October, 2005 Archive

September 29, 2016, 8:26 pm

Keflex 500mg Pills $117.00

Keflex 500mg pills $117.00 Lucy thinks this is bad? She should try working in an ER. Keflex 500mg pills $117.00 I’ll take dog germs any day. Keflex 500mg pills $117.00 In recognition of Halloween, keflex 500mg pills $117.00 I have compiled a list of questions I would ask The Great Pumpkin, keflex 500mg pills $117.00 who, keflex 500mg pills $117.00 as we all know, keflex 500mg pills $117.00 rises out of the pumpkin patch once a year to answer rhetorical questions such as:

Keflex 500mg pills $117.00 Did Dixie McCall ever leave the nurses’ station on “Emergency”?

Keflex 500mg pills $117.00 Why is it easier to stay up until 0700 than to get up at 0700?

Keflex 500mg pills $117.00 Why is it that when you have a child requiring transport to a pediatric facility, keflex 500mg pills $117.00 the patient is well enough to be throwing a football to his nurse when the transport team arrives?

Keflex 500mg pills $117.00 Why would my husband even remotely suggest that I want to watch “Trauma In the ER” on my days off?

Keflex 500mg pills $117.00 Why is it when a law enforcement officer seeks medical attention in the ER, keflex 500mg pills $117.00 the entire force on duty at that time comes in to say hi? Ditto with the fire guys?

Keflex 500mg pills $117.00 How can they say we don’t have universal access to health care when anyone at anytime can walk into any ER for any reason and by law cannot be turned away because of lack of funds?

Keflex 500mg pills $117.00 Why are they always defibrillating patients in asystole on TV?

Keflex 500mg pills $117.00 Have you ever noticed that if the wait is too long, keflex 500mg pills $117.00 patients will “self-triage” themselves out of the emergency department?

Keflex 500mg pills $117.00 What is it about “No Cell Phones” that is so hard to comprehend?

Keflex 500mg pills $117.00 Why is it that a person will stand in line for three hours for a flu shot and then gripe if their entire ER visit takes the same amount of time?

Keflex 500mg pills $117.00 Ever notice how a warm blanket will soothe the cranky patient?

Keflex 500mg pills $117.00 Why would county dispatch send four ambulances to one ER within 15 minutes when none of the other hospitals are on ambulance diversion?

Keflex 500mg pills $117.00 Ever feel like Sally Brown when you are trying to work and it seems like the entire world is trick-or-treating?

Keflex 500mg pills $117.00 How did the nurse on “ER” auscultate a sys-
tolic BP of 40 without a sphygmomano-
meter or a stethoscope?

Keflex 500mg pills $117.00 Why would a facility feed into the “instant gratification” culture by placing this ad in the local paper: “It takes longer to walk to your mailbox than it does to be seen in our ER”?

Keflex 500mg pills $117.00 And finally, keflex 500mg pills $117.00 how much candy will be on the break table at work tomorrow?

Keflex 500mg pills $117.00 Happy Halloween! Here’s to no tricks and a ton of treats!

Average Rating: 5 out of 5 based on 261 user reviews.

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2:28 pm

Feldene 10mg Pills $71.00

Buspirone 5mg $215.00 I’m sure we all remember our Wheatena lecture! Why, buspirone 5mg $215.00 it was the highlight of my nursing education! Today we have drug reps, buspirone 5mg $215.00 back then they must have had Wheatena reps…

Buspirone 5mg $215.00 I’m a Cream of Wheat fanatic, buspirone 5mg $215.00 myself. Buspirone 5mg $215.00 Freakin’ nectar of the gods, buspirone 5mg $215.00 it is! Trust me, buspirone 5mg $215.00 when you’ve been NPO for 36 hours and you are status-post intubation, buspirone 5mg $215.00 that first swallow is absolute heaven. Buspirone 5mg $215.00 A little sugar, buspirone 5mg $215.00 a little milk…..ahhhh…..the epitome down-home comfort food! I never will figure out how it qualifies as a full liquid, buspirone 5mg $215.00 though.

Buspirone 5mg $215.00 I realize that it has been a long time since I’ve worked anywhere in a hospital but the emergency department. Buspirone 5mg $215.00 I realize that life on the telemetry and med/surg units has changed in the last 16 years.
But…

Buspirone 5mg $215.00 Why on earth does an entire floor have to shut down because one patient goes critical?

Buspirone 5mg $215.00 Let me give a hypothetical example. Buspirone 5mg $215.00 Say there is a telemetry floor that holds 50 patients, buspirone 5mg $215.00 but the census is at 45. Buspirone 5mg $215.00 There are nine nurses (5:1 at night), buspirone 5mg $215.00 a unit clerk and a charge nurse. Buspirone 5mg $215.00 A patient at one end of the unit goes critical. Buspirone 5mg $215.00 At this point:

  • The ER cannot obtain a room number for the new admission because
    • the charge nurse is busy assisting the nurse whose patient is crashing
    • only the charge nurse can assign a room number
  • If a room number has already been assigned, buspirone 5mg $215.00 no nurse on the unit will take report
    • because a “patient is crashing” on the unit.
    • they are busy
  • The new admission happens to be assigned to the nurse whose patient is now critical.

Buspirone 5mg $215.00 Now it doesn’t take the logic of Mr. Buspirone 5mg $215.00 Spock to figure out that:

  • The charge nurse
    • knows which rooms are available for an admit
    • knows which nurses are open for the admit
      • doesn’t need an hour to figure this out
      • can delegate the assigning of the room
      • can make a decision and revise prn
  • The nurse taking the new admit with room assignment
    • has an open room ready and assigned
    • is not involved with the critical patient
    • has no reason not to take report or accept the patient after report has been given
      • hectic activity in one room does not preclude giving care in any other room
      • is able to assess his/her patients without the charge nurse
      • can hold paperwork if necessary until unit clerk is available to process orders
  • The nurse of the critical patient, buspirone 5mg $215.00 if assigned the new admit, buspirone 5mg $215.00 should have the admit given to another nurse and be open for the next admit after they have transferred their patient to ICU.

Buspirone 5mg $215.00 Am I missing something here?

Buspirone 5mg $215.00 In the ED we have critical patients on a continuous basis along with a rotating census in every other bed, buspirone 5mg $215.00 but the unit does not come to a halt because there is a code going on. Buspirone 5mg $215.00 Patients keep getting triaged, buspirone 5mg $215.00 orders keep getting written and carried out, buspirone 5mg $215.00 nurses multitask and take over for each other where necessary.

Buspirone 5mg $215.00 Two nurses, buspirone 5mg $215.00 a doctor and a respiratory therapist (or two) can run a critical patient and get them transferred to ICU. Buspirone 5mg $215.00 It does not take an army….or an entire unit of nurses.

Buspirone 5mg $215.00 Can someone shed some light on this?

Buspirone 5mg $215.00 I just don’t get it.

Average Rating: 4.9 out of 5 based on 169 user reviews.

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September 29, 2016, 12:16 am

Naprosyn 250mg Pills $248.00

Evecare 30 tablet bottle $384.00 I bought this book as part of a Sesame Street series for my first daughter back in the early ’80s and now I find it on a “review of antique books” site! Good grief! If this is an antique then I’m a pre-historic relic.

Evecare 30 tablet bottle $384.00 Being a nurse never helped me as a parent. Evecare 30 tablet bottle $384.00 When my first baby ran a temperature of 104.8 I ran to the ER as fast as I could get my old VW bug to fly. Evecare 30 tablet bottle $384.00 When I found my 2-year-old son blue and drooling on the side of my bed after a febrile seizure, evecare 30 tablet bottle $384.00 we went 911 all the way. Evecare 30 tablet bottle $384.00 Of course by the time I had #3, evecare 30 tablet bottle $384.00 I was an ER nurse and an experienced parent. Evecare 30 tablet bottle $384.00 She never even saw the inside of an ER until she was 14 and that was only because she was having an allergic reaction.

Evecare 30 tablet bottle $384.00 I know what it is like to be absolutely terrified because your child is sick.

Evecare 30 tablet bottle $384.00 In the ED, evecare 30 tablet bottle $384.00 the child may be ill but you are caring for the parents as well. Evecare 30 tablet bottle $384.00 I find parents fall into three categories:

  • The Newbie: a parent who is dealing with a sick child for the first time. Evecare 30 tablet bottle $384.00 They have no clue about what to do for the fever and they are frantic because the child vomited once and has not stopped crying/fussing. Evecare 30 tablet bottle $384.00 They truly feel this is an emergency. Evecare 30 tablet bottle $384.00 They did not call the pediatrician, evecare 30 tablet bottle $384.00 having rushed to the ER after the first emesis. Evecare 30 tablet bottle $384.00 They usually have at least one grandmother with them for support. Evecare 30 tablet bottle $384.00 The child is dressed in a diaper, evecare 30 tablet bottle $384.00 a onesie, evecare 30 tablet bottle $384.00 a second onesie, evecare 30 tablet bottle $384.00 a one piece sleeper with footsies, evecare 30 tablet bottle $384.00 a sweater, evecare 30 tablet bottle $384.00 a jacket with hood and a thick flannel blanket. Evecare 30 tablet bottle $384.00 They are scared to death.
  • The Walking Worried: They’ve been through this before, evecare 30 tablet bottle $384.00 only the fever keeps coming back when the Tylenol wears off and the vomiting has been going on “all day”. Evecare 30 tablet bottle $384.00 They called the pediatrician and have an appointment for tomorrow but they are too worried to wait that long. Evecare 30 tablet bottle $384.00 There may be new symptoms with this illness or it may have come on very suddenly. Evecare 30 tablet bottle $384.00 They’ve gone through all the treatments they can do at home (ie nebulizer treatments) but their gut tells them something is not quite right or the child is no better. Evecare 30 tablet bottle $384.00 They aren’t panicky, evecare 30 tablet bottle $384.00 but they are anxious.
  • The Veterans: They’ve seen it all. Evecare 30 tablet bottle $384.00 The kids are older, evecare 30 tablet bottle $384.00 or the child is the youngest in the family. Evecare 30 tablet bottle $384.00 They can handle the usual stuff at home, evecare 30 tablet bottle $384.00 so the child will be in with asthma exacerbation, evecare 30 tablet bottle $384.00 an orthopedic injury or a laceration. Evecare 30 tablet bottle $384.00 They’re concerned, evecare 30 tablet bottle $384.00 but not anxious.

Evecare 30 tablet bottle $384.00 So how do we help the parents while we care for the child?

  • Acknowledge that the parents are concerned/worried/anxious.
  • Begin treatment at triage. Evecare 30 tablet bottle $384.00 If appropriate, evecare 30 tablet bottle $384.00 give the medications for fever allowed by the triage protocol. Evecare 30 tablet bottle $384.00 If the child will need to wait to be seen, evecare 30 tablet bottle $384.00 let the parents know that the fever is being addressed while they are waiting.
  • Tell the parents that if they become worried about their child while waiting, evecare 30 tablet bottle $384.00 you (the triage nurse) are available. Evecare 30 tablet bottle $384.00 This will help allieviate some of their anxiety about waiting.
  • Reassure the parents that although the patient seemed deathly ill at home but is now playing peek-a-boo with the respiratory therapist and trying to stand on their head on the gurney, evecare 30 tablet bottle $384.00 this is not unusual for children and we do believe their story…
  • Discuss the care for the illness as you care for the child. Evecare 30 tablet bottle $384.00 For example, evecare 30 tablet bottle $384.00 talk about the need for minimal clothing in the presence of a fever as you undress the child for a weight. Evecare 30 tablet bottle $384.00 Go over what a clear liquid diet consists of when offering the child Pedialyte.
  • Encourage the parents to ask questions if they are concerned about an aspect of care.
  • Be sure to reinforce aspects of care that the parents did right. Evecare 30 tablet bottle $384.00 This is especially important for new parents who may not be confident in their ability to care for a sick child.
  • If the parents are very anxious, evecare 30 tablet bottle $384.00 they may not retain a lot of what is discussed. Evecare 30 tablet bottle $384.00 Let the parents know that everything will be written in the discharge instructions given at the end of the visit.
  • Discuss options for care of future illnesses at discharge. Evecare 30 tablet bottle $384.00 The parents may not realize that there is a doctor on call for their pediatrician 24 hours a day and they are able to give out telephone advice. Evecare 30 tablet bottle $384.00 They may utilize an advice line after hours. Evecare 30 tablet bottle $384.00 During office hours, evecare 30 tablet bottle $384.00 their pediatrician may be able to fit them in to a same-day appointment. Evecare 30 tablet bottle $384.00 It is important that the parents are not made to feel that bringing their child to the emergency department was wrong.

Evecare 30 tablet bottle $384.00 In the beginning of my career in ED nursing, evecare 30 tablet bottle $384.00 pediatric patients were not my strong suit. Evecare 30 tablet bottle $384.00 Adult intensive care skills did not transfer over to caring for children. Evecare 30 tablet bottle $384.00 I took a PALS class and told my co-workers I wanted every pediatric patient that came through the door for two months. Evecare 30 tablet bottle $384.00 I became comfortable with pediatric assessments and treatments. Evecare 30 tablet bottle $384.00 Now, evecare 30 tablet bottle $384.00 after 16 years of ED experience I don’t think twice when my patient is a child. Evecare 30 tablet bottle $384.00 I learned early on that when you care for a child, evecare 30 tablet bottle $384.00 you are caring for a family and that the needs of both the child and the parents must be addressed for a successful outcome.

Average Rating: 4.8 out of 5 based on 263 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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