September, 2005 Archive

June 30, 2016, 8:49 pm

New Drug For Women Viagra

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

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

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

New drug for women viagra If you have a body like Shakira…….

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June 30, 2016, 5:15 pm

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Anti-fungal and parasites lotrisone cream in 7gr tube (generic) $140.00 Her textbook for Essentials of Nursing 101 must have been “The Patient as Enemy: The Nasty Nurse Model”.

Anti-fungal and parasites lotrisone cream in 7gr tube (generic) $140.00 There are times in the Emergency department when even the most dedicated nurse can begin to feel that way. Anti-fungal and parasites lotrisone cream in 7gr tube (generic) $140.00 The department is full. Anti-fungal and parasites lotrisone cream in 7gr tube (generic) $140.00 You are holding three med/surg and two ICU patients until you can get orders/beds/nurses to move them up. Anti-fungal and parasites lotrisone cream in 7gr tube (generic) $140.00 You’re down a nurse because of a sick call and just try to get coverage on a Saturday evening. Anti-fungal and parasites lotrisone cream in 7gr tube (generic) $140.00 You have 8 people on the triage list and 14 sitting in the waiting room. Anti-fungal and parasites lotrisone cream in 7gr tube (generic) $140.00 Every other hospital in your county is on ambulance diversion, anti-fungal and parasites lotrisone cream in 7gr tube (generic) $140.00 which means you must take the ambulance traffic. Anti-fungal and parasites lotrisone cream in 7gr tube (generic) $140.00 Dr. Anti-fungal and parasites lotrisone cream in 7gr tube (generic) $140.00 Surgeon wants everything STAT for the appy and Dr. Anti-fungal and parasites lotrisone cream in 7gr tube (generic) $140.00 Cardio is taking someone to the cath lab. Anti-fungal and parasites lotrisone cream in 7gr tube (generic) $140.00 Now. Anti-fungal and parasites lotrisone cream in 7gr tube (generic) $140.00 Ms. Anti-fungal and parasites lotrisone cream in 7gr tube (generic) $140.00 Scratchy Throat wants to know how much longer it will be and Mr. Anti-fungal and parasites lotrisone cream in 7gr tube (generic) $140.00 Groin Itch wants to leave without being seen. Anti-fungal and parasites lotrisone cream in 7gr tube (generic) $140.00 Thank god you are working with Dr. Anti-fungal and parasites lotrisone cream in 7gr tube (generic) $140.00 Efficient in the ER, anti-fungal and parasites lotrisone cream in 7gr tube (generic) $140.00 but he’s yelling for the charts you haven’t had time to finish. Anti-fungal and parasites lotrisone cream in 7gr tube (generic) $140.00 You have been running for six hours, anti-fungal and parasites lotrisone cream in 7gr tube (generic) $140.00 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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That’s when you start to think of the patient as the enemy…….

Anti-fungal and parasites lotrisone cream in 7gr tube (generic) $140.00 Instead, anti-fungal and parasites lotrisone cream in 7gr tube (generic) $140.00 you smile, anti-fungal and parasites lotrisone cream in 7gr tube (generic) $140.00 ask “How can I help you?” while you do quick visual check of all three kids, anti-fungal and parasites lotrisone cream in 7gr tube (generic) $140.00 take down their names and point them to the waiting room to await triage.

Anti-fungal and parasites lotrisone cream in 7gr tube (generic) $140.00 Why?

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  • Because the worst thing you can do to a patient is make them feel stupid, anti-fungal and parasites lotrisone cream in 7gr tube (generic) $140.00 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.

Anti-fungal and parasites lotrisone cream in 7gr tube (generic) $140.00 There are many opportunities during the patients’ stay in the ER to discuss the fact that they may have had other options. Anti-fungal and parasites lotrisone cream in 7gr tube (generic) $140.00 A call to their doctor. Anti-fungal and parasites lotrisone cream in 7gr tube (generic) $140.00 An Urgent Care clinic close to where they live. Anti-fungal and parasites lotrisone cream in 7gr tube (generic) $140.00 An appointment the next day. Anti-fungal and parasites lotrisone cream in 7gr tube (generic) $140.00 I mention this when I discuss the discharge instructions.
I tell patients that, anti-fungal and parasites lotrisone cream in 7gr tube (generic) $140.00 while we are always available, anti-fungal and parasites lotrisone cream in 7gr tube (generic) $140.00 there are ways of accessing health care that are cheaper, anti-fungal and parasites lotrisone cream in 7gr tube (generic) $140.00 easier and often more timely than waiting in an ER.

Anti-fungal and parasites lotrisone cream in 7gr tube (generic) $140.00 The key to coming across in a caring way in the middle of “hell-shift” is to smile and focus. Anti-fungal and parasites lotrisone cream in 7gr tube (generic) $140.00 Smile at the patient. Anti-fungal and parasites lotrisone cream in 7gr tube (generic) $140.00 Focus on them when they are talking. Anti-fungal and parasites lotrisone cream in 7gr tube (generic) $140.00 Don’t have one foot out the door while you answer their questions. Anti-fungal and parasites lotrisone cream in 7gr tube (generic) $140.00 Be pleasant. Anti-fungal and parasites lotrisone cream in 7gr tube (generic) $140.00 Acknowledge that it is busy but that you are there for them.

Anti-fungal and parasites lotrisone cream in 7gr tube (generic) $140.00 It isn’t easy when you are tired and frazzled. Anti-fungal and parasites lotrisone cream in 7gr tube (generic) $140.00 But I find that just acting this way helps me to feel that way. Anti-fungal and parasites lotrisone cream in 7gr tube (generic) $140.00 It makes it a lot easier to get through the shift and your patients really appreciate it.

Anti-fungal and parasites lotrisone cream in 7gr tube (generic) $140.00 Because no patient wants to feel like they are the enemy.

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June 30, 2016, 1:17 am

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Diabetes treatment prandin 0.5mg pills (generic) $127.00 Nurse manager. Diabetes treatment prandin 0.5mg pills (generic) $127.00 Clinical Coordinator. Diabetes treatment prandin 0.5mg pills (generic) $127.00 Head Nurse. Diabetes treatment prandin 0.5mg pills (generic) $127.00 Whatever the title, diabetes treatment prandin 0.5mg pills (generic) $127.00 it’s a rough job. Diabetes treatment prandin 0.5mg pills (generic) $127.00 They must balance the needs of the nurses and the unit with the orders that come down from Administration. Diabetes treatment prandin 0.5mg pills (generic) $127.00 They take the brunt of patient complaints and angry doctors. Diabetes treatment prandin 0.5mg pills (generic) $127.00 They are expected to encourage, diabetes treatment prandin 0.5mg pills (generic) $127.00 counsel, diabetes treatment prandin 0.5mg pills (generic) $127.00 dicipline, diabetes treatment prandin 0.5mg pills (generic) $127.00 teach, diabetes treatment prandin 0.5mg pills (generic) $127.00 assess and evaluate their nurses who are taking care of the patients for whom they have the ultimate responsibility. Diabetes treatment prandin 0.5mg pills (generic) $127.00 They are expected at meetings, diabetes treatment prandin 0.5mg pills (generic) $127.00 they are expected to hold meetings. Diabetes treatment prandin 0.5mg pills (generic) $127.00 They pass along the edicts from Administration and deal with the objections of staff, diabetes treatment prandin 0.5mg pills (generic) $127.00 even if they agree that the change/rule/requirement is needless. Diabetes treatment prandin 0.5mg pills (generic) $127.00 They need to be open to staff and allow them to ventilate. Diabetes treatment prandin 0.5mg pills (generic) $127.00 They try to balance the personal needs of their staff to the staffing needs of the department, diabetes treatment prandin 0.5mg pills (generic) $127.00 often having to say “no” and then absorb the fallout.

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Diabetes treatment prandin 0.5mg pills (generic) $127.00 I’ve had many managers over the years. Diabetes treatment prandin 0.5mg pills (generic) $127.00 Some new, diabetes treatment prandin 0.5mg pills (generic) $127.00 some experienced. Diabetes treatment prandin 0.5mg pills (generic) $127.00 Some calm, diabetes treatment prandin 0.5mg pills (generic) $127.00 some hotheads. Diabetes treatment prandin 0.5mg pills (generic) $127.00 Some were born to be leaders and some just went through the motions. Diabetes treatment prandin 0.5mg pills (generic) $127.00 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. Diabetes treatment prandin 0.5mg pills (generic) $127.00 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. Diabetes treatment prandin 0.5mg pills (generic) $127.00 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, diabetes treatment prandin 0.5mg pills (generic) $127.00 no-can-do”. Diabetes treatment prandin 0.5mg pills (generic) $127.00 I had managers who I could call if the night shift got nuts and managers I only saw every other month.

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  • Do your work to the best of your ability. Diabetes treatment prandin 0.5mg pills (generic) $127.00 That’s a given. Diabetes treatment prandin 0.5mg pills (generic) $127.00 If you are assigned a special project to help with department flow, diabetes treatment prandin 0.5mg pills (generic) $127.00 do it without being reminded. Diabetes treatment prandin 0.5mg pills (generic) $127.00 Keep your certifications up-to-date and make sure all appropriate copies are in your file. Diabetes treatment prandin 0.5mg pills (generic) $127.00 Keep your timecard correct. Diabetes treatment prandin 0.5mg pills (generic) $127.00 Make yours one less thing she has to deal with.
  • Keep in contact with your manager. Diabetes treatment prandin 0.5mg pills (generic) $127.00 Sometimes it’s not easy if you work the off-shifts, diabetes treatment prandin 0.5mg pills (generic) $127.00 but check in now and then to say hi. Diabetes treatment prandin 0.5mg pills (generic) $127.00 Ask how you’re doing. Diabetes treatment prandin 0.5mg pills (generic) $127.00 (This is not the same as your evaluation. Diabetes treatment prandin 0.5mg pills (generic) $127.00 Your evaluation should not be the time you find out there is a problem, diabetes treatment prandin 0.5mg pills (generic) $127.00 but often that is the only time you actually sit down with your manager). Diabetes treatment prandin 0.5mg pills (generic) $127.00 Have they noticed any areas you could improve? Don’t just assume that because nothing has been said that everything is okay. Diabetes treatment prandin 0.5mg pills (generic) $127.00 Oh, diabetes treatment prandin 0.5mg pills (generic) $127.00 and don’t try to do this on the run unless your manager has an open-door policy and is always available. Diabetes treatment prandin 0.5mg pills (generic) $127.00 Make an appointment.
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  • Of course there are appropriate times for voicing a dissenting opinion or making a complaint or asking for help with a problem. Diabetes treatment prandin 0.5mg pills (generic) $127.00 When meeting with your manager, diabetes treatment prandin 0.5mg pills (generic) $127.00
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    • If you are reporting a problems with a doctor or staff member
      • Try to handle the issue with the person involved before involving your manager. Diabetes treatment prandin 0.5mg pills (generic) $127.00 This is not always an easy thing to do, diabetes treatment prandin 0.5mg pills (generic) $127.00 especially if you feel intimidated.
      • Document the problem as best you can. Diabetes treatment prandin 0.5mg pills (generic) $127.00 It’s hard for managers to get a handle on issues when they have no data.
  • Finally, diabetes treatment prandin 0.5mg pills (generic) $127.00 let your manager know that they are appreciated from time-to-time. Diabetes treatment prandin 0.5mg pills (generic) $127.00 Just a note to thank them for handling your time-card issue or for taking up Dr. Diabetes treatment prandin 0.5mg pills (generic) $127.00 Smartmouth’s temper-tantrum with the appropriate department. Diabetes treatment prandin 0.5mg pills (generic) $127.00 You get the idea. Diabetes treatment prandin 0.5mg pills (generic) $127.00 Yes, diabetes treatment prandin 0.5mg pills (generic) $127.00 it’s their job, diabetes treatment prandin 0.5mg pills (generic) $127.00 but everyone likes positive reminders that their everyday tasks are appreciated.

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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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