October, 2005 Archive

September 30, 2016, 4:45 pm

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Mesterolone 25mg pills $111.00 ….Now I’m pretty thrilled when I find gas at less than $2.85 a gallon, mesterolone 25mg pills $111.00 and I’ve heard of nurses getting excited that their post-op patients are passing gas, mesterolone 25mg pills $111.00 but I think this is WAY over the top, mesterolone 25mg pills $111.00 don’t you? For the life of me, mesterolone 25mg pills $111.00 I can’t figure this one out. Mesterolone 25mg pills $111.00 There is nothing about nursing in the text. Mesterolone 25mg pills $111.00 Nada…

Mesterolone 25mg pills $111.00 (…something just occurred to me after I posted this….this may not be a nurse, mesterolone 25mg pills $111.00 could it be a woman with a white scarf on her head? Shhhhh……keep it between you and me…)

Mesterolone 25mg pills $111.00 …I usually keep my politics to myself, mesterolone 25mg pills $111.00 but some might call me “conservative”. Mesterolone 25mg pills $111.00 As in: compared to me the fine citizens of Mayberry would be flaming liberals. Mesterolone 25mg pills $111.00 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. Mesterolone 25mg pills $111.00 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. Mesterolone 25mg pills $111.00 The next day, mesterolone 25mg pills $111.00 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. Mesterolone 25mg pills $111.00 EEEEE…nough! I pay CNA almost $1000 a year in dues. Mesterolone 25mg pills $111.00 They are a wonderful bargaining agency and I have great pay and benefits (and wonderful staffing ratios) because of their involvement in collective bargaining. Mesterolone 25mg pills $111.00 But…I don’t want my money funding issues that I do not agree with. Mesterolone 25mg pills $111.00 But, mesterolone 25mg pills $111.00 I am required to be a member and I do want to support CNA itself. Mesterolone 25mg pills $111.00 So I emailed membership. Mesterolone 25mg pills $111.00 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. Mesterolone 25mg pills $111.00 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. Mesterolone 25mg pills $111.00 I feel much better now….

Mesterolone 25mg pills $111.00 …Oh man, mesterolone 25mg pills $111.00 I’m a Crawly Amphibian in the TTLB ecosphere again. Mesterolone 25mg pills $111.00 Yesterday I was up to Slithering Reptile. Mesterolone 25mg pills $111.00 Was it something I said?…

Mesterolone 25mg pills $111.00 …Speaking of gas, mesterolone 25mg pills $111.00 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. Mesterolone 25mg pills $111.00 In ancient times, mesterolone 25mg pills $111.00 when Jimmy Carter was President and the Bee Gees ruled the world, mesterolone 25mg pills $111.00 patients were not discharged after surgery or delivery until they had produced the sacred Bowel Movement. Mesterolone 25mg pills $111.00 The nurses would assess, mesterolone 25mg pills $111.00 many times a day, mesterolone 25mg pills $111.00 whether The Bowel Movement arrived. Mesterolone 25mg pills $111.00 In fact you were stuck on clear liquids until the arrival of Flatus, mesterolone 25mg pills $111.00 the precursor to The Bowel Movement. Mesterolone 25mg pills $111.00 Patients were not discharged until production of The Bowel Movement was verified and subsequently described in minute detail in the nurses’ notes, mesterolone 25mg pills $111.00 having been observed in excruciatingly fine detail by the RN. Mesterolone 25mg pills $111.00 This was a required course of study in med/surg nursing. Mesterolone 25mg pills $111.00 I studied adjectives to describe feces in my classes on post-op patient care. Mesterolone 25mg pills $111.00 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, mesterolone 25mg pills $111.00 are they being discharged with their “elimination, mesterolone 25mg pills $111.00 alteration in” diagnosis unaddressed? Med/surg nurses of the world, mesterolone 25mg pills $111.00 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. Mesterolone 25mg pills $111.00 Stop me if you’ve heard this one already. Mesterolone 25mg pills $111.00 One of the ED docs I know is a whiz kid on just about anything mechanical. Mesterolone 25mg pills $111.00 So before our last JACHO visit, mesterolone 25mg pills $111.00 he made a flashing sound monitor. Mesterolone 25mg pills $111.00 If the noise at the nurses station gets above a certain decible level, mesterolone 25mg pills $111.00 the light bulb goes off. Mesterolone 25mg pills $111.00 It’s really effective because the noise level drops dramatically post-flash. Mesterolone 25mg pills $111.00 Except….I have this propensity for setting it off. Mesterolone 25mg pills $111.00 A lot. Mesterolone 25mg pills $111.00 Now, mesterolone 25mg pills $111.00 I was a cheerleader in my younger days but it’s not like I’m leading a rousing yell from the sidelines, mesterolone 25mg pills $111.00 ya know? I reach up and touch my ear; it goes off.
I put the chart on the desk; it goes off. Mesterolone 25mg pills $111.00 I say hi to someone in the cafeteria two floors below; it goes off. Mesterolone 25mg pills $111.00 Oh come on! (it’s making me vewwy self- conscious)….

Mesterolone 25mg pills $111.00 (BTW: Herb Caen was a columnist for the San Francisco Chronicle for fifty years. Mesterolone 25mg pills $111.00 He wrote about the San Francisco scene….the people, mesterolone 25mg pills $111.00 the places. Mesterolone 25mg pills $111.00 He would write using what I’ve heard termed “three dot journalism”…. Mesterolone 25mg pills $111.00 back in the ’80s I attended an opening of the San Francisco Symphony at Davies Symphony Hall. Mesterolone 25mg pills $111.00 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. Mesterolone 25mg pills $111.00 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. Mesterolone 25mg pills $111.00 He passed away a few years back and San Francisco still isn’t the same….)

Average Rating: 4.6 out of 5 based on 230 user reviews.

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September 30, 2016, 4:48 pm

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Prandin 2mg pills $190.00 The only person NOT unhappy in this old Parke-Davis ad is the nurse! The kid looks upset, prandin 2mg pills $190.00 the mother looks hostile and the doctor looks like he is watching to make sure the nurse doesn’t mainline the immunization. Prandin 2mg pills $190.00 This pretty much sums up nursing: scared patients, prandin 2mg pills $190.00 hostile families and grumpy old doctors who can’t let a nurse swab an injection site without ordering it done in a clockwise direction.

Prandin 2mg pills $190.00 Just kidding!

Prandin 2mg pills $190.00 Humility is a noble trait. Prandin 2mg pills $190.00 My humility gene got a kick in the pants this week. Prandin 2mg pills $190.00 Here’s the scenario:

Prandin 2mg pills $190.00 Female patient, prandin 2mg pills $190.00 36 hours post forearm-injury secondary to a sport. Prandin 2mg pills $190.00 No swelling. Prandin 2mg pills $190.00 No deformity. Prandin 2mg pills $190.00 No decrease in range of motion. Prandin 2mg pills $190.00 No bruising. Prandin 2mg pills $190.00 No point tenderness (and I was all over that arm like white-on-rice, prandin 2mg pills $190.00 looking for point tenderness). Prandin 2mg pills $190.00 Was able to continue playing after injury. Prandin 2mg pills $190.00 Chief complaint: it began hurting again after initial improvement. Prandin 2mg pills $190.00 Nurse-With-Overarching-Pride-In-Assessment-Skills (aka: me) tells ED MD that it just sounds like a contusion. Prandin 2mg pills $190.00 ED MD evaluates patient and orders x-ray. Prandin 2mg pills $190.00 “What???” I say incredulously. Prandin 2mg pills $190.00 “You have got to be kidding!” ED-MD-With-Patience-Of-Saint assures me he is not joking, prandin 2mg pills $190.00 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). Prandin 2mg pills $190.00 To make a long story short:

Prandin 2mg pills $190.00 The patient had a fracture. Prandin 2mg pills $190.00 There it was. Prandin 2mg pills $190.00 In all three views.

Prandin 2mg pills $190.00 I had a red face.

Prandin 2mg pills $190.00 No freakin’ way!!! Uh….yes freakin’ way!! I picked up my jaw and returned my humbled self to the triage room.

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  • Fractures are one of the most commonly missed diagnoses in the ED.
  • DOH! Before smooshing around looking for point tenderness, prandin 2mg pills $190.00 ask the patient where it hurts the worst and work your way around from there. Prandin 2mg pills $190.00 It’s amazing what you discover when you actually listen to the patient.
  • Doctors are doctors for a reason. Prandin 2mg pills $190.00 I am not a doctor, prandin 2mg pills $190.00 although I will occasionally play one in my mind.
  • Nobody’s perfect (sniff)!

Prandin 2mg pills $190.00 I have always felt that we learn more from our mistakes than we ever do from success, prandin 2mg pills $190.00 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.

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Average Rating: 4.7 out of 5 based on 287 user reviews.

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September 30, 2016, 4:12 pm

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Avapro 300mg pills $262.00 And the EmergiAward is presented for:

Avapro 300mg pills $262.00 Fastest Relief From a Pain Shot Award: 5 minutes. Avapro 300mg pills $262.00 Patient is writhing, avapro 300mg pills $262.00 moaning with tearful sobs, avapro 300mg pills $262.00 nauseated, avapro 300mg pills $262.00 photosensitive, avapro 300mg pills $262.00 holding the sides of their sunglasses as they rock their head from from side to side. Avapro 300mg pills $262.00 Injected with Dilaudid and Phenergan. Avapro 300mg pills $262.00 After five minutes, avapro 300mg pills $262.00 sitting painfree on the side of the bed and very appreciative.

Avapro 300mg pills $262.00 Worst. Avapro 300mg pills $262.00 Luck. Avapro 300mg pills $262.00 Ever. Avapro 300mg pills $262.00 Award: Patient gets hypodermic needle through sandal while walking in a park.

Avapro 300mg pills $262.00 Worst ED Set Up Award: Goes to a local university teaching hospital, avapro 300mg pills $262.00 world renown for just about everything else except the lay out of the ED. Avapro 300mg pills $262.00 While the rest of the facility is state-of-the-art, avapro 300mg pills $262.00 the ED is a 1960s time warp. Avapro 300mg pills $262.00 The metal detector you have to go through to enter the ED is modern, avapro 300mg pills $262.00 though. Avapro 300mg pills $262.00 The staff is great, avapro 300mg pills $262.00 the care (both medical and nursing) is competent, avapro 300mg pills $262.00 but the unit itself is small, avapro 300mg pills $262.00 cramped and swarming with nurses, avapro 300mg pills $262.00 interns, avapro 300mg pills $262.00 residents, avapro 300mg pills $262.00 attendings and, avapro 300mg pills $262.00 oh yes, avapro 300mg pills $262.00 patients. Avapro 300mg pills $262.00 Even the trauma room is small. Avapro 300mg pills $262.00 Which leads us to the….

Avapro 300mg pills $262.00 Worst Assignment Ever Award: while employed by the above university teaching hospital, avapro 300mg pills $262.00 I was given the “Hell Hole” assignment. Avapro 300mg pills $262.00 This meant that I was responsible for six monitored patients in a small, avapro 300mg pills $262.00 windowless room AND the psych isolation room right across the hall that required q 15 minute observations/documentation on the patient locked inside. Avapro 300mg pills $262.00 One RN. Avapro 300mg pills $262.00 No LVN. Avapro 300mg pills $262.00 No tech. Avapro 300mg pills $262.00 Just me. Avapro 300mg pills $262.00 And, avapro 300mg pills $262.00 oh I almost forgot….. Avapro 300mg pills $262.00 about a gazillion interns/residents/attendings/ all wanting to know where the labs were and why Patient X was still in the ER. Avapro 300mg pills $262.00 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. Avapro 300mg pills $262.00 Or sitting at my desk hogging my charts (except the interns….I let them use my desk, avapro 300mg pills $262.00 they were cool). Avapro 300mg pills $262.00 Funny, avapro 300mg pills $262.00 the administration was shocked, avapro 300mg pills $262.00 shocked that I resigned after 10 weeks. Avapro 300mg pills $262.00 I’ve heard through the grapevine that the unit is now staffed more appropriately. Avapro 300mg pills $262.00 I don’t mind working hard, avapro 300mg pills $262.00 but I will never tolerate working stupid.

Avapro 300mg pills $262.00 Most Ridiculous MD Order Award: Conscious sedation. Avapro 300mg pills $262.00 Patient: child with a laceration. Avapro 300mg pills $262.00 In the middle of the night. Avapro 300mg pills $262.00 On a major holiday. Avapro 300mg pills $262.00 In a full ED and with 8-9 patients in the waiting room. Avapro 300mg pills $262.00 With only two RNs, avapro 300mg pills $262.00 one of whom would be tied up with this patient for a full ninety minutes. Avapro 300mg pills $262.00 Let me put it succinctly: No way, avapro 300mg pills $262.00 dude. Avapro 300mg pills $262.00 No freakin’ way.

Avapro 300mg pills $262.00 You Can Run, avapro 300mg pills $262.00 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. Avapro 300mg pills $262.00 Busted!

Avapro 300mg pills $262.00 Oddest Response To a Negative X-ray Award: Look of absolute devastation when told extremity not fractured. Avapro 300mg pills $262.00 Poor guy, avapro 300mg pills $262.00 don’t you just hate it when dreams of an insurance settlement slip through your fingers? Patient giddy with delight over crutches, avapro 300mg pills $262.00 however, avapro 300mg pills $262.00 so positive patient feedback expected….

Avapro 300mg pills $262.00 Most Patients Presenting In a Single Family At One Time For Triage Award: Six (ages 6, avapro 300mg pills $262.005, avapro 300mg pills $262.004, avapro 300mg pills $262.003, avapro 300mg pills $262.002, avapro 300mg pills $262.001)! They all had colds.

Avapro 300mg pills $262.00 Sweetest Man In the Entire World Award: Patient is elderly, avapro 300mg pills $262.00 frail delusional female who presents with the belief that her eyes are falling out. Avapro 300mg pills $262.00 ED MD tells her that not only are her eyes not falling out, avapro 300mg pills $262.00 but that they are beautiful.

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Avapro 300mg pills $262.00 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, avapro 300mg pills $262.00 only to then say, avapro 300mg pills $262.00 “Gosh, avapro 300mg pills $262.00 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, avapro 300mg pills $262.00 ever consent to an NG tube again as long as I live unless I put it in myself. Avapro 300mg pills $262.00 At least I know how to DO it!

Avapro 300mg pills $262.00 Best Straight Shooter Award: Intoxicated, avapro 300mg pills $262.00 combative, avapro 300mg pills $262.00 restrained patient needs to urinate immediately. Avapro 300mg pills $262.00 Patient turns to the left side, avapro 300mg pills $262.00 inches gown up and proceeds to shoot a stream of urine TWELVE FEET away from the gurney. Avapro 300mg pills $262.00 Standing ovation received from all male staff in a thirteen-foot radius.

Avapro 300mg pills $262.00 Who’s The Parent Here? Award: Parent offers liquid antibiotic to Toddler, avapro 300mg pills $262.00 who says NO!
Parent turns sheepishly to ED RN stating, avapro 300mg pills $262.00 “Oh dear, avapro 300mg pills $262.00 he doesn’t want it”. Avapro 300mg pills $262.00 Five seconds later, avapro 300mg pills $262.00 the medication is traveling down the toddler’s esophagus via a syringe wielded by said RN. Avapro 300mg pills $262.00 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. Avapro 300mg pills $262.00 Parent marvels as though hit by an epiphany.

Avapro 300mg pills $262.00 And so there you have it. Avapro 300mg pills $262.00 The first group of EmergiAward recipients. Avapro 300mg pills $262.00 Unless stated otherwise, avapro 300mg pills $262.00 the above situations have all been sanitized for patient protection and are composites of many, avapro 300mg pills $262.00 many patients, avapro 300mg pills $262.00 nurses and doctors I have worked with over the years. Avapro 300mg pills $262.00 ; )

Average Rating: 5 out of 5 based on 291 user reviews.

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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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