September, 2005 Archive

August 30, 2016, 8:49 pm

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Internet viagra pharmacy Ladies, internet viagra pharmacy 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. Internet viagra pharmacy Of course, internet viagra pharmacy the bra would be an underwire push-up, internet viagra pharmacy the bottom would be a thong and the model would be Shakira in a nurse’s cap with a navy blue cape. Internet viagra pharmacy Of course, internet viagra pharmacy they can’t be sexist so there would be a companion ad with Justin Timberlake extolling the virtues of STAT-n’-Strap, internet viagra pharmacy the jock strap made for the guy who’s MAN enough to wear the title, internet viagra pharmacy NURSE!

Internet viagra pharmacy Ahem….Aside from underwear, internet viagra pharmacy there is more to dressing for work than just putting on the uniform. Internet viagra pharmacy 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, internet viagra pharmacy the plastic badge with your name on it in big, internet viagra pharmacy bold letters. Internet viagra pharmacy Taping a photo of Catherine Zeta Jones over your photo is not allowed. Internet viagra pharmacy I tried. Internet viagra pharmacy It is common knowledge that ID cameras add fifty pounds. Internet viagra pharmacy They do so!
  • Your stethoscope – You will occasionally be seen to grope at your chest, internet viagra pharmacy wondering where it is. Internet viagra pharmacy 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. Internet viagra pharmacy You listen to your coughing child’s breath sounds and go to basketball/soccer/volleyball/football practice with it dangling from your neck. Internet viagra pharmacy You will do this. Internet viagra pharmacy At least twice.
  • In your right pocket:
    • Scissors. Internet viagra pharmacy 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. Internet viagra pharmacy Puh-lease! I’m talkin’ big ol’ trauma shears that will cut through leather. Internet viagra pharmacy These go in your right pocket with…
    • A tiny calculator. Internet viagra pharmacy For when the doctor orders 1/748th of the dose you have on hand.
    • Tape. Internet viagra pharmacy Also in your right pocket. Internet viagra pharmacy With a tiny fold made on the end so you don’t have to pick at it, internet viagra pharmacy 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. Internet viagra pharmacy Also known as a paper towel, internet viagra pharmacy upon which you have written the last set of vitals for the patient in 8A, internet viagra pharmacy 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, internet viagra pharmacy a dime and two pennies that you got as change for your coffee on your way in to work. Internet viagra pharmacy
    • Two Hershey’s kisses from the candy dish at the nurses’ station, internet viagra pharmacy still wrapped but smooshy. Internet viagra pharmacy
  • In your left pocket:
    • Your precious pens!
      • Your wonderfully smooth writing, internet viagra pharmacy gel-based, internet viagra pharmacy royal blue Uniball writing utensils, internet viagra pharmacy so associated with you that, internet viagra pharmacy if found, internet viagra pharmacy they are put in your box.
      • A red pen to mark orders you have completed on the doctor’s order sheet.
      • A black Sharpie. Internet viagra pharmacy Because no nurse should ever be caught without a Sharpie. Internet viagra pharmacy Their uses are too numerous to list here. Internet viagra pharmacy Let’s just say that the one time you don’t have it, internet viagra pharmacy you will need it.
    • Little plastic thingys that have your hospital’s code system, internet viagra pharmacy fire system and Mission Statement written on them for easy reference. Internet viagra pharmacy They are supposed to be on your nametag but they always fall off.
    • One Hershey’s Kiss. Internet viagra pharmacy Wrapped and smooshy.
    • Your Palm Pilot. Internet viagra pharmacy 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. Internet viagra pharmacy Blech!

Internet viagra pharmacy That just about completes the outfitting of the typical ER nurse. Internet viagra pharmacy I didn’t mention breast pockets because they are useless; bend over and everything falls out. Internet viagra pharmacy Of the pocket. Internet viagra pharmacy 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. Internet viagra pharmacy Same for those little pouches that you wear around your waist. Internet viagra pharmacy They’re great!

Internet viagra pharmacy If you have a body like Shakira…….

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August 30, 2016, 5:15 pm

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Lamotrigine 150mg pills $260.00 Her textbook for Essentials of Nursing 101 must have been “The Patient as Enemy: The Nasty Nurse Model”.

Lamotrigine 150mg pills $260.00 There are times in the Emergency department when even the most dedicated nurse can begin to feel that way. Lamotrigine 150mg pills $260.00 The department is full. Lamotrigine 150mg pills $260.00 You are holding three med/surg and two ICU patients until you can get orders/beds/nurses to move them up. Lamotrigine 150mg pills $260.00 You’re down a nurse because of a sick call and just try to get coverage on a Saturday evening. Lamotrigine 150mg pills $260.00 You have 8 people on the triage list and 14 sitting in the waiting room. Lamotrigine 150mg pills $260.00 Every other hospital in your county is on ambulance diversion, lamotrigine 150mg pills $260.00 which means you must take the ambulance traffic. Lamotrigine 150mg pills $260.00 Dr. Lamotrigine 150mg pills $260.00 Surgeon wants everything STAT for the appy and Dr. Lamotrigine 150mg pills $260.00 Cardio is taking someone to the cath lab. Lamotrigine 150mg pills $260.00 Now. Lamotrigine 150mg pills $260.00 Ms. Lamotrigine 150mg pills $260.00 Scratchy Throat wants to know how much longer it will be and Mr. Lamotrigine 150mg pills $260.00 Groin Itch wants to leave without being seen. Lamotrigine 150mg pills $260.00 Thank god you are working with Dr. Lamotrigine 150mg pills $260.00 Efficient in the ER, lamotrigine 150mg pills $260.00 but he’s yelling for the charts you haven’t had time to finish. Lamotrigine 150mg pills $260.00 You have been running for six hours, lamotrigine 150mg pills $260.00 you haven’t eaten for ten and more than likely you’ll be overtime because someone just called in for the night shift.

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Lamotrigine 150mg pills $260.00 Instead, lamotrigine 150mg pills $260.00 you smile, lamotrigine 150mg pills $260.00 ask “How can I help you?” while you do quick visual check of all three kids, lamotrigine 150mg pills $260.00 take down their names and point them to the waiting room to await triage.

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  • 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.

Lamotrigine 150mg pills $260.00 There are many opportunities during the patients’ stay in the ER to discuss the fact that they may have had other options. Lamotrigine 150mg pills $260.00 A call to their doctor. Lamotrigine 150mg pills $260.00 An Urgent Care clinic close to where they live. Lamotrigine 150mg pills $260.00 An appointment the next day. Lamotrigine 150mg pills $260.00 I mention this when I discuss the discharge instructions.
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Lamotrigine 150mg pills $260.00 The key to coming across in a caring way in the middle of “hell-shift” is to smile and focus. Lamotrigine 150mg pills $260.00 Smile at the patient. Lamotrigine 150mg pills $260.00 Focus on them when they are talking. Lamotrigine 150mg pills $260.00 Don’t have one foot out the door while you answer their questions. Lamotrigine 150mg pills $260.00 Be pleasant. Lamotrigine 150mg pills $260.00 Acknowledge that it is busy but that you are there for them.

Lamotrigine 150mg pills $260.00 It isn’t easy when you are tired and frazzled. Lamotrigine 150mg pills $260.00 But I find that just acting this way helps me to feel that way. Lamotrigine 150mg pills $260.00 It makes it a lot easier to get through the shift and your patients really appreciate it.

Lamotrigine 150mg pills $260.00 Because no patient wants to feel like they are the enemy.

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August 30, 2016, 1:17 am

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Enalapril 10mg pills $158.00 This is a great shot from an old Wyeth ad. Enalapril 10mg pills $158.00 Looks like an early rendition of a triage nurse. Enalapril 10mg pills $158.00 She is talking to the woman who rode off with Toto in the Wizard of Oz. Enalapril 10mg pills $158.00 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. Enalapril 10mg pills $158.00 I love doing triage. Enalapril 10mg pills $158.00 Some people hate it. Enalapril 10mg pills $158.00 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. Enalapril 10mg pills $158.00 Some were easy, enalapril 10mg pills $158.00 clinical issues. Enalapril 10mg pills $158.00 The babies always took the most time as they needed weights, enalapril 10mg pills $158.00 rectal temps and, enalapril 10mg pills $158.00 for some crazy administrative reason, enalapril 10mg pills $158.00 measurements of their head circumference. Enalapril 10mg pills $158.00 And that’s after you have taken all seven layers off them. Enalapril 10mg pills $158.00 Then their socks. Enalapril 10mg pills $158.00 Under their booties. Enalapril 10mg pills $158.00 In the summer. Enalapril 10mg pills $158.00 With a fever. Enalapril 10mg pills $158.00 I could write an entire dissertation on the phobia of fever. Enalapril 10mg pills $158.00 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.

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Enalapril 10mg pills $158.00 I’ve had many managers over the years. Enalapril 10mg pills $158.00 Some new, enalapril 10mg pills $158.00 some experienced. Enalapril 10mg pills $158.00 Some calm, enalapril 10mg pills $158.00 some hotheads. Enalapril 10mg pills $158.00 Some were born to be leaders and some just went through the motions. Enalapril 10mg pills $158.00 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. Enalapril 10mg pills $158.00 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. Enalapril 10mg pills $158.00 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, enalapril 10mg pills $158.00 no-can-do”. Enalapril 10mg pills $158.00 I had managers who I could call if the night shift got nuts and managers I only saw every other month.

Enalapril 10mg pills $158.00 To most managers I was trouble-free staff and to a few I was their worst nightmare. Enalapril 10mg pills $158.00 (Let’s just say God help the manager who has to deal with a nurse going through severe, enalapril 10mg pills $158.00 depressive burnout.) Looking back at my relationships with various managers and now from the vantage point of maturity (I think), enalapril 10mg pills $158.00 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. Enalapril 10mg pills $158.00 That’s a given. Enalapril 10mg pills $158.00 If you are assigned a special project to help with department flow, enalapril 10mg pills $158.00 do it without being reminded. Enalapril 10mg pills $158.00 Keep your certifications up-to-date and make sure all appropriate copies are in your file. Enalapril 10mg pills $158.00 Keep your timecard correct. Enalapril 10mg pills $158.00 Make yours one less thing she has to deal with.
  • Keep in contact with your manager. Enalapril 10mg pills $158.00 Sometimes it’s not easy if you work the off-shifts, enalapril 10mg pills $158.00 but check in now and then to say hi. Enalapril 10mg pills $158.00 Ask how you’re doing. Enalapril 10mg pills $158.00 (This is not the same as your evaluation. Enalapril 10mg pills $158.00 Your evaluation should not be the time you find out there is a problem, enalapril 10mg pills $158.00 but often that is the only time you actually sit down with your manager). Enalapril 10mg pills $158.00 Have they noticed any areas you could improve? Don’t just assume that because nothing has been said that everything is okay. Enalapril 10mg pills $158.00 Oh, enalapril 10mg pills $158.00 and don’t try to do this on the run unless your manager has an open-door policy and is always available. Enalapril 10mg pills $158.00 Make an appointment.
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    • If you are reporting a problems with a doctor or staff member
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      • Document the problem as best you can. Enalapril 10mg pills $158.00 It’s hard for managers to get a handle on issues when they have no data.
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Enalapril 10mg pills $158.00 Boy, enalapril 10mg pills $158.00 there is no way on God’s Green Earth that I would take on a Head Nurse position (I like the term “Head Nurse”. Enalapril 10mg pills $158.00 I’m just old fashioned, enalapril 10mg pills $158.00 I guess). Enalapril 10mg pills $158.00 I learned early on I don’t have the temperment or the ability to handle that load. Enalapril 10mg pills $158.00 But this Indian appreciates a good Chief.

Enalapril 10mg pills $158.00 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. Enalapril 10mg pills $158.00 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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