October, 2005 Archive

July 29, 2016, 4:45 pm

Aristocort 40mg Pills $182.00

Aristocort 40mg pills $182.00 ….Now I’m pretty thrilled when I find gas at less than $2.85 a gallon, aristocort 40mg pills $182.00 and I’ve heard of nurses getting excited that their post-op patients are passing gas, aristocort 40mg pills $182.00 but I think this is WAY over the top, aristocort 40mg pills $182.00 don’t you? For the life of me, aristocort 40mg pills $182.00 I can’t figure this one out. Aristocort 40mg pills $182.00 There is nothing about nursing in the text. Aristocort 40mg pills $182.00 Nada…

Aristocort 40mg pills $182.00 (…something just occurred to me after I posted this….this may not be a nurse, aristocort 40mg pills $182.00 could it be a woman with a white scarf on her head? Shhhhh……keep it between you and me…)

Aristocort 40mg pills $182.00 …I usually keep my politics to myself, aristocort 40mg pills $182.00 but some might call me “conservative”. Aristocort 40mg pills $182.00 As in: compared to me the fine citizens of Mayberry would be flaming liberals. Aristocort 40mg pills $182.00 So it came as quite a shock when I glanced at the local news the other day only to see none other than Warren Beatty addressing the California Nurses Association at their bi-annual convention. Aristocort 40mg pills $182.00 With Sean Penn in the audience.
The sound that nearly woke you out of a sound sleep was the sound of my jaw hitting the floor. Aristocort 40mg pills $182.00 The next day, aristocort 40mg pills $182.00 I was studiously reading over the Propositions for the special election in November when I noticed the name of a CNA bigwig at the bottom of a letter against parental notification laws for abortions. Aristocort 40mg pills $182.00 EEEEE…nough! I pay CNA almost $1000 a year in dues. Aristocort 40mg pills $182.00 They are a wonderful bargaining agency and I have great pay and benefits (and wonderful staffing ratios) because of their involvement in collective bargaining. Aristocort 40mg pills $182.00 But…I don’t want my money funding issues that I do not agree with. Aristocort 40mg pills $182.00 But, aristocort 40mg pills $182.00 I am required to be a member and I do want to support CNA itself. Aristocort 40mg pills $182.00 So I emailed membership. Aristocort 40mg pills $182.00 I received a phone call from staff who told me that my dues can be designated to go to the “general fund” and not to any political action committees. Aristocort 40mg pills $182.00 I was impressed by the fact that (1)they called instead of just emailing and (2) relieved that I was not tied into funding issues that I do not agree with. Aristocort 40mg pills $182.00 I feel much better now….

Aristocort 40mg pills $182.00 …Oh man, aristocort 40mg pills $182.00 I’m a Crawly Amphibian in the TTLB ecosphere again. Aristocort 40mg pills $182.00 Yesterday I was up to Slithering Reptile. Aristocort 40mg pills $182.00 Was it something I said?…

Aristocort 40mg pills $182.00 …Speaking of gas, aristocort 40mg pills $182.00 I’ve noticed an increase in the number of post-op and post-partum patients we are seeing in the ED presenting with abdominal distension and pain. Aristocort 40mg pills $182.00 In ancient times, aristocort 40mg pills $182.00 when Jimmy Carter was President and the Bee Gees ruled the world, aristocort 40mg pills $182.00 patients were not discharged after surgery or delivery until they had produced the sacred Bowel Movement. Aristocort 40mg pills $182.00 The nurses would assess, aristocort 40mg pills $182.00 many times a day, aristocort 40mg pills $182.00 whether The Bowel Movement arrived. Aristocort 40mg pills $182.00 In fact you were stuck on clear liquids until the arrival of Flatus, aristocort 40mg pills $182.00 the precursor to The Bowel Movement. Aristocort 40mg pills $182.00 Patients were not discharged until production of The Bowel Movement was verified and subsequently described in minute detail in the nurses’ notes, aristocort 40mg pills $182.00 having been observed in excruciatingly fine detail by the RN. Aristocort 40mg pills $182.00 This was a required course of study in med/surg nursing. Aristocort 40mg pills $182.00 I studied adjectives to describe feces in my classes on post-op patient care. Aristocort 40mg pills $182.00 So why on earth am I seeing patients who are a week or more past surgery or delivery who still have not produced The Bowel Movement? Are they getting sprung from the hospital before production these days??? Or to put it in nurse speak, aristocort 40mg pills $182.00 are they being discharged with their “elimination, aristocort 40mg pills $182.00 alteration in” diagnosis unaddressed? Med/surg nurses of the world, aristocort 40mg pills $182.00 where are you? Fight for your patient’s right to eliminate before discharge! It’s tradition!…

…You know you’ve been blogging for a long time when you can’t remember if you already wrote about a topic or not. Aristocort 40mg pills $182.00 Stop me if you’ve heard this one already. Aristocort 40mg pills $182.00 One of the ED docs I know is a whiz kid on just about anything mechanical. Aristocort 40mg pills $182.00 So before our last JACHO visit, aristocort 40mg pills $182.00 he made a flashing sound monitor. Aristocort 40mg pills $182.00 If the noise at the nurses station gets above a certain decible level, aristocort 40mg pills $182.00 the light bulb goes off. Aristocort 40mg pills $182.00 It’s really effective because the noise level drops dramatically post-flash. Aristocort 40mg pills $182.00 Except….I have this propensity for setting it off. Aristocort 40mg pills $182.00 A lot. Aristocort 40mg pills $182.00 Now, aristocort 40mg pills $182.00 I was a cheerleader in my younger days but it’s not like I’m leading a rousing yell from the sidelines, aristocort 40mg pills $182.00 ya know? I reach up and touch my ear; it goes off.
I put the chart on the desk; it goes off. Aristocort 40mg pills $182.00 I say hi to someone in the cafeteria two floors below; it goes off. Aristocort 40mg pills $182.00 Oh come on! (it’s making me vewwy self- conscious)….

Aristocort 40mg pills $182.00 (BTW: Herb Caen was a columnist for the San Francisco Chronicle for fifty years. Aristocort 40mg pills $182.00 He wrote about the San Francisco scene….the people, aristocort 40mg pills $182.00 the places. Aristocort 40mg pills $182.00 He would write using what I’ve heard termed “three dot journalism”…. Aristocort 40mg pills $182.00 back in the ’80s I attended an opening of the San Francisco Symphony at Davies Symphony Hall. Aristocort 40mg pills $182.00 Post- symphony parties were held inside with the orchestra and outside in a tent with a rock (I believe the group was “Pride and Joy”) band. Aristocort 40mg pills $182.00 Of course I’m out with the rock band and who do I see dancing next to me? Herb Caen! The man had to be in his 70s but he was out there rockin’ to the Motown beat. Aristocort 40mg pills $182.00 He passed away a few years back and San Francisco still isn’t the same….)

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July 29, 2016, 4:48 pm

Olanzapine 7.5mg Pills $127.00

Inderal 10mg pills $61.00 The only person NOT unhappy in this old Parke-Davis ad is the nurse! The kid looks upset, inderal 10mg pills $61.00 the mother looks hostile and the doctor looks like he is watching to make sure the nurse doesn’t mainline the immunization. Inderal 10mg pills $61.00 This pretty much sums up nursing: scared patients, inderal 10mg pills $61.00 hostile families and grumpy old doctors who can’t let a nurse swab an injection site without ordering it done in a clockwise direction.

Inderal 10mg pills $61.00 Just kidding!

Inderal 10mg pills $61.00 Humility is a noble trait. Inderal 10mg pills $61.00 My humility gene got a kick in the pants this week. Inderal 10mg pills $61.00 Here’s the scenario:

Inderal 10mg pills $61.00 Female patient, inderal 10mg pills $61.00 36 hours post forearm-injury secondary to a sport. Inderal 10mg pills $61.00 No swelling. Inderal 10mg pills $61.00 No deformity. Inderal 10mg pills $61.00 No decrease in range of motion. Inderal 10mg pills $61.00 No bruising. Inderal 10mg pills $61.00 No point tenderness (and I was all over that arm like white-on-rice, inderal 10mg pills $61.00 looking for point tenderness). Inderal 10mg pills $61.00 Was able to continue playing after injury. Inderal 10mg pills $61.00 Chief complaint: it began hurting again after initial improvement. Inderal 10mg pills $61.00 Nurse-With-Overarching-Pride-In-Assessment-Skills (aka: me) tells ED MD that it just sounds like a contusion. Inderal 10mg pills $61.00 ED MD evaluates patient and orders x-ray. Inderal 10mg pills $61.00 “What???” I say incredulously. Inderal 10mg pills $61.00 “You have got to be kidding!” ED-MD-With-Patience-Of-Saint assures me he is not joking, inderal 10mg pills $61.00 that (1) patient requested an x-ray and (2) there is an area of point tenderness where ball met forearm (an area I had palpated rather thoroughly). Inderal 10mg pills $61.00 To make a long story short:

Inderal 10mg pills $61.00 The patient had a fracture. Inderal 10mg pills $61.00 There it was. Inderal 10mg pills $61.00 In all three views.

Inderal 10mg pills $61.00 I had a red face.

Inderal 10mg pills $61.00 No freakin’ way!!! Uh….yes freakin’ way!! I picked up my jaw and returned my humbled self to the triage room.

Inderal 10mg pills $61.00 So what did I learn?

  • Fractures are one of the most commonly missed diagnoses in the ED.
  • DOH! Before smooshing around looking for point tenderness, inderal 10mg pills $61.00 ask the patient where it hurts the worst and work your way around from there. Inderal 10mg pills $61.00 It’s amazing what you discover when you actually listen to the patient.
  • Doctors are doctors for a reason. Inderal 10mg pills $61.00 I am not a doctor, inderal 10mg pills $61.00 although I will occasionally play one in my mind.
  • Nobody’s perfect (sniff)!

Inderal 10mg pills $61.00 I have always felt that we learn more from our mistakes than we ever do from success, inderal 10mg pills $61.00 and I know I’ll be much less inclined to dismiss a potential diagnosis because it doesn’t meet “by-the-book” criteria in the future.

Inderal 10mg pills $61.00 You can never be too old or too experienced.

Inderal 10mg pills $61.00 Live and learn. Inderal 10mg pills $61.00

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July 29, 2016, 4:12 pm

Haridra 60 Tablet Bottle $287.00

Paracetamol 500mg pills $68.00 And the EmergiAward is presented for:

Paracetamol 500mg pills $68.00 Fastest Relief From a Pain Shot Award: 5 minutes. Paracetamol 500mg pills $68.00 Patient is writhing, paracetamol 500mg pills $68.00 moaning with tearful sobs, paracetamol 500mg pills $68.00 nauseated, paracetamol 500mg pills $68.00 photosensitive, paracetamol 500mg pills $68.00 holding the sides of their sunglasses as they rock their head from from side to side. Paracetamol 500mg pills $68.00 Injected with Dilaudid and Phenergan. Paracetamol 500mg pills $68.00 After five minutes, paracetamol 500mg pills $68.00 sitting painfree on the side of the bed and very appreciative.

Paracetamol 500mg pills $68.00 Worst. Paracetamol 500mg pills $68.00 Luck. Paracetamol 500mg pills $68.00 Ever. Paracetamol 500mg pills $68.00 Award: Patient gets hypodermic needle through sandal while walking in a park.

Paracetamol 500mg pills $68.00 Worst ED Set Up Award: Goes to a local university teaching hospital, paracetamol 500mg pills $68.00 world renown for just about everything else except the lay out of the ED. Paracetamol 500mg pills $68.00 While the rest of the facility is state-of-the-art, paracetamol 500mg pills $68.00 the ED is a 1960s time warp. Paracetamol 500mg pills $68.00 The metal detector you have to go through to enter the ED is modern, paracetamol 500mg pills $68.00 though. Paracetamol 500mg pills $68.00 The staff is great, paracetamol 500mg pills $68.00 the care (both medical and nursing) is competent, paracetamol 500mg pills $68.00 but the unit itself is small, paracetamol 500mg pills $68.00 cramped and swarming with nurses, paracetamol 500mg pills $68.00 interns, paracetamol 500mg pills $68.00 residents, paracetamol 500mg pills $68.00 attendings and, paracetamol 500mg pills $68.00 oh yes, paracetamol 500mg pills $68.00 patients. Paracetamol 500mg pills $68.00 Even the trauma room is small. Paracetamol 500mg pills $68.00 Which leads us to the….

Paracetamol 500mg pills $68.00 Worst Assignment Ever Award: while employed by the above university teaching hospital, paracetamol 500mg pills $68.00 I was given the “Hell Hole” assignment. Paracetamol 500mg pills $68.00 This meant that I was responsible for six monitored patients in a small, paracetamol 500mg pills $68.00 windowless room AND the psych isolation room right across the hall that required q 15 minute observations/documentation on the patient locked inside. Paracetamol 500mg pills $68.00 One RN. Paracetamol 500mg pills $68.00 No LVN. Paracetamol 500mg pills $68.00 No tech. Paracetamol 500mg pills $68.00 Just me. Paracetamol 500mg pills $68.00 And, paracetamol 500mg pills $68.00 oh I almost forgot….. Paracetamol 500mg pills $68.00 about a gazillion interns/residents/attendings/ all wanting to know where the labs were and why Patient X was still in the ER. Paracetamol 500mg pills $68.00 Or informing me that Patient X wasn’t getting admitted yet because twenty other Medical Services had to see them and it HAD to happen in the ED. Paracetamol 500mg pills $68.00 Or sitting at my desk hogging my charts (except the interns….I let them use my desk, paracetamol 500mg pills $68.00 they were cool). Paracetamol 500mg pills $68.00 Funny, paracetamol 500mg pills $68.00 the administration was shocked, paracetamol 500mg pills $68.00 shocked that I resigned after 10 weeks. Paracetamol 500mg pills $68.00 I’ve heard through the grapevine that the unit is now staffed more appropriately. Paracetamol 500mg pills $68.00 I don’t mind working hard, paracetamol 500mg pills $68.00 but I will never tolerate working stupid.

Paracetamol 500mg pills $68.00 Most Ridiculous MD Order Award: Conscious sedation. Paracetamol 500mg pills $68.00 Patient: child with a laceration. Paracetamol 500mg pills $68.00 In the middle of the night. Paracetamol 500mg pills $68.00 On a major holiday. Paracetamol 500mg pills $68.00 In a full ED and with 8-9 patients in the waiting room. Paracetamol 500mg pills $68.00 With only two RNs, paracetamol 500mg pills $68.00 one of whom would be tied up with this patient for a full ninety minutes. Paracetamol 500mg pills $68.00 Let me put it succinctly: No way, paracetamol 500mg pills $68.00 dude. Paracetamol 500mg pills $68.00 No freakin’ way.

Paracetamol 500mg pills $68.00 You Can Run, paracetamol 500mg pills $68.00 But You Can’t Hide Award: Patient on west coast recognized by a nurse who just moved from the east coast as one of the known drug seekers in her old east coast hospital. Paracetamol 500mg pills $68.00 Busted!

Paracetamol 500mg pills $68.00 Oddest Response To a Negative X-ray Award: Look of absolute devastation when told extremity not fractured. Paracetamol 500mg pills $68.00 Poor guy, paracetamol 500mg pills $68.00 don’t you just hate it when dreams of an insurance settlement slip through your fingers? Patient giddy with delight over crutches, paracetamol 500mg pills $68.00 however, paracetamol 500mg pills $68.00 so positive patient feedback expected….

Paracetamol 500mg pills $68.00 Most Patients Presenting In a Single Family At One Time For Triage Award: Six (ages 6, paracetamol 500mg pills $68.005, paracetamol 500mg pills $68.004, paracetamol 500mg pills $68.003, paracetamol 500mg pills $68.002, paracetamol 500mg pills $68.001)! They all had colds.

Paracetamol 500mg pills $68.00 Sweetest Man In the Entire World Award: Patient is elderly, paracetamol 500mg pills $68.00 frail delusional female who presents with the belief that her eyes are falling out. Paracetamol 500mg pills $68.00 ED MD tells her that not only are her eyes not falling out, paracetamol 500mg pills $68.00 but that they are beautiful.

Paracetamol 500mg pills $68.00 Unclear On The 911 Concept Award: Patient with multiple, paracetamol 500mg pills $68.00 penetrating thoracic trauma picks up spouse at home before stumbling into ED, paracetamol 500mg pills $68.00 pale, paracetamol 500mg pills $68.00 diaphoretic and near syncopal.

Paracetamol 500mg pills $68.00 Just Plain Stupid Award: ER staff allows 35-year-old female with acute abdominal pain and bleeding to fill bladder by drinking two liters of water before pelvic ultrasound, paracetamol 500mg pills $68.00 only to then say, paracetamol 500mg pills $68.00 “Gosh, paracetamol 500mg pills $68.00 you are going to surgery! Here is an NG tube….” and I can give the details of this one because I was the recipient of the NG-induced epistaxis! I will never, paracetamol 500mg pills $68.00 ever consent to an NG tube again as long as I live unless I put it in myself. Paracetamol 500mg pills $68.00 At least I know how to DO it!

Paracetamol 500mg pills $68.00 Best Straight Shooter Award: Intoxicated, paracetamol 500mg pills $68.00 combative, paracetamol 500mg pills $68.00 restrained patient needs to urinate immediately. Paracetamol 500mg pills $68.00 Patient turns to the left side, paracetamol 500mg pills $68.00 inches gown up and proceeds to shoot a stream of urine TWELVE FEET away from the gurney. Paracetamol 500mg pills $68.00 Standing ovation received from all male staff in a thirteen-foot radius.

Paracetamol 500mg pills $68.00 Who’s The Parent Here? Award: Parent offers liquid antibiotic to Toddler, paracetamol 500mg pills $68.00 who says NO!
Parent turns sheepishly to ED RN stating, paracetamol 500mg pills $68.00 “Oh dear, paracetamol 500mg pills $68.00 he doesn’t want it”. Paracetamol 500mg pills $68.00 Five seconds later, paracetamol 500mg pills $68.00 the medication is traveling down the toddler’s esophagus via a syringe wielded by said RN. Paracetamol 500mg pills $68.00 RN advises parent to remember that parent is (1) older (2) bigger (3) in charge and (4) it doesn’t matter a rat’s tutu what Toddler wants or doesn’t want; some things are NOT negotiable. Paracetamol 500mg pills $68.00 Parent marvels as though hit by an epiphany.

Paracetamol 500mg pills $68.00 And so there you have it. Paracetamol 500mg pills $68.00 The first group of EmergiAward recipients. Paracetamol 500mg pills $68.00 Unless stated otherwise, paracetamol 500mg pills $68.00 the above situations have all been sanitized for patient protection and are composites of many, paracetamol 500mg pills $68.00 many patients, paracetamol 500mg pills $68.00 nurses and doctors I have worked with over the years. Paracetamol 500mg pills $68.00 ; )

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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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