doctor's order and a pee test, you are only documenting vitals, what you observe...

Well this is interesting! I don't have a uterus anymore so I am no help. We are in phase 4 trials, folks. That's when all the unusual side effects show up.

You don't want to be "that nurse." The nurse who wanders away from handing over the inhaler because the symptom is unclear. My general practice is that I assess (PSO2, RR, auscultation for a good long time) and if I don't hear the wheezing and the RR...

I learned yesterday that in (less than) 5% of our kiddos, goopy bloodshot eyes may actually be COVID-related. As in, this is a new symptom we've discovered. But that opened up the can o' worms: If I send a kid out for diagnosis and the doctor do...

Is the teacher's doc aware of the fact the teacher isn't compliant because of the expense? Is there any other med that they can take? My beloved Dr. Singhania (if you're in the NTX and need an allergist or care for your asthma that is allergy-re...

It DOES look interesting....but looks like it would be for newer school nurses. I think you could speak effectively to (if not teach) many of these topics.

This is a great suggestion, for several reasons. Including....if the main office got contaminated or otherwise unusable there is a back up and it's stocked with supplies!

Not....necessarily. Pretend you don't know anything about SPED and ask for the evaluation.

In my district in north Texas he would likely meet the SPED category emotional disturbance, or possibly Other Health Impairment. The SPED assessment process is lengthy but we need to answer the question: Does this student need modifications to be su...

Did you go through a lawyer or just by yourself? If you lawyered up, have them ask for you. Otherwise I would call the case manager...TXBON is not known for happy surprises but I hope yours is a happy surprise.

I'm just dazzled that they thought to invite you. Nurses and nutrition staff work hand in hand a lot but a lot of people don't know that. Scenario: You have a kid who has a negative lunch balance, and parent has been informed but has not made an...

Generalized anxiety disorder? Dexmethylphenidate is a stimulant and I cannot imagine my anxious RJ Junior taking that to "help" the GAD she has. Yeesh. Because the brain's biochemistry is so individualized and because our psych models work like ...

Days like this I miss OldDude. BAM! Snatched from the jaws of death!! Or not. But you have NO WAY OF KNOWING! So, based on your assessment - a prudent nurse would not have allowed that teacher not to go to the hospital. She looked like she was h...

Bless his heart. That's not how it happens (at least in my district). That's why we offer the parent-purchased indemnity insurance. Any reasonable nurse would have removed that boot. You assessed pedal pulses (something I do not do regularly bu...

Anecdotally from friends: The two people I know who had COVID less than 90 days ago had a strong immunological reaction (YAY- Moderna vaccine may be working) - fever of 100-101, body aches. One person who had COVID in June had a similar rea...

But you're an awesome nurse-nurse.

Nope, you're not dumb. Fall happened outside your assigned area. You were not asked to assess or provide anything. Principal who might should have known better did not bother to call you til later. Even "later" I don't know if I would have run over t...

I am assuming no history of this for you, yes? Please also consider reporting it to the vaccine system they have set up (it's not the traditional VAERS). We are all essentially phase 4 trialling both vaccines. Hang in there.

The Q word is VERY REAL. We used to have a hospitalist who would stand in the middle of the freaking ICU and say "Well you're having an easy night." And then it would all go to h-e-doublehockeystics. Any form of the Q word, including easy, ...

@SilverBells no judgment on my part. I drink 3-4 cups of coffee daily and might even sneak in a Coke Zero in between. This is not a "diet." You are reaching for stimulants and chewy, salty easy to grab snacks that soothe the neuroreceptors but d...

YEP. That's ICU, although it may be worse now with COVID than it was when I was in the ICU preceptoring "training class." There is simply too much to know and outside of training on cardiac rhythm and interpretation and memorizing some oft-used drugs...

I no longer remember what I made, only that the computer shut off pretty early and I nearly choked. But - you are right on about credentialing. Given that there are no legitimate nursing shortages in North Texas (we just have a shortage of hospitals...