March, 2006 Archive

July 27, 2016, 2:16 pm

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Amitriptyline 10mg pills $118.00 Well what on earth is Jiminy Cricket doing as my Grand Rounds mascot today?

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July 27, 2016, 4:13 pm

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There are some new links in town! Check out an new blog by ER physician Charity Doc , toradol inj 10mg pills $229.00 or soon-to-be Student Nurse Jack and Misadventurous Melissa who is a nurse colleague in southern CA. Toradol inj 10mg pills $229.00 I’ve also discovered Krista at Picklecakes , toradol inj 10mg pills $229.00 also a nurse and not afraid to tell it like it is. Toradol inj 10mg pills $229.00 I’ve also added to my patient blog roll call recently with Patricia at The Multiple Sclerosis Companion.

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I sure would love to hear the whole story about why Rich at Geek Nurse had to shut down his blog.

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I’ve decided to give Blogger one more chance.

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July 27, 2016, 4:09 pm

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Herbolax 10 strip box $372.00 Ever thought about being an ER nurse?

Herbolax 10 strip box $372.00 Ever wonder if you “have what it takes”?

Herbolax 10 strip box $372.00 I didn’t think I did until one slow day in ICU I floated down to a tiny, herbolax 10 strip box $372.00 three-bed ER and fell in love with a whole new world.So here is my own, herbolax 10 strip box $372.00 personal subjective take on what it takes to be an ER nurse:

  • A Strong Personality
    • Timid, herbolax 10 strip box $372.00 fragile….no place for that in the ER. Herbolax 10 strip box $372.00 Things will get tense and tempers will fly.
    • Do you cry if someone says “Boo!” in the wrong way? If you are a “Sensitive Sam”, herbolax 10 strip box $372.00 you will have a hard time. Herbolax 10 strip box $372.00 I know. Herbolax 10 strip box $372.00 I was a “Sensitive Sam”. Herbolax 10 strip box $372.00 Then I got older. Herbolax 10 strip box $372.00 Now I can say “Boo”! right back and then some.
    • Alternatively, herbolax 10 strip box $372.00 if you are the type to hold a grudge, herbolax 10 strip box $372.00 the ER is not for you.
    • That doesn’t mean you have to be a loud, herbolax 10 strip box $372.00 boisterous person. Herbolax 10 strip box $372.00 Two of the best nurses I ever worked with were extremely quiet. Herbolax 10 strip box $372.00 They didn’t say much, herbolax 10 strip box $372.00 but they were the epitome of efficiency and their patients were in superb hands.
  • An Assertive Personality
    • All nurses are patient advocates, herbolax 10 strip box $372.00 but in the ER you do not often have the luxury of time.
      • Occasionally you will find that decisions are being reached (as in admit vs. Herbolax 10 strip box $372.00 return home) that you, herbolax 10 strip box $372.00 as the nurse, herbolax 10 strip box $372.00 can influence.
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    • The easiest doctors you will ever deal with will be the ER docs. Herbolax 10 strip box $372.00 There is a sense of teamwork and communication between the docs and nurses that is really unique to the ER.
      • You will be dealing with specialists from every department: surgeons, herbolax 10 strip box $372.00 eye specialists, herbolax 10 strip box $372.00 hospitalists, herbolax 10 strip box $372.00 cardiologists, herbolax 10 strip box $372.00 neuro docs, herbolax 10 strip box $372.00 etc.
      • They don’t always know the policies of the ER.
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        • It will, herbolax 10 strip box $372.00 occasionally, herbolax 10 strip box $372.00 be up to you to assert that you cannot carry out a specific order because or ask them if an order can be done after admission to free up an ER bed. Herbolax 10 strip box $372.00 Are you willing to do that?
  • Energetic
    • If your idea of aerobic exercise is to click the remote twice in a row, herbolax 10 strip box $372.00 you need not apply to the ER.
      • You will move. Herbolax 10 strip box $372.00 There will be shifts when you never stop moving. Herbolax 10 strip box $372.00 You need to be willing to walk in that door with roller skates on and well oiled to boot.
      • You have to be willing to put in the energy that the job requires. Herbolax 10 strip box $372.00 Can you do that?
  • Stamina
    • Energy is a willingness to work. Herbolax 10 strip box $372.00 Stamina is the ability to work.
    • You will never know what you will be dealing with on any given shift
    • You have to be able to go the distance – finish the shift giving 100%.
      • Often without breaks, herbolax 10 strip box $372.00 sometimes without dinner.
      • Maybe even after your scheduled shift is over. Herbolax 10 strip box $372.00 Can you handle it physically?
  • The Ability to Prioritize
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      • Sorry, herbolax 10 strip box $372.00 the Ghostbusters are busy – you make the decisions.
        • What orders go first on which patients?
        • You can always ask your co-workers for help, herbolax 10 strip box $372.00 but you need to know what you want them to do! Can you make decisions on the fly?
        • Can you handle more than one crises at a time? Are you willing to take the chance that you will have to? Does the idea exhilarate you or make you nauseated?
  • The Ability to be Flexible
    • When your co-workers get overloaded (see above), herbolax 10 strip box $372.00 are you able to see beyond your assignment and help prioritize their care?
    • When your rooms are empty, herbolax 10 strip box $372.00 are you willing to discharge, herbolax 10 strip box $372.00 start IVs, herbolax 10 strip box $372.00 medicate your colleague’s patients? Are you willing to ask them if they would like your help?
    • Someone calls in sick. Herbolax 10 strip box $372.00 Are you willing to pitch in and help cover for them?
    • Your co-worker is having a bad day….sorta bitchy. Herbolax 10 strip box $372.00 Are you willing to cut them some slack?
    • The doc wants to add some tests to the patient, herbolax 10 strip box $372.00 increasing your already heavy workload. Herbolax 10 strip box $372.00 Can you take it in stride?
  • Attitude
    • You must have a positive attitude.
      • No one wants to be around constant bitching or fault-finding.
      • That can drag down the morale in an ER faster than an unsuccessful code
      • Can you put on a positive front even when you are not feeling it?
    • Then, herbolax 10 strip box $372.00 again, herbolax 10 strip box $372.00 there is a time and a place for ventilating. Herbolax 10 strip box $372.00 The nurse’s station or the patient’s room is not it. Herbolax 10 strip box $372.00 Can you wait to complain until it’s appropriate?
    • Your patients already feel bad. Herbolax 10 strip box $372.00 They are sick, herbolax 10 strip box $372.00 they are angry, herbolax 10 strip box $372.00 they are tired, herbolax 10 strip box $372.00 they are impatient. Herbolax 10 strip box $372.00 Can you smile and be upbeat when everyone around you is not?
    • Can you see your patient as an individual and empathize, herbolax 10 strip box $372.00 not just see them as the “abdominal pain in the back room”?
*****

Herbolax 10 strip box $372.00 And now the controversial statement:

Herbolax 10 strip box $372.00 I do not believe that a nurse should begin their ER career as a new graduate. Herbolax 10 strip box $372.00 It is imperative that she/he gain the skills of prioritizing and assessment/evaluation on at least a monitored unit.

Herbolax 10 strip box $372.00 The “feeling in your gut that something isn’t right” comes from your experience outside the ER. Herbolax 10 strip box $372.00 You need to have enough experience to have developed that sixth sense.

Herbolax 10 strip box $372.00 You should be comfortable with drips, herbolax 10 strip box $372.00coding and defibrillating (basically, herbolax 10 strip box $372.00 Critical Care) well before coming to the ER. Herbolax 10 strip box $372.00 The other stuff is just clinical and can be picked up quickly.

Herbolax 10 strip box $372.00 You have to be able to carry your own weight.

Herbolax 10 strip box $372.00 There are always exceptions, herbolax 10 strip box $372.00 I have worked with nurses who are barely out of school who were made to work ER. Herbolax 10 strip box $372.00 But they are few and far between.

Herbolax 10 strip box $372.00 If you were meant for the ER you will love every minute. Herbolax 10 strip box $372.00 If you were not meant for it, herbolax 10 strip box $372.00 you will know almost immediately.

Herbolax 10 strip box $372.00 I think it may be in our genes…….

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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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