November, 2005 Archive

June 25, 2016, 1:41 pm

Viagra Success Stories

Viagra success stories Made it to the Notre Dame/Stanford game this weekend. Viagra success stories I walked into the Stanford stadium thinking the Irish would grind the Cardinals into the turf, viagra success stories but by the time I left I would have accepted a hefty dose of IV Valium. Viagra success stories I like my football nice and calm. Viagra success stories A 30 point lead in the first quarter, viagra success stories a nice half-time show by the marching band and fluffy pom-poms to wave at the appropriate moments.

Viagra success stories Last night was gut-wrenchingly close. Viagra success stories Stanford played their heart out, viagra success stories but the Irish pulled it out in the last two minutes. Viagra success stories It was the last game Stanford would ever play in their stadium. Viagra success stories Right after the game, viagra success stories literally, viagra success stories they began to tear down the old stadium in preparation for what looks to be a fantastic replacement.

Viagra success stories I could write an entire blog entry on the differences between the Stanford and Notre Dame cultures, viagra success stories both campus and football. Viagra success stories Having experienced both this month, viagra success stories it was like visiting two different worlds.

Viagra success stories If Stanford had been playing any other team, viagra success stories I would have rooted for them. Viagra success stories But they were playing Notre Dame. Viagra success stories ‘Nuff said.

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Viagra success stories I love charting! A well-written chart is a piece of art; every entry a chapter in the book that becomes The Medical Record.

Viagra success stories Nurse’s notes are my passion. Viagra success stories I must chart in blue and I must have a medium-point, viagra success stories gel-ink pen that does not scratch the page as it flows. Viagra success stories I accept no substitutions. Viagra success stories I carry a small, viagra success stories six-inch ruler so that my lines are straight.

Viagra success stories I do not chit-chat while charting; I eschew the tantalizing temptation of socialization with my colleagues until my nursing narrative is completed to my exacting specifications. Viagra success stories I have claimed a small corner desk as my “office”, viagra success stories to the distress of my fellow nurses, viagra success stories for that is the desk they use to surf upon the internet. Viagra success stories I daresay that my attempts to construct a medical work of art supersedes their need to (1) check their cell phone bill or (2) make bets on the NFL.

Viagra success stories I’m not kidding!

Viagra success stories I really do enjoy charting as part of my nursing responsibilities. Viagra success stories A well-written nurse’s note acts as a timeline of the emergency visit. Viagra success stories I make sure mine are:

  • Legible
    • Doctors may be notorious for illegible handwriting, viagra success stories but I know a lot of nurses who make doctors’ writing look like calligraphy.
    • If that note gets blown up poster-size to sit in front of a jury, viagra success stories I want my writing to reflect that I am a professional nurse, viagra success stories not a literary slob.
  • Complete.
    • You might be Nurse of the Year but as the old saying goes, viagra success stories “If you didn’t chart it, viagra success stories you didn’t do it.
    • Check every box, viagra success stories chart every response, viagra success stories write N/A where applicable to show that a topic was at least considered

Viagra success stories And, viagra success stories in addition to charting my actual nursing care, viagra success stories I make sure to chart:

  • Times
    • Time that patient was roomed.
    • Time that the doctor evaluated the patient.
    • Times of each test (lab, viagra success stories radiology)
    • Times that the patient was out of the department.
    • Time of discharge
  • Consultations/Communication
    • If I hear the doctor on the phone in consultation with another physician concerning my patient, viagra success stories I’ll verify who they were speaking with and document it on my notes with the time of the call.
    • When the EDMD goes back to the bedside to discuss the case with the patient or family, viagra success stories I will note that it occurred. Viagra success stories I don’t go into detail, viagra success stories perhaps I’ll just write, viagra success stories “EDMD at beside, viagra success stories case discussed with patient and family”.
    • When I update the EDMD with patient information (medication response, viagra success stories a change in vital signs, viagra success stories etc.), viagra success stories I document what I said and when I said it.
  • Patient comments and behavior.
    • Verbal abuse – I will chart what the patient said, viagra success stories verbatim, viagra success stories including the foul language, viagra success stories in quotes.
    • A threat to sue – if a patient makes a threat to sue while in the emergency department, viagra success stories I will quote it, viagra success stories again verbatim, viagra success stories in the record.

Viagra success stories Of course, viagra success storiesthe goal is to document, viagra success stories as objectively as possible, viagra success stories what is happening during the patient’s time in the department. Viagra success stories The nursing record is really the only part of the medical record that gives “real time” information. Viagra success stories It pulls together and reinforces all the other documentation, viagra success stories including the EDMD dictation.

Viagra success stories I’ve worked with doctors who do medical-legal chart reviews. Viagra success stories They have story upon story about how a single entry in a nurse’s note stopped a lawsuit in its tracks.

Viagra success stories Pretty impressive.

Viagra success stories It doesn’t take any more time to document thoroughly, viagra success stories clearly and legibly than it does to scribble what looks like incoherent mumbling on a page. Viagra success stories It does take organization, viagra success stories focus and good management of your time. Viagra success stories It isn’t rocket science.

Viagra success stories I do it every shift.

Viagra success stories With a medium-point, viagra success stories blue gel-ink pen and a six-inch ruler.

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June 25, 2016, 1:30 pm

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June 25, 2016, 2:43 am

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Happy Thanksgiving!

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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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