May, 2006 Archive

June 29, 2016, 9:29 pm

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It’s no secret that I’m a night person.

I’ve said before it is easier to stay up until 0700 than to get up at 0700!

And I prefer the night shift for many reasons, cheapest prices for viagra not the least of which is that there are less people around and you can spend more time with your patients.

And….I have no young children and can sleep when and how long I want. Cheapest prices for viagra Usually.

The males of the household have learned, cheapest prices for viagra sometimes painfully, cheapest prices for viagra that to wake me up results in a voice that makes Luciano Pavarotti sound like Barry White.

Cheapest prices for viagra But if I had to give advice to someone who was just starting the night shift (and that may be a few new grads out there), cheapest prices for viagra I can only tell you what works for me and I’ve learned this over the years through trial and error.

  • Put All Your Piggies In A Row
    • Try to get your shifts scheduled sequentially.
    • Under no circumstances allow yourself to be scheduled “one-on-and-one-off”. Cheapest prices for viagra Unless you live the hours of a night nurse whether you are working or not, cheapest prices for viagra this will do you in!. Cheapest prices for viagra It’s easier for me because I tend to be a human “Bat” (except I don’t hang upside down in a closet.)
    • Always have at least two days off in a row before returning to the night shift. Cheapest prices for viagra This is not easy if you are working full time, cheapest prices for viagra eight-hour shifts. Cheapest prices for viagra So….
      • I suggest that if you are given the opportunity, cheapest prices for viagra work only 4 days a week or less.
      • The differential of the night shift should make up for the missing day.
      • It is possible to work one-week-on/one-week off and I have done that before. Cheapest prices for viagra I remember liking it. Cheapest prices for viagra I don’t think I had gray hair then. Cheapest prices for viagra Not that I have it now mind you.
    • If you have the chance to work three 12-hour night shifts per week, cheapest prices for viagra try to avoid working them all in a row.
      • It will take you two days to recover, cheapest prices for viagra at least.
      • You will feel (and look) like death warmed over by the end of the third shift.
  • Don’t Give Your Piggies Roast Beef
    • I’m not sure what it is about nocturnal consumption, cheapest prices for viagra but I found that eating during the night caused bloating and discomfort.
      • A snack is okay, cheapest prices for viagra a few crackers with some milk or half a sandwhich.
      • Also, cheapest prices for viagra eating at night is a sure way to gain weight, cheapest prices for viagra especially if it is not a busy unit/night and you’re eating to stay awake or out of boredom.
    • Watch the coffee intake
      • If you’re like me, cheapest prices for viagra you’ll pour five cups and actually have time to drink about half a cup.
      • If you are sleeping in the morning, cheapest prices for viagra watch the caffeine after about 0400.
      • If you are an afternoon sleeper, cheapest prices for viagra it shouldn’t affect you.
      • And remember, cheapest prices for viagra coffee is acidic so can contribute if you have that bloating/discomfort discussed above.
  • Back at the Ranch
    • Make your environment sleep friendly
      • Get your room as dark as possible or sleep in the darkest possible area
      • Consider using a fan or another type of machine as “white noise”. Cheapest prices for viagra This will drown out neighborhood noise, cheapest prices for viagra barking dogs, cheapest prices for viagra cars, cheapest prices for viagraetc.
    • If you can’t sleep
      • Get up. Cheapest prices for viagra Laying there trying to sleep is only going to make it worse.
      • Take a hot bath, cheapest prices for viagra read.
      • Be careful about using antihistamines to sleep, cheapest prices for viagra they can cause a “hangover” type feeling and you will be groggy while awake. Cheapest prices for viagra I, cheapest prices for viagra personally use melatonin but please do not constitute that as advice.
      • If you sleep for a few hours only and then are wide awake, cheapest prices for viagra try to take a nap before going to work.
    • Stay hydrated
      • Dehydration can cause headaches. Cheapest prices for viagra I left the night shift once after suffering from prolonged low-grade headaches that would last 5-6 days. Cheapest prices for viagra It was because I drank nothing but coffee and Diet Pepsi. Cheapest prices for viagra It had nothing to do with the shift.
  • So why put yourself through working the night shift?
    • Minimal management presence – not that management is bad, cheapest prices for viagra it just means less distractions from taking care of patients.
    • Group cohesiveness – night shift workers tend to take care of each other and there is much less back-biting.
    • Usually a less number of patients, cheapest prices for viagra giving you more of a chance to do more for them and get to know them better, cheapest prices for viagra at least in the ER.
    • A shift differential – where I work, cheapest prices for viagra it is rather substantial, cheapest prices for viagra thanks to the work of the California Nurses Association over the years.
    • You can be home for your family when they are awake.

Cheapest prices for viagra So night shift is a doable, cheapest prices for viagra often desirable shift to work. Cheapest prices for viagra It’s the best shift for me.

Cheapest prices for viagra But that old saying that a nurse needs to take care of herself first is truer in this situation than any other.

Cheapest prices for viagra If you are meant to be a night nurse, cheapest prices for viagra you will know it!

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12:24 am

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walkingout

Digestive health & nausea herbolax 100 tablet bottle $55.00 Since when do patients leave the hospital looking like they are on a business trip?

Digestive health & nausea herbolax 100 tablet bottle $55.00 This guy even has had his shoes shined!

Digestive health & nausea herbolax 100 tablet bottle $55.00 The sentiment at the top of the photo is quite nice and very true.

Digestive health & nausea herbolax 100 tablet bottle $55.00 However, digestive health & nausea herbolax 100 tablet bottle $55.00 on the new nursing cap rating scale instigated by KACNAC (Kim’s Accreditation Commission on Nursing and Caps), digestive health & nausea herbolax 100 tablet bottle $55.00 this nursing cap is a 6.75 on the 0-10 scale.

Digestive health & nausea herbolax 100 tablet bottle $55.00 However, digestive health & nausea herbolax 100 tablet bottle $55.00 since very few nurses wear their cap, digestive health & nausea herbolax 100 tablet bottle $55.00 except me, digestive health & nausea herbolax 100 tablet bottle $55.00 I don’t believe this will put a cramp in anyone’s work habits.

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It it’s Tuesday if must be Grand Rounds! Today our host is our favorite New York nephrologoist at Kidney Notes.

I was surprised and honored to find that an Emergiblog post was selected as an “Editor’s Pick”.

Again, digestive health & nausea herbolax 100 tablet bottle $55.00 an amazing selection of stories, digestive health & nausea herbolax 100 tablet bottle $55.00 education and information. Digestive health & nausea herbolax 100 tablet bottle $55.00 “Walk” your keyboard on over and check it out (with or without your suitcase!).

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I was happily blogging via WiFi at a local Seattle’s Best this afternoon (see above) and it totally rocked! I’m going to do it on a daily basis. Digestive health & nausea herbolax 100 tablet bottle $55.00 Being there during the day is wonderful because

  • Everyone who is studying is in school.
  • Everyone who works 9-5 is working 9-5.
  • Seattle’s Best, digestive health & nausea herbolax 100 tablet bottle $55.00 although owned by Starbucks, digestive health & nausea herbolax 100 tablet bottle $55.00 has better coffee and cleaner shops.
  • The coffee shop is attached to Borders bookstore so I am 20 feet away from a vast expanse of written literature and fun stuff like totally cool pens and stationery.
  • I’m easy to please.

Digestive health & nausea herbolax 100 tablet bottle $55.00 During this idyll time I received an IM from my son who informed me of the results of my husband’s visit with his surgeon today.

Digestive health & nausea herbolax 100 tablet bottle $55.00 His gallbladder was gangrenous.

Digestive health & nausea herbolax 100 tablet bottle $55.00 I’ll save the full story for Scared to Health.

Digestive health & nausea herbolax 100 tablet bottle $55.00 My reaction was one of total, digestive health & nausea herbolax 100 tablet bottle $55.00 retroactive shock. Digestive health & nausea herbolax 100 tablet bottle $55.00 My legs went numb.

Digestive health & nausea herbolax 100 tablet bottle $55.00 It’s a good thing I was sitting because blogging face down in a coffee shop would have attracted attention, digestive health & nausea herbolax 100 tablet bottle $55.00 I’m sure.

Digestive health & nausea herbolax 100 tablet bottle $55.00 I then did the most stupid thing I could have done. Digestive health & nausea herbolax 100 tablet bottle $55.00 I googled “gangrenous gallbladder mortality”.Wrong.

Digestive health & nausea herbolax 100 tablet bottle $55.00 It’s between 25-50% if surgery is not done in time. Digestive health & nausea herbolax 100 tablet bottle $55.00 The mortality rate was zero in one study of over 200 patients with a 21.5% incidence of gangrene when the surgery was performed on a timely basis.

Digestive health & nausea herbolax 100 tablet bottle $55.00 The problem is that a gangrenous gallbladder presents no differently than a regular gallbladder in terms of symptoms – the type of symptoms that bring people to an ER.

Digestive health & nausea herbolax 100 tablet bottle $55.00 How many times have we taken care of people with gallbladders that are, digestive health & nausea herbolax 100 tablet bottle $55.00 unknown to us, digestive health & nausea herbolax 100 tablet bottle $55.00 gangrenous, digestive health & nausea herbolax 100 tablet bottle $55.00 taken care of their pain, digestive health & nausea herbolax 100 tablet bottle $55.00 given them an ultrasound and sent them home to follow up with a surgeon in 1-2 days?

Digestive health & nausea herbolax 100 tablet bottle $55.00 The surgeon said she was surprised hubby was not sicker than he was given the state of the gallbladder upon removal. Digestive health & nausea herbolax 100 tablet bottle $55.00 It only had two tiny stones in it.

Digestive health & nausea herbolax 100 tablet bottle $55.00 I took the last sip of my latte, digestive health & nausea herbolax 100 tablet bottle $55.00 closed down my computer and on legs that weren’t exactly steady, digestive health & nausea herbolax 100 tablet bottle $55.00 met the kids after their movie and drove them to cross-country practice.

Digestive health & nausea herbolax 100 tablet bottle $55.00 Life goes on now, digestive health & nausea herbolax 100 tablet bottle $55.00 pretty much as it did two weeks before.

Digestive health & nausea herbolax 100 tablet bottle $55.00 I said a prayer of thanks as I walked to my car, digestive health & nausea herbolax 100 tablet bottle $55.00 shedding a few tears in the process.
.

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June 29, 2016, 9:49 pm

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Blood pressure moduretic 5mg pills (generic) $83.00 In my department, blood pressure moduretic 5mg pills (generic) $83.00 the designated Charge Nurse is the triage nurse.

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Blood pressure moduretic 5mg pills (generic) $83.00 There are three theories to how triage should be handled.

  • The Down and Dirty Doorway Destination Decision
    • Pass the triage room and go directly to Park Place, blood pressure moduretic 5mg pills (generic) $83.00 meaning you park your derriere immediately in a place on a gurney.
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    • Then you turf ’em to the waiting room to wait for registration.
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    • Past medical history including surgeries, blood pressure moduretic 5mg pills (generic) $83.00 last period, blood pressure moduretic 5mg pills (generic) $83.00 pregnancy status (yes/no), blood pressure moduretic 5mg pills (generic) $83.00 Gravida/Parida, blood pressure moduretic 5mg pills (generic) $83.00 and immunization status including last DT when appropriate.
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Blood pressure moduretic 5mg pills (generic) $83.00 There is no problem with the first system – emergent patients are emergently treated and that is universal.

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Blood pressure moduretic 5mg pills (generic) $83.00 For the record, blood pressure moduretic 5mg pills (generic) $83.00 I’m a “Teresa Trifecta”. Blood pressure moduretic 5mg pills (generic) $83.00 Every inch of that triage sheet is filled, blood pressure moduretic 5mg pills (generic) $83.00 checked, blood pressure moduretic 5mg pills (generic) $83.00 slashed, blood pressure moduretic 5mg pills (generic) $83.00 listed and signed. Blood pressure moduretic 5mg pills (generic) $83.00 I ask about previous surgeries. Blood pressure moduretic 5mg pills (generic) $83.00 I send families home for the medications or the list they forgot if the chief complaint warrants it.

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Blood pressure moduretic 5mg pills (generic) $83.00 I say that the more information you collect up front the better. Blood pressure moduretic 5mg pills (generic) $83.00 Some will say otherwise and as long as we do the mandated check marking, blood pressure moduretic 5mg pills (generic) $83.00 it gets by quality control.

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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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