August, 2005 Archive

July 28, 2016, 1:12 pm

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Prozac 40mg pills $182.00 With an itty-bitty uniform and teeny-tiny white open-toed pumps.

Prozac 40mg pills $182.00 I happened to pass by eBay and there were a TON of Barbie nursing outfits (circa 1961) just waiting for a bid.

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Prozac 40mg pills $182.00 The outfit comes with black-rimmed glasses, prozac 40mg pills $182.00 presumably because nurses can’t look too glamourous. Prozac 40mg pills $182.00 But Barbie has her pedicure showing with the open toes shoes, prozac 40mg pills $182.00 and pumps no less.

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Prozac 40mg pills $182.00 There is a virtual bus stop in front of every emergency room and it disgorges its charges at regular intervals.

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Prozac 40mg pills $182.00 You can set your watch by its arrival and tell the time by the patients seeking care.

Prozac 40mg pills $182.00 Here is what the night shift might receive….

Prozac 40mg pills $182.00 1:00 am: The Earache Hour

Prozac 40mg pills $182.00 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. Prozac 40mg pills $182.00 Very disconcerting to the parents, prozac 40mg pills $182.00 but fortunately easy to treat.

Prozac 40mg pills $182.00 2:00 am: The Croup Hour

Prozac 40mg pills $182.00 Sleepy parents and kids sounding like the seal enclosure at Marine World comprise this block of patients. Prozac 40mg pills $182.00 Usually the child sounds better by the time he gets to the ER. Prozac 40mg pills $182.00 That’s an ER rule, prozac 40mg pills $182.00 by the way. Prozac 40mg pills $182.00 “All symptoms in children cease upon entering the ER .” Diarrhea since birth, prozac 40mg pills $182.00 four years ago? Not now. Prozac 40mg pills $182.00 Total lethargy for three weeks? Now the kid needs medication for attention deficit disorder. Prozac 40mg pills $182.00 Acute abdominal pain since breakfast? The kid picks the “smiley face” on the pain scale. Prozac 40mg pills $182.00 The parents are aghast and then embarrasssed for “overreacting” but the staff believes every word. Prozac 40mg pills $182.00 Those of us with kids have been there.

Prozac 40mg pills $182.00 3:00 am: The Alcohol-Induced Head Injury Hour

Prozac 40mg pills $182.00 Brisk bleeding head lacerations attached to intoxicated patients are the hallmark of this hour. Prozac 40mg pills $182.00 They probably fell, prozac 40mg pills $182.00 they may have been whacked, prozac 40mg pills $182.00 but every head-injured drunk is a subdural hematoma until proven otherwise; the CT scanner is very busy. Prozac 40mg pills $182.00 The ER rule for this hour is “Nice when drunk, prozac 40mg pills $182.00 mean when sober.” These patients will urinate half a liter for every ounce of alcohol consumed, prozac 40mg pills $182.00 while asleep (that’s before they recieve hydration in the department). Prozac 40mg pills $182.00 The problem, prozac 40mg pills $182.00 as a nurse would put it IF nursing diagnoses were used in real life, prozac 40mg pills $182.00 “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.

Prozac 40mg pills $182.00 4 – 5:30 am: The Wee Hours

Prozac 40mg pills $182.00 Patients are usually few and far between during these hours so the ER nurses study their procedure manuals, prozac 40mg pills $182.00 work on their certifications and read every nursing journal they can. Prozac 40mg pills $182.00 (That was for the benefit of my manager.) We actually read, prozac 40mg pills $182.00 crochet, prozac 40mg pills $182.00 knit, prozac 40mg pills $182.00 listen to the radio, prozac 40mg pills $182.00 have that fresh cup of coffee, prozac 40mg pills $182.00 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).

Prozac 40mg pills $182.00 By the way, prozac 40mg pills $182.00 NEVER, prozac 40mg pills $182.00 EVER, prozac 40mg pills $182.00 EVER say the word “quiet” when in the emergency room. Prozac 40mg pills $182.00 It’s like dropping the “F-bomb” in church. Prozac 40mg pills $182.00 I just isn’t done. Prozac 40mg pills $182.00 Utter the “Q” word and you will ensure an avalanche of patients the numbers of which have never been seen in this lifetime. Prozac 40mg pills $182.00 The bus driver will have to apply for overtime. Prozac 40mg pills $182.00 The nurses will recoil from you. Prozac 40mg pills $182.00 The doctor will rue the day you were born. Prozac 40mg pills $182.00 Save your breath…..save yourself!

Prozac 40mg pills $182.00 5:30 am: The It’s-Hip-To-Be-Square Hour

Prozac 40mg pills $182.00 Somewhere, prozac 40mg pills $182.00 someone over the age of 75 is getting up to go to the bathroom and tripping over an area rug. Prozac 40mg pills $182.00 Their hip will take the brunt of the fall and they will join the legions of people with titanium hips. Prozac 40mg pills $182.00 They are scared and in excruciating pain so the “hover mat” is placed on the gurney before they arrive. Prozac 40mg pills $182.00 It’s like floating on a cushion of air and makes transfering from the gurney in xray virtually painless. Prozac 40mg pills $182.00 That, prozac 40mg pills $182.00 generous medication and the reassurance that a broken hip can be repaired help immensely. Prozac 40mg pills $182.00 Now it’s time to wake up the orthopedist on call. Prozac 40mg pills $182.00 Heck, prozac 40mg pills $182.00 for that matter it’s time to wake up the ER doctor…..

Prozac 40mg pills $182.00 6:00 am: The Code Hour

Prozac 40mg pills $182.00 Before this hour is over, prozac 40mg pills $182.00 a patient will arrive Code 3 with severe respiratory distress. Prozac 40mg pills $182.00 Their EKG will be abnormal, prozac 40mg pills $182.00 their lungs full of fluid, prozac 40mg pills $182.00 their pasty skin drenched with sweat and the proverbial “elephant” on their chest. Prozac 40mg pills $182.00 The emergency staff will hit that patient with every weapon in their arsenal of life until the patient is stabilized; lungs cleared, prozac 40mg pills $182.00 breathing restored, prozac 40mg pills $182.00 blood pressure maintained. Prozac 40mg pills $182.00 The patient goes to the ICU. Prozac 40mg pills $182.00 The staff gets ready to go home, prozac 40mg pills $182.00 only it will take just a little longer to fall asleep; it takes a while for the adrenalin to subside.

Prozac 40mg pills $182.00 7:00 am: Hey-la, prozac 40mg pills $182.00 Hey-la, prozac 40mg pills $182.00 The Day Shift’s Back!

Prozac 40mg pills $182.00 And because I don’t work days, prozac 40mg pills $182.00 I don’t know their story. Prozac 40mg pills $182.00 I’ll interview a few and see what their day is like and report back from the “frontlines”.

Prozac 40mg pills $182.00 But the PM shift…….now THAT is a whole ‘nother story…..

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July 28, 2016, 1:55 am

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Amitriptyline 75mg pills $158.00 Forgive a quick detour from the world of the emergency department. Amitriptyline 75mg pills $158.00 We all know elderly folks who carry a full page, amitriptyline 75mg pills $158.00 single-spaced computerized list of their medications in their wallet. Amitriptyline 75mg pills $158.00 I’ll never be one of them because there won’t be any drugs. Amitriptyline 75mg pills $158.00 Listening to Hugh Hewitt discuss the Vioxx verdict today cemented my belief that sanity has, amitriptyline 75mg pills $158.00 indeed, amitriptyline 75mg pills $158.00 left the jury system

Amitriptyline 75mg pills $158.00 The plaintiff’s win is our collective loss. Amitriptyline 75mg pills $158.00 By awarding one-quarter billion dollars in damages, amitriptyline 75mg pills $158.00 the Vioxx jury ensured more than the plaintiff’s financial security. Amitriptyline 75mg pills $158.00 They’ve contributed to the increase in drug-related lawsuits that are sure to follow as personal injury firms assess the financial incentive of similar cases. Amitriptyline 75mg pills $158.00 They have helped smother the incentive of research and development departments to develop new medications because of increasing financial vulnerability.

Amitriptyline 75mg pills $158.00 Merck lost the case, amitriptyline 75mg pills $158.00 but we are the ones who will pay. Amitriptyline 75mg pills $158.00 When you receive your next prescription and you are paying a day’s wage for a two-week supply, amitriptyline 75mg pills $158.00 remember this verdict. Amitriptyline 75mg pills $158.00 When you are suffering from a health problem and are unable choose a medication pulled off the market because it became too expensive to litigate, amitriptyline 75mg pills $158.00 remember this verdict. Amitriptyline 75mg pills $158.00 When you are given a diagnosis for which no treatment is available because there has been no research in that area, amitriptyline 75mg pills $158.00 remember this verdict.

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Amitriptyline 75mg pills $158.00 “Remember what the Dormouse said….
Feed your head…….”

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July 28, 2016, 10:48 pm

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Penegra 50mg pills $136.00 cherryamesseniornurseTruth be told, penegra 50mg pills $136.00 I became a nurse so that I could wear THE CAP!

Penegra 50mg pills $136.00 Oh, penegra 50mg pills $136.00 how I wanted that cap.

Penegra 50mg pills $136.00 I would make one out of paper and pin it to my head, penegra 50mg pills $136.00 posing in front of the bathroom mirror with a towel around my shoulders for my cape.

Penegra 50mg pills $136.00 I never did have a cape, penegra 50mg pills $136.00 but I definitely wore that little piece of starched white fabric. Penegra 50mg pills $136.00 Our caps had green and gold ribbons arching across the top. Penegra 50mg pills $136.00 I may have been your average Jane, penegra 50mg pills $136.00 but I felt like Miss America when it was on my head.

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Penegra 50mg pills $136.00 Of course, penegra 50mg pills $136.00 I graduated in 1978 (at the ripe old age of 20!), penegra 50mg pills $136.00 and with the expansion of nursing care came the end of the cap-wearing tradition.

Penegra 50mg pills $136.00 I wore mine for about 6 months. Penegra 50mg pills $136.00 Years of nursing fantasies, penegra 50mg pills $136.00 based in the 1940s world of Cherry Ames, penegra 50mg pills $136.00 were quickly supplanted by the reality of the profession.

Penegra 50mg pills $136.00 My cap was the first casualty.

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Penegra 50mg pills $136.00 Fast forward to 2000.

Penegra 50mg pills $136.00 I was working night shift in an emergency department when my colleagues and I decided to celebrate National Nurses’ Day by wearing classic white uniforms with our caps!

Penegra 50mg pills $136.00 Yeah, penegra 50mg pills $136.00 baby!

Penegra 50mg pills $136.00 Now, penegra 50mg pills $136.00 the last time I had actually seen my cap had been in 1979, penegra 50mg pills $136.00 carefully preserved in a halo of dust under the front seat of an old green Volkswagon bug I no longer owned.

Penegra 50mg pills $136.00 Where on earth would I find another one – specifically one that looked like my nursing school cap. Penegra 50mg pills $136.00 I mean, penegra 50mg pills $136.00 you can’t just wear any cap, penegra 50mg pills $136.00 you have to wear your school cap!

Penegra 50mg pills $136.00 I was determined to find it.

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Penegra 50mg pills $136.00 I found it.

Penegra 50mg pills $136.00 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.

Penegra 50mg pills $136.00 I carefully glued the forest green and gold grograin ribbons to the top, penegra 50mg pills $136.00 pinned the cap to my head and posed in front of the bathroom mirror. Penegra 50mg pills $136.00 Only this time I didn’t wear a towel for a cape; it was the 21st century, penegra 50mg pills $136.00 after all, penegra 50mg pills $136.00 and I was more like a middle-aged Mrs. Penegra 50mg pills $136.00 America.

Penegra 50mg pills $136.00 The old thrill was still there.

Penegra 50mg pills $136.00 The next night we faced the patients in traditional white uniforms with caps carefully anchored.

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Penegra 50mg pills $136.00 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).

Penegra 50mg pills $136.00 The older docs loved it. Penegra 50mg pills $136.00 The PM shift made fun of us (Nancy Nurse? Excuse me, penegra 50mg pills $136.00 my name is Ames…..Cherry Ames…..).

Penegra 50mg pills $136.00 But, penegra 50mg pills $136.00 the patients! The patients respected us!

Penegra 50mg pills $136.00 Their behavior was astounding. Penegra 50mg pills $136.00 They spoke to us in lower tones. Penegra 50mg pills $136.00 They spoke to us respectfully. Penegra 50mg pills $136.00 They addressed us as “Nurse” and not “hey you” or “uh…where’s the doc?”

Penegra 50mg pills $136.00 The age of the patient didn’t matter, penegra 50mg pills $136.00 even teenagers who probably never even knew that RNs wore caps mentioned them. Penegra 50mg pills $136.00 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.

Penegra 50mg pills $136.00 I decided to try an experiment and perhaps write a column on our experiences.

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Penegra 50mg pills $136.00 While my colleagues went back to their normal scrub uniforms, penegra 50mg pills $136.00 I worked in white, penegra 50mg pills $136.00 with my cap for a week.

Penegra 50mg pills $136.00 We noticed that I was the go-to person if the patients had a question because I was easily identifiable as a nurse. Penegra 50mg pills $136.00 The deferential attitude of the patients persisted.

Penegra 50mg pills $136.00 I then went back to wearing whatever color scrubs I wanted, penegra 50mg pills $136.00 but always with the cap. Penegra 50mg pills $136.00 In fact, penegra 50mg pills $136.00 I got so used to having it on that I would forget I was wearing it, penegra 50mg pills $136.00 so there was no impact on my behavior by this time.

Penegra 50mg pills $136.00 The patient behavior did not change! I was treated differently when I wore the cap; the patients respected what the cap stood for.

Penegra 50mg pills $136.00 I was floored.

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Penegra 50mg pills $136.00 Patients are bombarded with so many different personnel when they are in the ER, penegra 50mg pills $136.00 it’s often hard to keep track of who is a nurse vs. Penegra 50mg pills $136.00 a lab tech vs. Penegra 50mg pills $136.00 a housekeeper vs. Penegra 50mg pills $136.00 the doctor.

Penegra 50mg pills $136.00 Wearing a nursing cap gave my patients an anchor, penegra 50mg pills $136.00 a visual reminder of who I was and what my responsibilities were. Penegra 50mg pills $136.00 However increasing number of male nurses entering the profession render nursing caps inappropriate. Penegra 50mg pills $136.00 They say caps were a magnet for infection. Penegra 50mg pills $136.00 They would get pulled off in the ICU. Penegra 50mg pills $136.00 Caps weren’t practical.

Penegra 50mg pills $136.00 Of course, penegra 50mg pills $136.00 all that is true.

Penegra 50mg pills $136.00 But I sure loved wearing it.

Penegra 50mg pills $136.00 (Addendum: I continued to wear the cap until I changed jobs soon after the experiment. Penegra 50mg pills $136.00 The cap again found its way under the front seat, penegra 50mg pills $136.00 this time of my Saturn. Penegra 50mg pills $136.00 And the column I never wrote? It turned into a blog!)

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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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