January, 2006 Archive

August 30, 2016, 7:41 pm

Viagra Super Active 100mg Pills $61.00

Viagra super active 100mg pills $61.00 I am an addict.

Viagra super active 100mg pills $61.00 It is true.

Viagra super active 100mg pills $61.00 My drug has been available to the general public for five years now. Viagra super active 100mg pills $61.00 I discovered it a year ago.

Viagra super active 100mg pills $61.00 Most people can take it without becoming emotionally affected. Viagra super active 100mg pills $61.00 I, viagra super active 100mg pills $61.00 however, viagra super active 100mg pills $61.00 am drawn to it as a moth to a flame.

Viagra super active 100mg pills $61.00 I suffer emotional withdrawal symptoms when it is taken from me, viagra super active 100mg pills $61.00 as it invariably is.

Viagra super active 100mg pills $61.00 I swore I would not become involved again, viagra super active 100mg pills $61.00 but my family is co-dependent and encourage my participation. Viagra super active 100mg pills $61.00 I am often forced against my will to relapse.

Viagra super active 100mg pills $61.00 At work, viagra super active 100mg pills $61.00 I have to sneak into the back room to get my fix. Viagra super active 100mg pills $61.00 Some of my co-workers know. Viagra super active 100mg pills $61.00 Others have never discovered my secret.

Viagra super active 100mg pills $61.00 I’m so ashamed.

Viagra super active 100mg pills $61.00 It’s cruel. Viagra super active 100mg pills $61.00 It’s encouraging. Viagra super active 100mg pills $61.00 Sometimes, viagra super active 100mg pills $61.00 it puts people in the “dawg pound”.

Viagra super active 100mg pills $61.00 I am addicted…..to American Idol.

Viagra super active 100mg pills $61.00 Please help me.

hhhhhhhhhhhhhh
Life used to be so simple in the ER.
If a patient needed to stay in the hospital, viagra super active 100mg pills $61.00 you obtained a room number from Admitting.
You then would take a final set of vital signs to verify that the patient was indeed stable for transport, viagra super active 100mg pills $61.00 bring your nursing notes up to date and double check the lab work to make sure that no one missed the potassium level of 9 or the hemoglobin of 1.
A call to the receiving nurse was then placed to give “report”, viagra super active 100mg pills $61.00 a verbal narrative of the history of the present illness and emergency department course, viagra super active 100mg pills $61.00 adding significant historical medical information as necessary: allergies, viagra super active 100mg pills $61.00 previous surgeries, viagra super active 100mg pills $61.00 etc.
After receiving a litany of 15 reasons why the receiving nurse can’t take the patient right then, viagra super active 100mg pills $61.00 a negotiation ensues. Viagra super active 100mg pills $61.00 A time for transport is agreed upon and the patient goes up with his chart.
Oh, viagra super active 100mg pills $61.00 how I long for the good old days.
Approximately one year ago, viagra super active 100mg pills $61.00 some agency (JACHO?) decides that things must change for the good of the patient! Here is what now must be done before the patient goes up:
  • Report must be faxed.
    • This entails writing the entire report. Viagra super active 100mg pills $61.00 So, viagra super active 100mg pills $61.00 everything that you have just spent hours writing on the nursing notes must be summarized and rewritten on the fax report form. Viagra super active 100mg pills $61.00 Even I, viagra super active 100mg pills $61.00 with my passion for charting, viagra super active 100mg pills $61.00 think this is asinine. Viagra super active 100mg pills $61.00 It is also mandatory.
    • It takes longer to fill out the fax report than it does to verbally report.
    • The only advantage is the nurse can’t give you 15 reasons for not taking the patient any longer.
      • In my facility, viagra super active 100mg pills $61.00 the policy is the patient comes up 30 minutes after the fax. Viagra super active 100mg pills $61.00 Oh, viagra super active 100mg pills $61.00 and we call to confirm that the fax is on the way. Viagra super active 100mg pills $61.00 In the beginning they mysteriously weren’t received.
        • Okay, viagra super active 100mg pills $61.00 in the interest of fairness, viagra super active 100mg pills $61.00 sometimes faxes are sent to the wrong floor or a bed number is changed after report has been faxed.
        • And the floor/unit nurses get a 30 minute “heads-up” after the fax and before the patient arrives so they can prioritize prior to getting the patient. Viagra super active 100mg pills $61.00 Which I know I would greatly appreciate if I worked up on the floors.
    • We tried faxing the nursing notes instead for a brief period, viagra super active 100mg pills $61.00 thinking that would cover all the bases, viagra super active 100mg pills $61.00 but how shall I put this, viagra super active 100mg pills $61.00 not all nurses are thorough “charters” and/or it was difficult to read through to get the pertinent information.
  • We need to practice “medication reconciliation”.
    • This means that, viagra super active 100mg pills $61.00 when a patient is going to be admitted, viagra super active 100mg pills $61.00 an exact list of what medications the patient is taking, viagra super active 100mg pills $61.00 including vitamins and herbal supplements must be listed, viagra super active 100mg pills $61.00 along with the dosage, viagra super active 100mg pills $61.00 frequency and the last time the patient took the medicine. Viagra super active 100mg pills $61.00 Allergies and adverse reactions are also noted for a second time (first on the nursing notes).
    • The goal is a noble one: to make sure the patient is discharged with the medications “matching” the ones they came in taking, viagra super active 100mg pills $61.00 with or without changes.
    • This is all done on a new form that acts as a physician’s order sheet for meds (ie they can check to order the drug as written or to not order it.
    • Guess who gets to get all this information ready for admission – yep, viagra super active 100mg pills $61.00 the ER nurse. Viagra super active 100mg pills $61.00 They say the family can fill out the form and sometimes the patients come in with beautiful computerized lists that bring tears of joy to my eyes. Viagra super active 100mg pills $61.00 But usually the family is anxious about doing that so it falls to the nurse to complete.
      • Oh, viagra super active 100mg pills $61.00 and by the way, viagra super active 100mg pills $61.00 those beautiful computerized lists? We can’t copy them. Viagra super active 100mg pills $61.00 They must be re-copied, viagra super active 100mg pills $61.00 by hand, viagra super active 100mg pills $61.00 on the form.
  • Signature recognition
    • On a separate form, viagra super active 100mg pills $61.00 in addition to signing your name twice on the nursing notes, viagra super active 100mg pills $61.00 you must print your name, viagra super active 100mg pills $61.00 sign your name, viagra super active 100mg pills $61.00 and designate your work station.
    • Apparently illegible handwriting is making signature reading a lost art.
    • To my blessed delight, viagra super active 100mg pills $61.00 my facility no longer requires this form. Viagra super active 100mg pills $61.00 But for many months this was also mandatory.

Viagra super active 100mg pills $61.00 So, viagra super active 100mg pills $61.00 in one year, viagra super active 100mg pills $61.00 three new pieces of paperwork were added to the already hectic activity that accompanies a patient admission. Viagra super active 100mg pills $61.00 Two of which require the nurse to sit, viagra super active 100mg pills $61.00 undisturbed, viagra super active 100mg pills $61.00 for a minimum of 20 minutes to complete in addition to all the regular paperwork. Viagra super active 100mg pills $61.00 We have no recourse but to do as we are told.

Viagra super active 100mg pills $61.00 I wish someone would tell these agencies off.

Viagra super active 100mg pills $61.00 Where is Simon Cowell when you need him?

Share this:
Share this page via Email Share this page via Stumble Upon Share this page via Digg this Share this page via Facebook Share this page via Twitter

Average Rating: 5 out of 5 based on 180 user reviews.

Read »

August 30, 2016, 3:46 am

Lasix 100mg Pills $192.00

Zovirax 400mg pills (brand) $163.00 It seems Miss Ames, zovirax 400mg pills (brand) $163.00 RN has gotten a phone call!

Zovirax 400mg pills (brand) $163.00 Why, zovirax 400mg pills (brand) $163.00 she’s been invited over to Grand Rounds !

Zovirax 400mg pills (brand) $163.00 Kevin, zovirax 400mg pills (brand) $163.00MD is hosting this week and the best of the medical blogosphere is overflowing with stories, zovirax 400mg pills (brand) $163.00 information and once again, zovirax 400mg pills (brand) $163.00 new blogs to get to know (at least for me).

Zovirax 400mg pills (brand) $163.00 Kevin has quite a wonderful blog. Zovirax 400mg pills (brand) $163.00 I can’t believe it has taken me this long to find it! I won’t be a stranger.

Zovirax 400mg pills (brand) $163.00 Speaking of stranger, zovirax 400mg pills (brand) $163.00 it looks like Cherry’s co-worker is not happy about the call at all.

Zovirax 400mg pills (brand) $163.00 Could it be that Cherry takes too many personal phone calls at work?

Zovirax 400mg pills (brand) $163.00 Nah, zovirax 400mg pills (brand) $163.00 Cherry Ames is the perfect nurse!

Zovirax 400mg pills (brand) $163.00 The other nurse is just upset that she wasn’t invited to Grand Rounds.

Zovirax 400mg pills (brand) $163.00 But you are invited!

Zovirax 400mg pills (brand) $163.00 Do come!

hhhhhhhhhhhh

I also forgot to mention that Emergiblog has a post in the latest “Carnival of the Mundane”, zovirax 400mg pills (brand) $163.00 this time hosted by Kaply over at her blog. Zovirax 400mg pills (brand) $163.00 It’s my post on using the nursing process to assess your boxes of candy. Zovirax 400mg pills (brand) $163.00 Truly a skill that all should possess.
Share this:
Share this page via Email Share this page via Stumble Upon Share this page via Digg this Share this page via Facebook Share this page via Twitter

Average Rating: 4.5 out of 5 based on 250 user reviews.

Read »

August 30, 2016, 12:46 am

Ampicillin 250mg Pills $222.00

Coreg 6.25mg pills $260.00 Okay. Coreg 6.25mg pills $260.00 I thought by now I had seen it all, coreg 6.25mg pills $260.00 but this…..this is really bad.

Coreg 6.25mg pills $260.00 Be a nurse and make good money….why gosh it never occurred to me to be a nurse until I picked up these matches!

Coreg 6.25mg pills $260.00 Granted, coreg 6.25mg pills $260.00 this is for “practical nursing”, coreg 6.25mg pills $260.00 as opposed to what? Impractical nursing? Maybe they mean LPN. Coreg 6.25mg pills $260.00 It’s still insulting. Coreg 6.25mg pills $260.00 And the nurse is wearing the coveted cap.

Coreg 6.25mg pills $260.00 Learn from home in your spare time? What is this, coreg 6.25mg pills $260.00 an old Sally Struthers TV commercial? Who are your clinical patients supposed to be? Family? Neighbors? Your animals? Where do you get your equipment? How do you know if you’re doing things right or not?

Coreg 6.25mg pills $260.00 The course is endorsed by physicians. Coreg 6.25mg pills $260.00 Well then, coreg 6.25mg pills $260.00 it must be A-OK! Not! But I betcha they don’t hire the “graduates”.

Coreg 6.25mg pills $260.00 But wait! High school is not required! Whew! I bet that was a load off some folk’s minds. Coreg 6.25mg pills $260.00 ‘Specially since you can be anywhere from 18 to 60!

Coreg 6.25mg pills $260.00 Send for the free booklet! No salesman will call! Nobody will oversee your education! What more could you want?

Coreg 6.25mg pills $260.00 One minute you have nurses beseeching you to join their ranks for the good of the country and the next thing you know they’re soliciting from matchbooks.

Coreg 6.25mg pills $260.00 I just hope they close their cover before striking……

hhhhhhhhhhhhh

I hate spleens. Coreg 6.25mg pills $260.00 I really do. Coreg 6.25mg pills $260.00 I mean, coreg 6.25mg pills $260.00 I’m glad I still have mine, coreg 6.25mg pills $260.00 and I fully intend to keep it. Coreg 6.25mg pills $260.00 But spleens aren’t very forgiving and sometimes they are downright sneaky.

Coreg 6.25mg pills $260.00 Young girl, coreg 6.25mg pills $260.00 early teens, coreg 6.25mg pills $260.00 unrestrained front seat passenger of a car driven approximately 25 mph head first into a wall. Coreg 6.25mg pills $260.00 Old car, coreg 6.25mg pills $260.00 long ago, coreg 6.25mg pills $260.00 no airbags to deploy.

Coreg 6.25mg pills $260.00 Patient is ambulatory on scene without c/o neck, coreg 6.25mg pills $260.00 back or head pain. Coreg 6.25mg pills $260.00 Slight pain to lower left ribs but nothing more. Coreg 6.25mg pills $260.00 Mother arrives on scene and signs patient out AMA, coreg 6.25mg pills $260.00 stating she will transport patient to the ER. Coreg 6.25mg pills $260.00 And she does.

Coreg 6.25mg pills $260.00 My ER. Coreg 6.25mg pills $260.00 My non-trauma center ER. Coreg 6.25mg pills $260.00 As triage nurse for the day, coreg 6.25mg pills $260.00 I began taking the history. Coreg 6.25mg pills $260.00 Slight pain on palpation when left lower ribs are softly touched. Coreg 6.25mg pills $260.00 Pain increasing slightly with inspiration. Coreg 6.25mg pills $260.00 Lungs clear. Coreg 6.25mg pills $260.00 Denies SOB. Coreg 6.25mg pills $260.00 I’m thinking pulmonary contusion, coreg 6.25mg pills $260.00 maybe rib fracture. Coreg 6.25mg pills $260.00 The mechanism of injury was not great, coreg 6.25mg pills $260.00 but the patient was walking and looking good on scene and when he got to the triage station. Coreg 6.25mg pills $260.00 Then, coreg 6.25mg pills $260.00 suddenly the patient begins to look rather, coreg 6.25mg pills $260.00 uh, coreg 6.25mg pills $260.00 sick. Coreg 6.25mg pills $260.00 Icky. Coreg 6.25mg pills $260.00 Pale. Coreg 6.25mg pills $260.00 Nauseated. Coreg 6.25mg pills $260.00 Shocky. Coreg 6.25mg pills $260.00 Bad.

Coreg 6.25mg pills $260.00 This is not good.

Coreg 6.25mg pills $260.00 Mom gets sent out to registration and patient comes with me, coreg 6.25mg pills $260.00 in a wheelchair for obvious reasons but now she can’t stand up straight anyway. Coreg 6.25mg pills $260.00 I grab the ER doc on the way in. Coreg 6.25mg pills $260.00 He examines the patient only to discover within about one-half second that it is not the ribs, coreg 6.25mg pills $260.00 it’s left upper abdominal pain and we are goin’ to the OR. Coreg 6.25mg pills $260.00 Mom returns within minutes and gets the scoop. Coreg 6.25mg pills $260.00 Two large bore IVs with a bolus (BP falling)while the OR gets ready and off we go.

Coreg 6.25mg pills $260.00 Ruptured spleen.

Coreg 6.25mg pills $260.00 I hate it when they do that.

hhhhhhhhhhhhh

It had been a helacious shift.

Coreg 6.25mg pills $260.00 Everyone was very sick in some fashion or another, coreg 6.25mg pills $260.00 almost all requiring IVs and medications for pain or nausea (or both). Coreg 6.25mg pills $260.00 Lots of respiratory distress and a couple of in-house codes to top it all off. Coreg 6.25mg pills $260.00 (We lose the ER doc and an ER nurse for what is hopefully a short period of time when someone in the hospital has a cardiac arrest).

Coreg 6.25mg pills $260.00 We had people sitting in the waiting room that I desperately wanted in rooms; they were miserable.

Coreg 6.25mg pills $260.00 Finally we get one bed open. Coreg 6.25mg pills $260.00 I’m about to call in the next patient. Coreg 6.25mg pills $260.00 This guy walks up being supported by friends. Coreg 6.25mg pills $260.00 “Hey, coreg 6.25mg pills $260.00 like, coreg 6.25mg pills $260.00 he has the flu, coreg 6.25mg pills $260.00 man. Coreg 6.25mg pills $260.00 Been vomiting all night. Coreg 6.25mg pills $260.00 He even passed out twice at home!” Sounds like he’s dehydrated from gastroenteritis just like the rest of the county. Coreg 6.25mg pills $260.00 But passing out twice kind of gives you priority for a bed. Coreg 6.25mg pills $260.00 We don’t take kindly to syncope (fainting).

Coreg 6.25mg pills $260.00 I asked the patient to gown and lay down on the bed. Coreg 6.25mg pills $260.00 He said it hurt to lay down. Coreg 6.25mg pills $260.00 Well geeze, coreg 6.25mg pills $260.00 dude, coreg 6.25mg pills $260.00 if you don’t lay down and you’re dehydrated you’re gonna pass out again! I said it a wee bit more professionally than that. Coreg 6.25mg pills $260.00 Nope, coreg 6.25mg pills $260.00 he wasn’t gonna lay down. Coreg 6.25mg pills $260.00 Okay.

Coreg 6.25mg pills $260.00 “Look, coreg 6.25mg pills $260.00” I told the friends. Coreg 6.25mg pills $260.00 “Sit next to him on the side of the bed. Coreg 6.25mg pills $260.00 If he feels dizzy lay him down.”

Coreg 6.25mg pills $260.00 He needed an IV, coreg 6.25mg pills $260.00 like yesterday. Coreg 6.25mg pills $260.00 But….. Coreg 6.25mg pills $260.00 three more patients walked in and I ran out to have them sign in for triage and make sure none of them was having a heart attack, coreg 6.25mg pills $260.00 stroke, coreg 6.25mg pills $260.00 etc. Coreg 6.25mg pills $260.00 And someone had to take report from the medics who had brought in a possible stroke victim.

Coreg 6.25mg pills $260.00 Did I mention that at this particular facility there were only 2 nurses after 2300? It was after 2300.

Coreg 6.25mg pills $260.00 I heard loud cries for help from the friends of our vomiting, coreg 6.25mg pills $260.00 fainting guy. Coreg 6.25mg pills $260.00 I rush in to find him, coreg 6.25mg pills $260.00 essentially unconscious, coreg 6.25mg pills $260.00 sitting between them. Coreg 6.25mg pills $260.00 They hadn’t laid him down. Coreg 6.25mg pills $260.00 So I did. Coreg 6.25mg pills $260.00 He woke up.

Coreg 6.25mg pills $260.00 Blood pressure of 70 systolic when flat. Coreg 6.25mg pills $260.00 And in pain.

Coreg 6.25mg pills $260.00 I still thought he was a severe case of dehydration but a little voice inside my head made me act like a trauma nurse and put in two large bore IVs. Coreg 6.25mg pills $260.00 One of them was a 14 Gauge. Coreg 6.25mg pills $260.00 A freakin’ hose. Coreg 6.25mg pills $260.00 Had the ER doc at the bedside by that time and he did his exam. Coreg 6.25mg pills $260.00 The patient’s abdomen was rock-hard. Coreg 6.25mg pills $260.00 It was so tender that even touching the hairs on his upper abdomen was excruciating.

Coreg 6.25mg pills $260.00 No fever. Coreg 6.25mg pills $260.00 Sudden onset. Coreg 6.25mg pills $260.00 Denied trauma. Coreg 6.25mg pills $260.00 Normal BMs. Coreg 6.25mg pills $260.00 Weird.

Coreg 6.25mg pills $260.00 The IVs kept flowing so that I could get his blood pressure up and try to address the pain issue. Coreg 6.25mg pills $260.00 And the pain kept getting worse and the blood pressure would not respond. Coreg 6.25mg pills $260.00 It seemed like it took forever to get my patient to the CT.

Coreg 6.25mg pills $260.00 Ruptured spleen.

Coreg 6.25mg pills $260.00 Massive hemoperitoneum.

Coreg 6.25mg pills $260.00 Say what?

Coreg 6.25mg pills $260.00 We didn’t believe it. Coreg 6.25mg pills $260.00 We had one “ruptured spleen” in surgery already. Coreg 6.25mg pills $260.00 We thought they had faxed us the earlier report.

Coreg 6.25mg pills $260.00 Then the truth came out. Coreg 6.25mg pills $260.00 Three weeks earlier, coreg 6.25mg pills $260.00 a large tool had fallen onto the patients left side. Coreg 6.25mg pills $260.00 It was sore, coreg 6.25mg pills $260.00 nothing major. Coreg 6.25mg pills $260.00 He did notice he could no longer jog without pain, coreg 6.25mg pills $260.00 which he thought was weird, coreg 6.25mg pills $260.00 but nothing to see a doctor about. Coreg 6.25mg pills $260.00 He had a hematoma on his spleen. Coreg 6.25mg pills $260.00 It started bleeding that night, coreg 6.25mg pills $260.00 giving him the “flu” symptoms he presented with.

Coreg 6.25mg pills $260.00 He made it. Coreg 6.25mg pills $260.00 So did the first patient. Coreg 6.25mg pills $260.00 I, coreg 6.25mg pills $260.00 however needed a weeks worth of Ativan after that shift.

Coreg 6.25mg pills $260.00 So don’t be surprised if you are ever in an ER for a sprained ankle and the nurse asks how your spleen is feeling.

Coreg 6.25mg pills $260.00 It will be me.

Coreg 6.25mg pills $260.00 I hate spleens.

Share this:
Share this page via Email Share this page via Stumble Upon Share this page via Digg this Share this page via Facebook Share this page via Twitter

Average Rating: 4.9 out of 5 based on 190 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
scrubs
Scrub Pants
Scrub Pants
Be Comfortable!
Scrubs
and the rest of your medical apparel needs from ScrubsGallery.com
Office of the National Nurse

Zippy Was Here


Healthcare Blogger Code of Ethics

  • Perspective
  • Confidentiality
  • Disclosure
  • Reliability
  • Courtesy

medbloggercode.com

I Support the Public Library of Science

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



Health blogs

Medicine Blogs - Blog Catalog Blog Directory

Alltop. Seriously?! I got in?

Health Blogs - Blog Rankings