September, 2005 Archive

July 27, 2016, 8:49 pm

Levothroid 200mcg $148.00

Levothroid 200mcg $148.00 Ladies, levothroid 200mcg $148.00 do you love your undies? Is your bra healthy for your budget?
Are you glad you can stop ironing your unmentionables? I have no doubt that this ad would engender massive amounts of protest if attempted today. Levothroid 200mcg $148.00 Of course, levothroid 200mcg $148.00 the bra would be an underwire push-up, levothroid 200mcg $148.00 the bottom would be a thong and the model would be Shakira in a nurse’s cap with a navy blue cape. Levothroid 200mcg $148.00 Of course, levothroid 200mcg $148.00 they can’t be sexist so there would be a companion ad with Justin Timberlake extolling the virtues of STAT-n’-Strap, levothroid 200mcg $148.00 the jock strap made for the guy who’s MAN enough to wear the title, levothroid 200mcg $148.00 NURSE!

Levothroid 200mcg $148.00 Ahem….Aside from underwear, levothroid 200mcg $148.00 there is more to dressing for work than just putting on the uniform. Levothroid 200mcg $148.00 What about all the adjuncts you need to be at your peak efficiency? The tools of the trade? The building blocks of patient care? Let us discuss these various items.

  • Your ID – you know, levothroid 200mcg $148.00 the plastic badge with your name on it in big, levothroid 200mcg $148.00 bold letters. Levothroid 200mcg $148.00 Taping a photo of Catherine Zeta Jones over your photo is not allowed. Levothroid 200mcg $148.00 I tried. Levothroid 200mcg $148.00 It is common knowledge that ID cameras add fifty pounds. Levothroid 200mcg $148.00 They do so!
  • Your stethoscope – You will occasionally be seen to grope at your chest, levothroid 200mcg $148.00 wondering where it is. Levothroid 200mcg $148.00 You get so used to wearing this that one day you forget to take it off at work and will wear it into the grocery store. Levothroid 200mcg $148.00 You listen to your coughing child’s breath sounds and go to basketball/soccer/volleyball/football practice with it dangling from your neck. Levothroid 200mcg $148.00 You will do this. Levothroid 200mcg $148.00 At least twice.
  • In your right pocket:
    • Scissors. Levothroid 200mcg $148.00 Not those dainty little silver “bandage scissors” that fit so neatly into the little pocket organizer you will never use and couldn’t cut the tip of a Barbie glove. Levothroid 200mcg $148.00 Puh-lease! I’m talkin’ big ol’ trauma shears that will cut through leather. Levothroid 200mcg $148.00 These go in your right pocket with…
    • A tiny calculator. Levothroid 200mcg $148.00 For when the doctor orders 1/748th of the dose you have on hand.
    • Tape. Levothroid 200mcg $148.00 Also in your right pocket. Levothroid 200mcg $148.00 With a tiny fold made on the end so you don’t have to pick at it, levothroid 200mcg $148.00 especially since they said you can’t wear acrylic nails anymore and you are a chronic nail biter and can’t get the tape to unroll naturally and it’s such a pain and…but I digress.
    • Notepad. Levothroid 200mcg $148.00 Also known as a paper towel, levothroid 200mcg $148.00 upon which you have written the last set of vitals for the patient in 8A, levothroid 200mcg $148.00 the results of the urine dip in room 10 and the repeat pain measurement of the patient in 8B who was discharged 30 minutes ago but you haven’t had time to chart it yet.
    • Three quarters, levothroid 200mcg $148.00 a dime and two pennies that you got as change for your coffee on your way in to work. Levothroid 200mcg $148.00
    • Two Hershey’s kisses from the candy dish at the nurses’ station, levothroid 200mcg $148.00 still wrapped but smooshy. Levothroid 200mcg $148.00
  • In your left pocket:
    • Your precious pens!
      • Your wonderfully smooth writing, levothroid 200mcg $148.00 gel-based, levothroid 200mcg $148.00 royal blue Uniball writing utensils, levothroid 200mcg $148.00 so associated with you that, levothroid 200mcg $148.00 if found, levothroid 200mcg $148.00 they are put in your box.
      • A red pen to mark orders you have completed on the doctor’s order sheet.
      • A black Sharpie. Levothroid 200mcg $148.00 Because no nurse should ever be caught without a Sharpie. Levothroid 200mcg $148.00 Their uses are too numerous to list here. Levothroid 200mcg $148.00 Let’s just say that the one time you don’t have it, levothroid 200mcg $148.00 you will need it.
    • Little plastic thingys that have your hospital’s code system, levothroid 200mcg $148.00 fire system and Mission Statement written on them for easy reference. Levothroid 200mcg $148.00 They are supposed to be on your nametag but they always fall off.
    • One Hershey’s Kiss. Levothroid 200mcg $148.00 Wrapped and smooshy.
    • Your Palm Pilot. Levothroid 200mcg $148.00 Until it drops out the second time and you go put it back in your purse.
  • On your shoes – shoe covers! Goodness only knows what you’re walking around on in an Emergency department. Levothroid 200mcg $148.00 Blech!

Levothroid 200mcg $148.00 That just about completes the outfitting of the typical ER nurse. Levothroid 200mcg $148.00 I didn’t mention breast pockets because they are useless; bend over and everything falls out. Levothroid 200mcg $148.00 Of the pocket. Levothroid 200mcg $148.00 You could spread out the items by wearing cargo pants but who wants to wear those? Some of us don’t need any additional bulk at the thigh area. Levothroid 200mcg $148.00 Same for those little pouches that you wear around your waist. Levothroid 200mcg $148.00 They’re great!

Levothroid 200mcg $148.00 If you have a body like Shakira…….

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July 27, 2016, 5:15 pm

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Retrovir 100mg pills $63.00 What a sourpuss! How’d you like your Anacin delivered by this angel of mercy! She looks like she’s ready to administer that entire box per rectum. Retrovir 100mg pills $63.00 How DARE you have a headache. Retrovir 100mg pills $63.00 How DARE you make her call the doctor
after hours. Retrovir 100mg pills $63.00 You. Retrovir 100mg pills $63.00 Will. Retrovir 100mg pills $63.00 Pay.

Retrovir 100mg pills $63.00 Her textbook for Essentials of Nursing 101 must have been “The Patient as Enemy: The Nasty Nurse Model”.

Retrovir 100mg pills $63.00 There are times in the Emergency department when even the most dedicated nurse can begin to feel that way. Retrovir 100mg pills $63.00 The department is full. Retrovir 100mg pills $63.00 You are holding three med/surg and two ICU patients until you can get orders/beds/nurses to move them up. Retrovir 100mg pills $63.00 You’re down a nurse because of a sick call and just try to get coverage on a Saturday evening. Retrovir 100mg pills $63.00 You have 8 people on the triage list and 14 sitting in the waiting room. Retrovir 100mg pills $63.00 Every other hospital in your county is on ambulance diversion, retrovir 100mg pills $63.00 which means you must take the ambulance traffic. Retrovir 100mg pills $63.00 Dr. Retrovir 100mg pills $63.00 Surgeon wants everything STAT for the appy and Dr. Retrovir 100mg pills $63.00 Cardio is taking someone to the cath lab. Retrovir 100mg pills $63.00 Now. Retrovir 100mg pills $63.00 Ms. Retrovir 100mg pills $63.00 Scratchy Throat wants to know how much longer it will be and Mr. Retrovir 100mg pills $63.00 Groin Itch wants to leave without being seen. Retrovir 100mg pills $63.00 Thank god you are working with Dr. Retrovir 100mg pills $63.00 Efficient in the ER, retrovir 100mg pills $63.00 but he’s yelling for the charts you haven’t had time to finish. Retrovir 100mg pills $63.00 You have been running for six hours, retrovir 100mg pills $63.00 you haven’t eaten for ten and more than likely you’ll be overtime because someone just called in for the night shift.

Retrovir 100mg pills $63.00 In walks Mrs. Retrovir 100mg pills $63.00 Mom with her three children, retrovir 100mg pills $63.00 all under the age of four, retrovir 100mg pills $63.00 all of them with fever, retrovir 100mg pills $63.00 all of them to be seen.

Retrovir 100mg pills $63.00 You want to scream. Retrovir 100mg pills $63.00 You want to pull out your hair. Retrovir 100mg pills $63.00 You want to laugh hysterically. Retrovir 100mg pills $63.00 You want to burst into tears. Retrovir 100mg pills $63.00 You want to yell at the top of your lungs, retrovir 100mg pills $63.00 “NO FREAKIN’ WAY!”
That’s when you start to think of the patient as the enemy…….

Retrovir 100mg pills $63.00 Instead, retrovir 100mg pills $63.00 you smile, retrovir 100mg pills $63.00 ask “How can I help you?” while you do quick visual check of all three kids, retrovir 100mg pills $63.00 take down their names and point them to the waiting room to await triage.

Retrovir 100mg pills $63.00 Why?

  • Because the patient is NOT the enemy. Retrovir 100mg pills $63.00
  • Because the worst thing you can do to a patient is make them feel stupid, retrovir 100mg pills $63.00 awkward or wrong for showing up.
  • Because it is not their fault that they happened to show up on your weekly “Day of Hell”.
  • Because they may not have the education/background/experience to know what they are dealing with.
  • Because your hospital has spent beaucoup bucks advertising and promoting your facility so that people WILL come in.
  • Because sighing and rolling your eyes is not professional behavior.

Retrovir 100mg pills $63.00 There are many opportunities during the patients’ stay in the ER to discuss the fact that they may have had other options. Retrovir 100mg pills $63.00 A call to their doctor. Retrovir 100mg pills $63.00 An Urgent Care clinic close to where they live. Retrovir 100mg pills $63.00 An appointment the next day. Retrovir 100mg pills $63.00 I mention this when I discuss the discharge instructions.
I tell patients that, retrovir 100mg pills $63.00 while we are always available, retrovir 100mg pills $63.00 there are ways of accessing health care that are cheaper, retrovir 100mg pills $63.00 easier and often more timely than waiting in an ER.

Retrovir 100mg pills $63.00 The key to coming across in a caring way in the middle of “hell-shift” is to smile and focus. Retrovir 100mg pills $63.00 Smile at the patient. Retrovir 100mg pills $63.00 Focus on them when they are talking. Retrovir 100mg pills $63.00 Don’t have one foot out the door while you answer their questions. Retrovir 100mg pills $63.00 Be pleasant. Retrovir 100mg pills $63.00 Acknowledge that it is busy but that you are there for them.

Retrovir 100mg pills $63.00 It isn’t easy when you are tired and frazzled. Retrovir 100mg pills $63.00 But I find that just acting this way helps me to feel that way. Retrovir 100mg pills $63.00 It makes it a lot easier to get through the shift and your patients really appreciate it.

Retrovir 100mg pills $63.00 Because no patient wants to feel like they are the enemy.

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July 27, 2016, 1:17 am

Provanol 20mg Pills $214.00

Clarina anti-acne gel 30ml tube $109.00 This is a great shot from an old Wyeth ad. Clarina anti-acne gel 30ml tube $109.00 Looks like an early rendition of a triage nurse. Clarina anti-acne gel 30ml tube $109.00 She is talking to the woman who rode off with Toto in the Wizard of Oz. Clarina anti-acne gel 30ml tube $109.00 She could use a whopping dose of Advil because you just know she is going to have a migraine at the end of the day. Clarina anti-acne gel 30ml tube $109.00 I love doing triage. Clarina anti-acne gel 30ml tube $109.00 Some people hate it. Clarina anti-acne gel 30ml tube $109.00 Some of my most exhausting shifts have been in that triage chair; I would sometimes have 45-50 people cross my desk in 8 hours. Clarina anti-acne gel 30ml tube $109.00 Some were easy, clarina anti-acne gel 30ml tube $109.00 clinical issues. Clarina anti-acne gel 30ml tube $109.00 The babies always took the most time as they needed weights, clarina anti-acne gel 30ml tube $109.00 rectal temps and, clarina anti-acne gel 30ml tube $109.00 for some crazy administrative reason, clarina anti-acne gel 30ml tube $109.00 measurements of their head circumference. Clarina anti-acne gel 30ml tube $109.00 And that’s after you have taken all seven layers off them. Clarina anti-acne gel 30ml tube $109.00 Then their socks. Clarina anti-acne gel 30ml tube $109.00 Under their booties. Clarina anti-acne gel 30ml tube $109.00 In the summer. Clarina anti-acne gel 30ml tube $109.00 With a fever. Clarina anti-acne gel 30ml tube $109.00 I could write an entire dissertation on the phobia of fever. Clarina anti-acne gel 30ml tube $109.00 But I would deal with 100 babies with fever before I would consider doing what I consider the most thankless job in nursing: being the manager of a nursing unit.

Clarina anti-acne gel 30ml tube $109.00 Nurse manager. Clarina anti-acne gel 30ml tube $109.00 Clinical Coordinator. Clarina anti-acne gel 30ml tube $109.00 Head Nurse. Clarina anti-acne gel 30ml tube $109.00 Whatever the title, clarina anti-acne gel 30ml tube $109.00 it’s a rough job. Clarina anti-acne gel 30ml tube $109.00 They must balance the needs of the nurses and the unit with the orders that come down from Administration. Clarina anti-acne gel 30ml tube $109.00 They take the brunt of patient complaints and angry doctors. Clarina anti-acne gel 30ml tube $109.00 They are expected to encourage, clarina anti-acne gel 30ml tube $109.00 counsel, clarina anti-acne gel 30ml tube $109.00 dicipline, clarina anti-acne gel 30ml tube $109.00 teach, clarina anti-acne gel 30ml tube $109.00 assess and evaluate their nurses who are taking care of the patients for whom they have the ultimate responsibility. Clarina anti-acne gel 30ml tube $109.00 They are expected at meetings, clarina anti-acne gel 30ml tube $109.00 they are expected to hold meetings. Clarina anti-acne gel 30ml tube $109.00 They pass along the edicts from Administration and deal with the objections of staff, clarina anti-acne gel 30ml tube $109.00 even if they agree that the change/rule/requirement is needless. Clarina anti-acne gel 30ml tube $109.00 They need to be open to staff and allow them to ventilate. Clarina anti-acne gel 30ml tube $109.00 They try to balance the personal needs of their staff to the staffing needs of the department, clarina anti-acne gel 30ml tube $109.00 often having to say “no” and then absorb the fallout.

Clarina anti-acne gel 30ml tube $109.00 And they are often paid less than the nurses they manage.

Clarina anti-acne gel 30ml tube $109.00 I’ve had many managers over the years. Clarina anti-acne gel 30ml tube $109.00 Some new, clarina anti-acne gel 30ml tube $109.00 some experienced. Clarina anti-acne gel 30ml tube $109.00 Some calm, clarina anti-acne gel 30ml tube $109.00 some hotheads. Clarina anti-acne gel 30ml tube $109.00 Some were born to be leaders and some just went through the motions. Clarina anti-acne gel 30ml tube $109.00 I actually took a job because I met a manager (and a Critical Care Educator) more enthusiastic about nursing than anyone I had ever met. Clarina anti-acne gel 30ml tube $109.00 I had a manager who was as close to super-woman as you could get with three departments at two facilities under her control and they ran like clockwork. Clarina anti-acne gel 30ml tube $109.00 There have been managers in small units that would bend over backwards to accomdate every request and managers at teaching hospitals who had so many nurses you were just one of the bunch and whose attitude was “sorry, clarina anti-acne gel 30ml tube $109.00 no-can-do”. Clarina anti-acne gel 30ml tube $109.00 I had managers who I could call if the night shift got nuts and managers I only saw every other month.

Clarina anti-acne gel 30ml tube $109.00 To most managers I was trouble-free staff and to a few I was their worst nightmare. Clarina anti-acne gel 30ml tube $109.00 (Let’s just say God help the manager who has to deal with a nurse going through severe, clarina anti-acne gel 30ml tube $109.00 depressive burnout.) Looking back at my relationships with various managers and now from the vantage point of maturity (I think), clarina anti-acne gel 30ml tube $109.00 I realize what a staff nurse needs to do to help their manager be a good manager:

  • Do your work to the best of your ability. Clarina anti-acne gel 30ml tube $109.00 That’s a given. Clarina anti-acne gel 30ml tube $109.00 If you are assigned a special project to help with department flow, clarina anti-acne gel 30ml tube $109.00 do it without being reminded. Clarina anti-acne gel 30ml tube $109.00 Keep your certifications up-to-date and make sure all appropriate copies are in your file. Clarina anti-acne gel 30ml tube $109.00 Keep your timecard correct. Clarina anti-acne gel 30ml tube $109.00 Make yours one less thing she has to deal with.
  • Keep in contact with your manager. Clarina anti-acne gel 30ml tube $109.00 Sometimes it’s not easy if you work the off-shifts, clarina anti-acne gel 30ml tube $109.00 but check in now and then to say hi. Clarina anti-acne gel 30ml tube $109.00 Ask how you’re doing. Clarina anti-acne gel 30ml tube $109.00 (This is not the same as your evaluation. Clarina anti-acne gel 30ml tube $109.00 Your evaluation should not be the time you find out there is a problem, clarina anti-acne gel 30ml tube $109.00 but often that is the only time you actually sit down with your manager). Clarina anti-acne gel 30ml tube $109.00 Have they noticed any areas you could improve? Don’t just assume that because nothing has been said that everything is okay. Clarina anti-acne gel 30ml tube $109.00 Oh, clarina anti-acne gel 30ml tube $109.00 and don’t try to do this on the run unless your manager has an open-door policy and is always available. Clarina anti-acne gel 30ml tube $109.00 Make an appointment.
  • Managers deal with problems and complaints. Clarina anti-acne gel 30ml tube $109.00 Constantly. Clarina anti-acne gel 30ml tube $109.00 From all quarters. Clarina anti-acne gel 30ml tube $109.00 Don’t have every encounter with your manager be a complaint-a-thon. Clarina anti-acne gel 30ml tube $109.00 The one thing you don’t want your manager thinking when they see you is “oh no…..”.
  • Of course there are appropriate times for voicing a dissenting opinion or making a complaint or asking for help with a problem. Clarina anti-acne gel 30ml tube $109.00 When meeting with your manager, clarina anti-acne gel 30ml tube $109.00
    • Have a couple of possible solutions in mind before you go in. Clarina anti-acne gel 30ml tube $109.00 You will come across as a problem solver (which you are) and will not come across as, clarina anti-acne gel 30ml tube $109.00 heaven forbid, clarina anti-acne gel 30ml tube $109.00 whining.
    • If you are reporting a problems with a doctor or staff member
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      • Document the problem as best you can. Clarina anti-acne gel 30ml tube $109.00 It’s hard for managers to get a handle on issues when they have no data.
  • Finally, clarina anti-acne gel 30ml tube $109.00 let your manager know that they are appreciated from time-to-time. Clarina anti-acne gel 30ml tube $109.00 Just a note to thank them for handling your time-card issue or for taking up Dr. Clarina anti-acne gel 30ml tube $109.00 Smartmouth’s temper-tantrum with the appropriate department. Clarina anti-acne gel 30ml tube $109.00 You get the idea. Clarina anti-acne gel 30ml tube $109.00 Yes, clarina anti-acne gel 30ml tube $109.00 it’s their job, clarina anti-acne gel 30ml tube $109.00 but everyone likes positive reminders that their everyday tasks are appreciated.

Clarina anti-acne gel 30ml tube $109.00 Boy, clarina anti-acne gel 30ml tube $109.00 there is no way on God’s Green Earth that I would take on a Head Nurse position (I like the term “Head Nurse”. Clarina anti-acne gel 30ml tube $109.00 I’m just old fashioned, clarina anti-acne gel 30ml tube $109.00 I guess). Clarina anti-acne gel 30ml tube $109.00 I learned early on I don’t have the temperment or the ability to handle that load. Clarina anti-acne gel 30ml tube $109.00 But this Indian appreciates a good Chief.

Clarina anti-acne gel 30ml tube $109.00 So here’s a tip of my nurse’s cap to the women and men of nursing management who run interference so that my job is easier. Clarina anti-acne gel 30ml tube $109.00 Thanks.

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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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