July 27, 2016, 2:28 pm

Norvasc 2.5mg Pills $54.00

Norvasc 2.5mg pills $54.00 I’m sure we all remember our Wheatena lecture! Why, norvasc 2.5mg pills $54.00 it was the highlight of my nursing education! Today we have drug reps, norvasc 2.5mg pills $54.00 back then they must have had Wheatena reps…

Norvasc 2.5mg pills $54.00 I’m a Cream of Wheat fanatic, norvasc 2.5mg pills $54.00 myself. Norvasc 2.5mg pills $54.00 Freakin’ nectar of the gods, norvasc 2.5mg pills $54.00 it is! Trust me, norvasc 2.5mg pills $54.00 when you’ve been NPO for 36 hours and you are status-post intubation, norvasc 2.5mg pills $54.00 that first swallow is absolute heaven. Norvasc 2.5mg pills $54.00 A little sugar, norvasc 2.5mg pills $54.00 a little milk…..ahhhh…..the epitome down-home comfort food! I never will figure out how it qualifies as a full liquid, norvasc 2.5mg pills $54.00 though.

Norvasc 2.5mg pills $54.00 I realize that it has been a long time since I’ve worked anywhere in a hospital but the emergency department. Norvasc 2.5mg pills $54.00 I realize that life on the telemetry and med/surg units has changed in the last 16 years.
But…

Norvasc 2.5mg pills $54.00 Why on earth does an entire floor have to shut down because one patient goes critical?

Norvasc 2.5mg pills $54.00 Let me give a hypothetical example. Norvasc 2.5mg pills $54.00 Say there is a telemetry floor that holds 50 patients, norvasc 2.5mg pills $54.00 but the census is at 45. Norvasc 2.5mg pills $54.00 There are nine nurses (5:1 at night), norvasc 2.5mg pills $54.00 a unit clerk and a charge nurse. Norvasc 2.5mg pills $54.00 A patient at one end of the unit goes critical. Norvasc 2.5mg pills $54.00 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, norvasc 2.5mg pills $54.00 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.

Norvasc 2.5mg pills $54.00 Now it doesn’t take the logic of Mr. Norvasc 2.5mg pills $54.00 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, norvasc 2.5mg pills $54.00 if assigned the new admit, norvasc 2.5mg pills $54.00 should have the admit given to another nurse and be open for the next admit after they have transferred their patient to ICU.

Norvasc 2.5mg pills $54.00 Am I missing something here?

Norvasc 2.5mg pills $54.00 In the ED we have critical patients on a continuous basis along with a rotating census in every other bed, norvasc 2.5mg pills $54.00 but the unit does not come to a halt because there is a code going on. Norvasc 2.5mg pills $54.00 Patients keep getting triaged, norvasc 2.5mg pills $54.00 orders keep getting written and carried out, norvasc 2.5mg pills $54.00 nurses multitask and take over for each other where necessary.

Norvasc 2.5mg pills $54.00 Two nurses, norvasc 2.5mg pills $54.00 a doctor and a respiratory therapist (or two) can run a critical patient and get them transferred to ICU. Norvasc 2.5mg pills $54.00 It does not take an army….or an entire unit of nurses.

Norvasc 2.5mg pills $54.00 Can someone shed some light on this?

Norvasc 2.5mg pills $54.00 I just don’t get it.

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5 Comments

  • Nurse Adam
    Nurse Adam

    October 30, 2005 at 5:52 am

    I am so in agreement with you. I don’t understand it either. They don’t get the fact that if we have a code in the ED, ambulances still bring patients to us that may also be critical…. we can’t turn them away.. we have to keep on working…

    It wasn’t long ago that I was working on the telemetry floor and complaining about the ED, now I understand that the ED nurse is trying to keep the flow of patients going to facilitate the never ending flow of patients coming through the door. The ED doesn’t have the option of saying… well no more admissions for us.. we are full….


  • ICU 101
    ICU 101

    October 30, 2005 at 10:53 am

    the last 2 shifts i worked, i was the charge nurse… we had 10 admissions each shift and during the last shift, we had 3 extremely sick patients (one ended up coding)… even when it’s that busy, it’s unheard of on our floor that we try and obstruct an admission from any unit… hell, even if we did, it wouldn’t fly…

    running a code is a hectic and crazy thing on my current unit, but we also have the benefit of a Code Team in our hospital… once they arrive (and the million other doctors who just want a piece of the action), they really don’t draw on our resources except for the primary nurse and maybe 1 other floor nurse (to be a runner for supplies)…


  • kenju
    kenju

    October 30, 2005 at 2:23 pm

    I shed no light on anything today – but I do love Wheatena!


  • I _love_ Cream of Wheat…grandma used to make it with butter, sugar and a bit of milk (or cream if she had it still out from grandpa’s coffee.)

    After studying NG tubes (ick) this week, I was thinking how nice some CofW would be for someone who has been NPO.

    Hh


  • Mama Mia
    Mama Mia

    November 3, 2005 at 5:29 pm

    You so hit the nail on the head with this post!


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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