October, 2005 Archive

June 29, 2016, 4:45 pm

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The sound that nearly woke you out of a sound sleep was the sound of my jaw hitting the floor. Buy href lvivhost.com viagra The next day, buy href lvivhost.com viagra 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. Buy href lvivhost.com viagra EEEEE…nough! I pay CNA almost $1000 a year in dues. Buy href lvivhost.com viagra They are a wonderful bargaining agency and I have great pay and benefits (and wonderful staffing ratios) because of their involvement in collective bargaining. Buy href lvivhost.com viagra But…I don’t want my money funding issues that I do not agree with. Buy href lvivhost.com viagra But, buy href lvivhost.com viagra I am required to be a member and I do want to support CNA itself. Buy href lvivhost.com viagra So I emailed membership. Buy href lvivhost.com viagra 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. Buy href lvivhost.com viagra 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. Buy href lvivhost.com viagra I feel much better now….

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Buy href lvivhost.com viagra …Speaking of gas, buy href lvivhost.com viagra 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. Buy href lvivhost.com viagra In ancient times, buy href lvivhost.com viagra when Jimmy Carter was President and the Bee Gees ruled the world, buy href lvivhost.com viagra patients were not discharged after surgery or delivery until they had produced the sacred Bowel Movement. Buy href lvivhost.com viagra The nurses would assess, buy href lvivhost.com viagra many times a day, buy href lvivhost.com viagra whether The Bowel Movement arrived. Buy href lvivhost.com viagra In fact you were stuck on clear liquids until the arrival of Flatus, buy href lvivhost.com viagra the precursor to The Bowel Movement. Buy href lvivhost.com viagra Patients were not discharged until production of The Bowel Movement was verified and subsequently described in minute detail in the nurses’ notes, buy href lvivhost.com viagra having been observed in excruciatingly fine detail by the RN. Buy href lvivhost.com viagra This was a required course of study in med/surg nursing. Buy href lvivhost.com viagra I studied adjectives to describe feces in my classes on post-op patient care. Buy href lvivhost.com viagra 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, buy href lvivhost.com viagra are they being discharged with their “elimination, buy href lvivhost.com viagra alteration in” diagnosis unaddressed? Med/surg nurses of the world, buy href lvivhost.com viagra 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. Buy href lvivhost.com viagra Stop me if you’ve heard this one already. Buy href lvivhost.com viagra One of the ED docs I know is a whiz kid on just about anything mechanical. Buy href lvivhost.com viagra So before our last JACHO visit, buy href lvivhost.com viagra he made a flashing sound monitor. Buy href lvivhost.com viagra If the noise at the nurses station gets above a certain decible level, buy href lvivhost.com viagra the light bulb goes off. Buy href lvivhost.com viagra It’s really effective because the noise level drops dramatically post-flash. Buy href lvivhost.com viagra Except….I have this propensity for setting it off. Buy href lvivhost.com viagra A lot. Buy href lvivhost.com viagra Now, buy href lvivhost.com viagra I was a cheerleader in my younger days but it’s not like I’m leading a rousing yell from the sidelines, buy href lvivhost.com viagra ya know? I reach up and touch my ear; it goes off.
I put the chart on the desk; it goes off. Buy href lvivhost.com viagra I say hi to someone in the cafeteria two floors below; it goes off. Buy href lvivhost.com viagra Oh come on! (it’s making me vewwy self- conscious)….

Buy href lvivhost.com viagra (BTW: Herb Caen was a columnist for the San Francisco Chronicle for fifty years. Buy href lvivhost.com viagra He wrote about the San Francisco scene….the people, buy href lvivhost.com viagra the places. Buy href lvivhost.com viagra He would write using what I’ve heard termed “three dot journalism”…. Buy href lvivhost.com viagra back in the ’80s I attended an opening of the San Francisco Symphony at Davies Symphony Hall. Buy href lvivhost.com viagra 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. Buy href lvivhost.com viagra 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. Buy href lvivhost.com viagra He passed away a few years back and San Francisco still isn’t the same….)

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June 29, 2016, 4:48 pm

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Antidepressants fluoxetine 20mg pills (generic) $182.00 Female patient, antidepressants fluoxetine 20mg pills (generic) $182.00 36 hours post forearm-injury secondary to a sport. Antidepressants fluoxetine 20mg pills (generic) $182.00 No swelling. Antidepressants fluoxetine 20mg pills (generic) $182.00 No deformity. Antidepressants fluoxetine 20mg pills (generic) $182.00 No decrease in range of motion. Antidepressants fluoxetine 20mg pills (generic) $182.00 No bruising. Antidepressants fluoxetine 20mg pills (generic) $182.00 No point tenderness (and I was all over that arm like white-on-rice, antidepressants fluoxetine 20mg pills (generic) $182.00 looking for point tenderness). Antidepressants fluoxetine 20mg pills (generic) $182.00 Was able to continue playing after injury. Antidepressants fluoxetine 20mg pills (generic) $182.00 Chief complaint: it began hurting again after initial improvement. Antidepressants fluoxetine 20mg pills (generic) $182.00 Nurse-With-Overarching-Pride-In-Assessment-Skills (aka: me) tells ED MD that it just sounds like a contusion. Antidepressants fluoxetine 20mg pills (generic) $182.00 ED MD evaluates patient and orders x-ray. Antidepressants fluoxetine 20mg pills (generic) $182.00 “What???” I say incredulously. Antidepressants fluoxetine 20mg pills (generic) $182.00 “You have got to be kidding!” ED-MD-With-Patience-Of-Saint assures me he is not joking, antidepressants fluoxetine 20mg pills (generic) $182.00 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). Antidepressants fluoxetine 20mg pills (generic) $182.00 To make a long story short:

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June 29, 2016, 4:12 pm

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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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