November, 2005 Archive

September 30, 2016, 1:41 pm

Cialis 50mg Pills $286.00

Cialis 50mg pills $286.00 Made it to the Notre Dame/Stanford game this weekend. Cialis 50mg pills $286.00 I walked into the Stanford stadium thinking the Irish would grind the Cardinals into the turf, cialis 50mg pills $286.00 but by the time I left I would have accepted a hefty dose of IV Valium. Cialis 50mg pills $286.00 I like my football nice and calm. Cialis 50mg pills $286.00 A 30 point lead in the first quarter, cialis 50mg pills $286.00 a nice half-time show by the marching band and fluffy pom-poms to wave at the appropriate moments.

Cialis 50mg pills $286.00 Last night was gut-wrenchingly close. Cialis 50mg pills $286.00 Stanford played their heart out, cialis 50mg pills $286.00 but the Irish pulled it out in the last two minutes. Cialis 50mg pills $286.00 It was the last game Stanford would ever play in their stadium. Cialis 50mg pills $286.00 Right after the game, cialis 50mg pills $286.00 literally, cialis 50mg pills $286.00 they began to tear down the old stadium in preparation for what looks to be a fantastic replacement.

Cialis 50mg pills $286.00 I could write an entire blog entry on the differences between the Stanford and Notre Dame cultures, cialis 50mg pills $286.00 both campus and football. Cialis 50mg pills $286.00 Having experienced both this month, cialis 50mg pills $286.00 it was like visiting two different worlds.

Cialis 50mg pills $286.00 If Stanford had been playing any other team, cialis 50mg pills $286.00 I would have rooted for them. Cialis 50mg pills $286.00 But they were playing Notre Dame. Cialis 50mg pills $286.00 ‘Nuff said.


Cialis 50mg pills $286.00 I love charting! A well-written chart is a piece of art; every entry a chapter in the book that becomes The Medical Record.

Cialis 50mg pills $286.00 Nurse’s notes are my passion. Cialis 50mg pills $286.00 I must chart in blue and I must have a medium-point, cialis 50mg pills $286.00 gel-ink pen that does not scratch the page as it flows. Cialis 50mg pills $286.00 I accept no substitutions. Cialis 50mg pills $286.00 I carry a small, cialis 50mg pills $286.00 six-inch ruler so that my lines are straight.

Cialis 50mg pills $286.00 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. Cialis 50mg pills $286.00 I have claimed a small corner desk as my “office”, cialis 50mg pills $286.00 to the distress of my fellow nurses, cialis 50mg pills $286.00 for that is the desk they use to surf upon the internet. Cialis 50mg pills $286.00 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.

Cialis 50mg pills $286.00 I’m not kidding!

Cialis 50mg pills $286.00 I really do enjoy charting as part of my nursing responsibilities. Cialis 50mg pills $286.00 A well-written nurse’s note acts as a timeline of the emergency visit. Cialis 50mg pills $286.00 I make sure mine are:

  • Legible
    • Doctors may be notorious for illegible handwriting, cialis 50mg pills $286.00 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, cialis 50mg pills $286.00 I want my writing to reflect that I am a professional nurse, cialis 50mg pills $286.00 not a literary slob.
  • Complete.
    • You might be Nurse of the Year but as the old saying goes, cialis 50mg pills $286.00 “If you didn’t chart it, cialis 50mg pills $286.00 you didn’t do it.
    • Check every box, cialis 50mg pills $286.00 chart every response, cialis 50mg pills $286.00 write N/A where applicable to show that a topic was at least considered

Cialis 50mg pills $286.00 And, cialis 50mg pills $286.00 in addition to charting my actual nursing care, cialis 50mg pills $286.00 I make sure to chart:

  • Times
    • Time that patient was roomed.
    • Time that the doctor evaluated the patient.
    • Times of each test (lab, cialis 50mg pills $286.00 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, cialis 50mg pills $286.00 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, cialis 50mg pills $286.00 I will note that it occurred. Cialis 50mg pills $286.00 I don’t go into detail, cialis 50mg pills $286.00 perhaps I’ll just write, cialis 50mg pills $286.00 “EDMD at beside, cialis 50mg pills $286.00 case discussed with patient and family”.
    • When I update the EDMD with patient information (medication response, cialis 50mg pills $286.00 a change in vital signs, cialis 50mg pills $286.00 etc.), cialis 50mg pills $286.00 I document what I said and when I said it.
  • Patient comments and behavior.
    • Verbal abuse – I will chart what the patient said, cialis 50mg pills $286.00 verbatim, cialis 50mg pills $286.00 including the foul language, cialis 50mg pills $286.00 in quotes.
    • A threat to sue – if a patient makes a threat to sue while in the emergency department, cialis 50mg pills $286.00 I will quote it, cialis 50mg pills $286.00 again verbatim, cialis 50mg pills $286.00 in the record.

Cialis 50mg pills $286.00 Of course, cialis 50mg pills $286.00the goal is to document, cialis 50mg pills $286.00 as objectively as possible, cialis 50mg pills $286.00 what is happening during the patient’s time in the department. Cialis 50mg pills $286.00 The nursing record is really the only part of the medical record that gives “real time” information. Cialis 50mg pills $286.00 It pulls together and reinforces all the other documentation, cialis 50mg pills $286.00 including the EDMD dictation.

Cialis 50mg pills $286.00 I’ve worked with doctors who do medical-legal chart reviews. Cialis 50mg pills $286.00 They have story upon story about how a single entry in a nurse’s note stopped a lawsuit in its tracks.

Cialis 50mg pills $286.00 Pretty impressive.

Cialis 50mg pills $286.00 It doesn’t take any more time to document thoroughly, cialis 50mg pills $286.00 clearly and legibly than it does to scribble what looks like incoherent mumbling on a page. Cialis 50mg pills $286.00 It does take organization, cialis 50mg pills $286.00 focus and good management of your time. Cialis 50mg pills $286.00 It isn’t rocket science.

Cialis 50mg pills $286.00 I do it every shift.

Cialis 50mg pills $286.00 With a medium-point, cialis 50mg pills $286.00 blue gel-ink pen and a six-inch ruler.

Average Rating: 4.4 out of 5 based on 159 user reviews.

Read »

September 30, 2016, 1:30 pm

Accutane 5mg Pills $149.00

Buspar 10mg pills $189.00 I wonder if anyone has informed the American College of Cardiology that Bayer Aspirin does not affect the heart! Boy, buspar 10mg pills $189.00 what a relief that must have been in 1928. Buspar 10mg pills $189.00 And don’t forget to demand it!


Buspar 10mg pills $189.00 I finished a twelve-hour shift in the wee hours of this morning. Buspar 10mg pills $189.00 Everybody who has ever worked in an ER knows that the day after Thanksgiving is unadulterated hell. Buspar 10mg pills $189.00 Friday was no exception. Buspar 10mg pills $189.00 It reminded me of a story about Joe Montana who, buspar 10mg pills $189.00 near the end of his football career, buspar 10mg pills $189.00 took a particularly hard hit. Buspar 10mg pills $189.00 As he lay on the turf he looked up and told the guy who sacked him, buspar 10mg pills $189.00 “I’m too old for this s***!”

Buspar 10mg pills $189.00 I believe I shall take that as my personal motto.

Buspar 10mg pills $189.00 I’ll chalk up a few post-shift aches and pains to age. Buspar 10mg pills $189.00 I’m mean, buspar 10mg pills $189.00 I’m not in my twenties anymore, buspar 10mg pills $189.00 my thirties are but a memory and while I’m still on the sunny side of fifty I thought I was holding up pretty good. Buspar 10mg pills $189.00 Anyway, buspar 10mg pills $189.00 I come home, buspar 10mg pills $189.00 grab the computer and lay on the floor catching up on some blog reading. Buspar 10mg pills $189.00 After about an hour or so, buspar 10mg pills $189.00 I decided I had better get to bed before dawn.

Buspar 10mg pills $189.00 I couldn’t get off the floor.

Buspar 10mg pills $189.00 Every bone in my body ached , buspar 10mg pills $189.00 my spinal cord was my personal torture rack, buspar 10mg pills $189.00 my biceps devolved into a gelatinous mass and while I know I came home with my quadriceps, buspar 10mg pills $189.00 they seemed to have disappeared. Buspar 10mg pills $189.00 Thank god I was able to use a table for support or I’d still be lying there.

Buspar 10mg pills $189.00 When did I turn into such a wimp?


Nothing will humble you faster or make your stomach sink lower than a med error.

Buspar 10mg pills $189.00 I made one last night. Buspar 10mg pills $189.00 I hadn’t made one for many years but you never forget that sickly, buspar 10mg pills $189.00 nauseated feeling in the pit of your gut when you realize you screwed up. Buspar 10mg pills $189.00 I didn’t even realize I had made an error until I saw the written order.

Buspar 10mg pills $189.00 Beware the verbal order! What I heard is not what the doc said (I heard a different dosage) and he didn’t hear my repeat as I rushed to the med room.

Buspar 10mg pills $189.00 The patient is fine and the doctor was totally cool (as ER docs usually are). Buspar 10mg pills $189.00

Buspar 10mg pills $189.00 I’ll probably be a bit queasy for awhile…..


Buspar 10mg pills $189.00 While thinking of blog topics the other day, buspar 10mg pills $189.00 I was considering writing about my worst experiences with doctors. Buspar 10mg pills $189.00 I’m talking about in-your-face-screaming fits. Buspar 10mg pills $189.00 I’m talking sarcastic, buspar 10mg pills $189.00 arrogant jerks. Buspar 10mg pills $189.00 And then I realized that:

  1. All these episodes happened over twenty years ago.
  2. All the doctors were men. Buspar 10mg pills $189.00 Old men.
  3. All of the doctors were men who had gone to medical school in the 1940s and I’m sure, buspar 10mg pills $189.00 to them, buspar 10mg pills $189.00 female nurses were one step above bottom feeders.

Buspar 10mg pills $189.00 And none of them happened in the ER.

Buspar 10mg pills $189.00 I was stunned at how I could recall, buspar 10mg pills $189.00 today, buspar 10mg pills $189.00 my anger and frustration at not being able to stand up for myself; the humiliation and injustice of getting screamed at in front of other doctors and of holding myself together until I could make it to the break room to cry. Buspar 10mg pills $189.00 It was as if had just happened yesterday instead of twenty years in the past. Buspar 10mg pills $189.00 As if I was 22-years-old again.

Buspar 10mg pills $189.00 It’s funny. Buspar 10mg pills $189.00 My body may be falling apart but there is a lot to be said for the self-esteem and maturity that come with age. Buspar 10mg pills $189.00 Boy, buspar 10mg pills $189.00 would I love to give those jerk doctors a piece of my mind.

Buspar 10mg pills $189.00 Nah. Buspar 10mg pills $189.00 I think it’s time to let it go.

Buspar 10mg pills $189.00 For good.

Average Rating: 4.9 out of 5 based on 207 user reviews.

Read »

September 30, 2016, 2:43 am

Altace 5mg Pills $185.00

Lidoderm 5% 30gm tube $66.00

Abraham Lincoln said :
“[It is] announced in the Holy Sciptures
and proven by all history, lidoderm 5% 30gm tube $66.00
that those nations are blessed whose God is the Lord…
It has seemed to me fit and proper that… [God’s blessings]
should be solemnly, lidoderm 5% 30gm tube $66.00 reverently, lidoderm 5% 30gm tube $66.00 and gratefully acknowledged, lidoderm 5% 30gm tube $66.00
as with one heart and one voice, lidoderm 5% 30gm tube $66.00
by the whole American people.”

So as I head to work on this holiday of Thanksgiving, lidoderm 5% 30gm tube $66.00 I’ll be solemnly, lidoderm 5% 30gm tube $66.00 reverently and gratefully acknowledging my thanks to God for my country and my freedoms.

Lidoderm 5% 30gm tube $66.00 I will also be thankful for our men and women serving in the armed forces and for the millions of people are newly able to embrace the freedoms that I take for granted every day.

Lidoderm 5% 30gm tube $66.00 I’ll also thank God for my family, lidoderm 5% 30gm tube $66.00 our health, lidoderm 5% 30gm tube $66.00 and for my wonderful profession and for the continuing ability to make a small difference in the world.

Happy Thanksgiving!

Average Rating: 4.9 out of 5 based on 230 user reviews.

Read »

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...

Continue reading »

Find Me On...
Twitter     Technorati

Subscribe to Emergiblog
Office of the National Nurse

Zippy Was Here

Healthcare Blogger Code of Ethics

  • Perspective
  • Confidentiality
  • Disclosure
  • Reliability
  • Courtesy

I Support the Public Library of Science

Dr. Val
Johnson & Johnson
Johnson & Johnson Health Channel
Nursing and Web 2.0

Health blogs

Medicine Blogs - Blog Catalog Blog Directory

Alltop. Seriously?! I got in?

Health Blogs - Blog Rankings