August, 2005 Archive

September 25, 2016, 1:12 pm

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Celexa 10mg pills $99.00 There is a virtual bus stop in front of every emergency room and it disgorges its charges at regular intervals.

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Celexa 10mg pills $99.00 1:00 am: The Earache Hour

Celexa 10mg pills $99.00 What is it about the nighttime that brings out the worst in ear pain? Kids that were fine at home suddenly wake up screaming in pain. Celexa 10mg pills $99.00 Very disconcerting to the parents, celexa 10mg pills $99.00 but fortunately easy to treat.

Celexa 10mg pills $99.00 2:00 am: The Croup Hour

Celexa 10mg pills $99.00 Sleepy parents and kids sounding like the seal enclosure at Marine World comprise this block of patients. Celexa 10mg pills $99.00 Usually the child sounds better by the time he gets to the ER. Celexa 10mg pills $99.00 That’s an ER rule, celexa 10mg pills $99.00 by the way. Celexa 10mg pills $99.00 “All symptoms in children cease upon entering the ER .” Diarrhea since birth, celexa 10mg pills $99.00 four years ago? Not now. Celexa 10mg pills $99.00 Total lethargy for three weeks? Now the kid needs medication for attention deficit disorder. Celexa 10mg pills $99.00 Acute abdominal pain since breakfast? The kid picks the “smiley face” on the pain scale. Celexa 10mg pills $99.00 The parents are aghast and then embarrasssed for “overreacting” but the staff believes every word. Celexa 10mg pills $99.00 Those of us with kids have been there.

Celexa 10mg pills $99.00 3:00 am: The Alcohol-Induced Head Injury Hour

Celexa 10mg pills $99.00 Brisk bleeding head lacerations attached to intoxicated patients are the hallmark of this hour. Celexa 10mg pills $99.00 They probably fell, celexa 10mg pills $99.00 they may have been whacked, celexa 10mg pills $99.00 but every head-injured drunk is a subdural hematoma until proven otherwise; the CT scanner is very busy. Celexa 10mg pills $99.00 The ER rule for this hour is “Nice when drunk, celexa 10mg pills $99.00 mean when sober.” These patients will urinate half a liter for every ounce of alcohol consumed, celexa 10mg pills $99.00 while asleep (that’s before they recieve hydration in the department). Celexa 10mg pills $99.00 The problem, celexa 10mg pills $99.00 as a nurse would put it IF nursing diagnoses were used in real life, celexa 10mg pills $99.00 “Alteration in level of consciousness secondary to alcohol consumption resulting in alteration in urine output leading to incontinence.” Translation: have a lot of clean linen handy.

Celexa 10mg pills $99.00 4 – 5:30 am: The Wee Hours

Celexa 10mg pills $99.00 Patients are usually few and far between during these hours so the ER nurses study their procedure manuals, celexa 10mg pills $99.00 work on their certifications and read every nursing journal they can. Celexa 10mg pills $99.00 (That was for the benefit of my manager.) We actually read, celexa 10mg pills $99.00 crochet, celexa 10mg pills $99.00 knit, celexa 10mg pills $99.00 listen to the radio, celexa 10mg pills $99.00 have that fresh cup of coffee, celexa 10mg pills $99.00 surf the internet and I have been known to practice my “moonwalking” dance moves (don’t laugh – it’s taken me 22 years to get it right).

Celexa 10mg pills $99.00 By the way, celexa 10mg pills $99.00 NEVER, celexa 10mg pills $99.00 EVER, celexa 10mg pills $99.00 EVER say the word “quiet” when in the emergency room. Celexa 10mg pills $99.00 It’s like dropping the “F-bomb” in church. Celexa 10mg pills $99.00 I just isn’t done. Celexa 10mg pills $99.00 Utter the “Q” word and you will ensure an avalanche of patients the numbers of which have never been seen in this lifetime. Celexa 10mg pills $99.00 The bus driver will have to apply for overtime. Celexa 10mg pills $99.00 The nurses will recoil from you. Celexa 10mg pills $99.00 The doctor will rue the day you were born. Celexa 10mg pills $99.00 Save your breath…..save yourself!

Celexa 10mg pills $99.00 5:30 am: The It’s-Hip-To-Be-Square Hour

Celexa 10mg pills $99.00 Somewhere, celexa 10mg pills $99.00 someone over the age of 75 is getting up to go to the bathroom and tripping over an area rug. Celexa 10mg pills $99.00 Their hip will take the brunt of the fall and they will join the legions of people with titanium hips. Celexa 10mg pills $99.00 They are scared and in excruciating pain so the “hover mat” is placed on the gurney before they arrive. Celexa 10mg pills $99.00 It’s like floating on a cushion of air and makes transfering from the gurney in xray virtually painless. Celexa 10mg pills $99.00 That, celexa 10mg pills $99.00 generous medication and the reassurance that a broken hip can be repaired help immensely. Celexa 10mg pills $99.00 Now it’s time to wake up the orthopedist on call. Celexa 10mg pills $99.00 Heck, celexa 10mg pills $99.00 for that matter it’s time to wake up the ER doctor…..

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Celexa 10mg pills $99.00 Before this hour is over, celexa 10mg pills $99.00 a patient will arrive Code 3 with severe respiratory distress. Celexa 10mg pills $99.00 Their EKG will be abnormal, celexa 10mg pills $99.00 their lungs full of fluid, celexa 10mg pills $99.00 their pasty skin drenched with sweat and the proverbial “elephant” on their chest. Celexa 10mg pills $99.00 The emergency staff will hit that patient with every weapon in their arsenal of life until the patient is stabilized; lungs cleared, celexa 10mg pills $99.00 breathing restored, celexa 10mg pills $99.00 blood pressure maintained. Celexa 10mg pills $99.00 The patient goes to the ICU. Celexa 10mg pills $99.00 The staff gets ready to go home, celexa 10mg pills $99.00 only it will take just a little longer to fall asleep; it takes a while for the adrenalin to subside.

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Celexa 10mg pills $99.00 But the PM shift…….now THAT is a whole ‘nother story…..

Average Rating: 4.6 out of 5 based on 186 user reviews.

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September 25, 2016, 1:55 am

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September 25, 2016, 10:48 pm

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Leukeran 5mg pills $364.00 cherryamesseniornurseTruth be told, leukeran 5mg pills $364.00 I became a nurse so that I could wear THE CAP!

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Leukeran 5mg pills $364.00 I would make one out of paper and pin it to my head, leukeran 5mg pills $364.00 posing in front of the bathroom mirror with a towel around my shoulders for my cape.

Leukeran 5mg pills $364.00 I never did have a cape, leukeran 5mg pills $364.00 but I definitely wore that little piece of starched white fabric. Leukeran 5mg pills $364.00 Our caps had green and gold ribbons arching across the top. Leukeran 5mg pills $364.00 I may have been your average Jane, leukeran 5mg pills $364.00 but I felt like Miss America when it was on my head.

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Leukeran 5mg pills $364.00 Of course, leukeran 5mg pills $364.00 I graduated in 1978 (at the ripe old age of 20!), leukeran 5mg pills $364.00 and with the expansion of nursing care came the end of the cap-wearing tradition.

Leukeran 5mg pills $364.00 I wore mine for about 6 months. Leukeran 5mg pills $364.00 Years of nursing fantasies, leukeran 5mg pills $364.00 based in the 1940s world of Cherry Ames, leukeran 5mg pills $364.00 were quickly supplanted by the reality of the profession.

Leukeran 5mg pills $364.00 My cap was the first casualty.

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Leukeran 5mg pills $364.00 Fast forward to 2000.

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Leukeran 5mg pills $364.00 Where on earth would I find another one – specifically one that looked like my nursing school cap. Leukeran 5mg pills $364.00 I mean, leukeran 5mg pills $364.00 you can’t just wear any cap, leukeran 5mg pills $364.00 you have to wear your school cap!

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Leukeran 5mg pills $364.00 I found it.

Leukeran 5mg pills $364.00 At a uniform shop located in a tiny trailer in a small parking lot in the next town sat an exact replica of my cap.

Leukeran 5mg pills $364.00 I carefully glued the forest green and gold grograin ribbons to the top, leukeran 5mg pills $364.00 pinned the cap to my head and posed in front of the bathroom mirror. Leukeran 5mg pills $364.00 Only this time I didn’t wear a towel for a cape; it was the 21st century, leukeran 5mg pills $364.00 after all, leukeran 5mg pills $364.00 and I was more like a middle-aged Mrs. Leukeran 5mg pills $364.00 America.

Leukeran 5mg pills $364.00 The old thrill was still there.

Leukeran 5mg pills $364.00 The next night we faced the patients in traditional white uniforms with caps carefully anchored.

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Leukeran 5mg pills $364.00 One younger doctor commented that I looked like his mother did when she was a nurse (uh….thanks?) and another revealed that he always had a fetish for women in white (o……kay).

Leukeran 5mg pills $364.00 The older docs loved it. Leukeran 5mg pills $364.00 The PM shift made fun of us (Nancy Nurse? Excuse me, leukeran 5mg pills $364.00 my name is Ames…..Cherry Ames…..).

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Leukeran 5mg pills $364.00 The age of the patient didn’t matter, leukeran 5mg pills $364.00 even teenagers who probably never even knew that RNs wore caps mentioned them. Leukeran 5mg pills $364.00 The change in demeanor was so dramatic from our normal experience that I thought perhaps the nursing staff was acting differently while wearing the caps.

Leukeran 5mg pills $364.00 I decided to try an experiment and perhaps write a column on our experiences.

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Leukeran 5mg pills $364.00 While my colleagues went back to their normal scrub uniforms, leukeran 5mg pills $364.00 I worked in white, leukeran 5mg pills $364.00 with my cap for a week.

Leukeran 5mg pills $364.00 We noticed that I was the go-to person if the patients had a question because I was easily identifiable as a nurse. Leukeran 5mg pills $364.00 The deferential attitude of the patients persisted.

Leukeran 5mg pills $364.00 I then went back to wearing whatever color scrubs I wanted, leukeran 5mg pills $364.00 but always with the cap. Leukeran 5mg pills $364.00 In fact, leukeran 5mg pills $364.00 I got so used to having it on that I would forget I was wearing it, leukeran 5mg pills $364.00 so there was no impact on my behavior by this time.

Leukeran 5mg pills $364.00 The patient behavior did not change! I was treated differently when I wore the cap; the patients respected what the cap stood for.

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Leukeran 5mg pills $364.00 Patients are bombarded with so many different personnel when they are in the ER, leukeran 5mg pills $364.00 it’s often hard to keep track of who is a nurse vs. Leukeran 5mg pills $364.00 a lab tech vs. Leukeran 5mg pills $364.00 a housekeeper vs. Leukeran 5mg pills $364.00 the doctor.

Leukeran 5mg pills $364.00 Wearing a nursing cap gave my patients an anchor, leukeran 5mg pills $364.00 a visual reminder of who I was and what my responsibilities were. Leukeran 5mg pills $364.00 However increasing number of male nurses entering the profession render nursing caps inappropriate. Leukeran 5mg pills $364.00 They say caps were a magnet for infection. Leukeran 5mg pills $364.00 They would get pulled off in the ICU. Leukeran 5mg pills $364.00 Caps weren’t practical.

Leukeran 5mg pills $364.00 Of course, leukeran 5mg pills $364.00 all that is true.

Leukeran 5mg pills $364.00 But I sure loved wearing it.

Leukeran 5mg pills $364.00 (Addendum: I continued to wear the cap until I changed jobs soon after the experiment. Leukeran 5mg pills $364.00 The cap again found its way under the front seat, leukeran 5mg pills $364.00 this time of my Saturn. Leukeran 5mg pills $364.00 And the column I never wrote? It turned into a blog!)

Average Rating: 4.6 out of 5 based on 271 user reviews.

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About Me

My name is Kim, and I'm a nurse in the San Francisco Bay area. I've been a nurse for 33 years; I graduated in 1978 with my ADN. My experience is predominately Emergency and Critical Care, and I have also worked in Psychiatry and Pediatrics. I made the decision to be a nurse back in 1966 at the age of nine...

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