July 28, 2016, 12:16 am

Free Trial Of Viagra

Free trial of viagra 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.

Free trial of viagra Being a nurse never helped me as a parent. Free trial of viagra 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. Free trial of viagra When I found my 2-year-old son blue and drooling on the side of my bed after a febrile seizure, free trial of viagra we went 911 all the way. Free trial of viagra Of course by the time I had #3, free trial of viagra I was an ER nurse and an experienced parent. Free trial of viagra She never even saw the inside of an ER until she was 14 and that was only because she was having an allergic reaction.

Free trial of viagra I know what it is like to be absolutely terrified because your child is sick.

Free trial of viagra In the ED, free trial of viagra the child may be ill but you are caring for the parents as well. Free trial of viagra I find parents fall into three categories:

  • The Newbie: a parent who is dealing with a sick child for the first time. Free trial of viagra 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. Free trial of viagra They truly feel this is an emergency. Free trial of viagra They did not call the pediatrician, free trial of viagra having rushed to the ER after the first emesis. Free trial of viagra They usually have at least one grandmother with them for support. Free trial of viagra The child is dressed in a diaper, free trial of viagra a onesie, free trial of viagra a second onesie, free trial of viagra a one piece sleeper with footsies, free trial of viagra a sweater, free trial of viagra a jacket with hood and a thick flannel blanket. Free trial of viagra They are scared to death.
  • The Walking Worried: They’ve been through this before, free trial of viagra only the fever keeps coming back when the Tylenol wears off and the vomiting has been going on “all day”. Free trial of viagra They called the pediatrician and have an appointment for tomorrow but they are too worried to wait that long. Free trial of viagra There may be new symptoms with this illness or it may have come on very suddenly. Free trial of viagra 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. Free trial of viagra They aren’t panicky, free trial of viagra but they are anxious.
  • The Veterans: They’ve seen it all. Free trial of viagra The kids are older, free trial of viagra or the child is the youngest in the family. Free trial of viagra They can handle the usual stuff at home, free trial of viagra so the child will be in with asthma exacerbation, free trial of viagra an orthopedic injury or a laceration. Free trial of viagra They’re concerned, free trial of viagra but not anxious.

Free trial of viagra 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. Free trial of viagra If appropriate, free trial of viagra give the medications for fever allowed by the triage protocol. Free trial of viagra If the child will need to wait to be seen, free trial of viagra 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, free trial of viagra you (the triage nurse) are available. Free trial of viagra 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, free trial of viagra this is not unusual for children and we do believe their story…
  • Discuss the care for the illness as you care for the child. Free trial of viagra For example, free trial of viagra talk about the need for minimal clothing in the presence of a fever as you undress the child for a weight. Free trial of viagra 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. Free trial of viagra 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, free trial of viagra they may not retain a lot of what is discussed. Free trial of viagra 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. Free trial of viagra 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. Free trial of viagra They may utilize an advice line after hours. Free trial of viagra During office hours, free trial of viagra their pediatrician may be able to fit them in to a same-day appointment. Free trial of viagra It is important that the parents are not made to feel that bringing their child to the emergency department was wrong.

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

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  • Karen

    October 28, 2005 at 12:56 am

    Great post. I love reading your blog – I learn something new every time!

  • kenju

    October 28, 2005 at 7:03 am

    I learn something too, Kim. I have been at all the levels of parenting you mentioned. It is never easy when you have to bring a child to the hospital for any reason. Sometimes the parent(s) need more care than the child, no?

  • Third Degree Nurse
    Third Degree Nurse

    October 28, 2005 at 4:43 pm

    All I can say, Kim, is “right on.” 🙂 I’m showing my age, I know…but I began to understand how to deal with upset parents intuitively when I became a mom. The key for me is to find the place in my heart where I am a parent. Sometimes administrators in various environments (juvenile justice, education, mental health agencies) forget the common ground and become so focused on their “goal” (whatever that may be in each situation) that they lose sight of that.

    All is well though: I would say at least half of the junior and senior classes at my school are parents.

  • Dr. Deborah Serani
    Dr. Deborah Serani

    October 29, 2005 at 5:38 am

    What a fabulous post. Over the years I have moved from newbie to veteran. Experience so helps in being a parent.


  • Anonymous

    October 31, 2005 at 12:28 pm

    I guess I expected something different when I saw this post’s title. I see too many histrionic parents, too many families where the children are the adults by default, too many who don’t have a clue about child rearing just like their parents before them were clueless too.

  • I think it will help I was a parent (and my kids are now–nearly–grown) before I was a nurse. I was a pretty mellow parent, but think–no, I know–that life-experience will help me as a(n older) new nurse.


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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