August 24, 2016, 2:28 pm

Abana 60 Tablet Bottle $121.00

Abana 60 tablet bottle $121.00 I’m sure we all remember our Wheatena lecture! Why, abana 60 tablet bottle $121.00 it was the highlight of my nursing education! Today we have drug reps, abana 60 tablet bottle $121.00 back then they must have had Wheatena reps…

Abana 60 tablet bottle $121.00 I’m a Cream of Wheat fanatic, abana 60 tablet bottle $121.00 myself. Abana 60 tablet bottle $121.00 Freakin’ nectar of the gods, abana 60 tablet bottle $121.00 it is! Trust me, abana 60 tablet bottle $121.00 when you’ve been NPO for 36 hours and you are status-post intubation, abana 60 tablet bottle $121.00 that first swallow is absolute heaven. Abana 60 tablet bottle $121.00 A little sugar, abana 60 tablet bottle $121.00 a little milk…..ahhhh…..the epitome down-home comfort food! I never will figure out how it qualifies as a full liquid, abana 60 tablet bottle $121.00 though.

Abana 60 tablet bottle $121.00 I realize that it has been a long time since I’ve worked anywhere in a hospital but the emergency department. Abana 60 tablet bottle $121.00 I realize that life on the telemetry and med/surg units has changed in the last 16 years.
But…

Abana 60 tablet bottle $121.00 Why on earth does an entire floor have to shut down because one patient goes critical?

Abana 60 tablet bottle $121.00 Let me give a hypothetical example. Abana 60 tablet bottle $121.00 Say there is a telemetry floor that holds 50 patients, abana 60 tablet bottle $121.00 but the census is at 45. Abana 60 tablet bottle $121.00 There are nine nurses (5:1 at night), abana 60 tablet bottle $121.00 a unit clerk and a charge nurse. Abana 60 tablet bottle $121.00 A patient at one end of the unit goes critical. Abana 60 tablet bottle $121.00 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, abana 60 tablet bottle $121.00 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.

Abana 60 tablet bottle $121.00 Now it doesn’t take the logic of Mr. Abana 60 tablet bottle $121.00 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, abana 60 tablet bottle $121.00 if assigned the new admit, abana 60 tablet bottle $121.00 should have the admit given to another nurse and be open for the next admit after they have transferred their patient to ICU.

Abana 60 tablet bottle $121.00 Am I missing something here?

Abana 60 tablet bottle $121.00 In the ED we have critical patients on a continuous basis along with a rotating census in every other bed, abana 60 tablet bottle $121.00 but the unit does not come to a halt because there is a code going on. Abana 60 tablet bottle $121.00 Patients keep getting triaged, abana 60 tablet bottle $121.00 orders keep getting written and carried out, abana 60 tablet bottle $121.00 nurses multitask and take over for each other where necessary.

Abana 60 tablet bottle $121.00 Two nurses, abana 60 tablet bottle $121.00 a doctor and a respiratory therapist (or two) can run a critical patient and get them transferred to ICU. Abana 60 tablet bottle $121.00 It does not take an army….or an entire unit of nurses.

Abana 60 tablet bottle $121.00 Can someone shed some light on this?

Abana 60 tablet bottle $121.00 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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