June, 2006 Archive

July 25, 2016, 2:32 pm

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Season Two?

Episode Six?

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Colospa 135mg pills $186.00 You meant you don’t know the dialouge…by heart?

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Oh, colospa 135mg pills $186.00 that won’t be in for a month because we are new.

Oh.

So I took my Venti Iced Non-Fat One Equal Latte and my highly expensive but ethically correct Ethos water (“Helping Children get Clean Water”) and boldly drove where no latte purchaser has gone before.

To another Starbucks.

Where I managed to glare at the previous occupant of this plush chair long enough to make her think I was mentally unbalanced and she left.

Bwahahahahaah.

Colospa 135mg pills $186.00 Oh, colospa 135mg pills $186.00 and Borders? I have a message for you:

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Okay, colospa 135mg pills $186.00 that’s a bit over the top for a boycott of an evil corporate conglomerate in the form of a book store, colospa 135mg pills $186.00 and it did come from Ricardo Montalban in “The Wrath of Khan”.

What ever did we do before imdb.com?

And did I ever mention just how devastated I was when I found out that wasn’t Ricardo Montalban’s real chest in that movie? I thought he was a stud. Colospa 135mg pills $186.00 Turns out he was a dud.

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Gee, colospa 135mg pills $186.00 everyone felt so sorry for my little Ativan pill in this post, colospa 135mg pills $186.00 I felt bad for writing it.

Perhaps I should have chosen a proton-pump inhibitor or the statin-of-the-month.

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That was not medical advice, colospa 135mg pills $186.00 by the way.

I’m just sayin’….

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Speaking of pseudomonas, colospa 135mg pills $186.00 this post over at Fat Doctor got me thinking of the time I actually put my nose half an inch from a wound and sniffed. Colospa 135mg pills $186.00 I could smell something even before that and so could the patient’s father.

Everyone else, colospa 135mg pills $186.00 including the ED doc said they didn’t smell a thing. Colospa 135mg pills $186.00 No one had the cohones to put their nose to the test at the wound site.

In fact, colospa 135mg pills $186.00 they laughed at me.

Perhaps I have the rare ability to smell pseudomonas before the rest of mankind, colospa 135mg pills $186.00 and I shared that trait with the patient’s dad.

Unfortunately, colospa 135mg pills $186.00 I will never know if we were right. Colospa 135mg pills $186.00 That’s the trouble with ER….so often you don’t get the end of the story.

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I am the proud owner of a robot.

We have acquired an “iRobot Roomba”.

To the world-at-large, colospa 135mg pills $186.00 this is simply an automatic vacuum.

But to me this is a form of artificial intelligence.

It cries if it falls down the stairs! I’m not kidding!

I have named it “Asimov” and I hope they programmed it with the three robotic laws.

I talk to it.

My kids have been instructed to treat it with respect, colospa 135mg pills $186.00 for as a form of artificial intelligence created by man, colospa 135mg pills $186.00 we are obligated to respect it and care for it.

Okay, colospa 135mg pills $186.00 maybe I’m watching too much “Twilight Zone and maybe I do need an appointment with Shrinkette.

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So on that note, colospa 135mg pills $186.00 I shall remind you that Grand Rounds is up over at Medviews

And a wonderful edition it is.

I am now off to read…..

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July 25, 2016, 11:11 pm

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The End.

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July 25, 2016, 1:47 pm

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Yasmin drospirenone 3mg + ethinyl estradiol 0.3mg $118.00 Ladies and Gentlemen, yasmin drospirenone 3mg + ethinyl estradiol 0.3mg $118.00 it’s time for The Answer Nurse!

Yasmin drospirenone 3mg + ethinyl estradiol 0.3mg $118.00 Having posed the idea in a previous post, yasmin drospirenone 3mg + ethinyl estradiol 0.3mg $118.00 The Answer Nurse never thought she’d get so many questions in such a short time!

Yasmin drospirenone 3mg + ethinyl estradiol 0.3mg $118.00 She thought it best to answer the ones she has received, yasmin drospirenone 3mg + ethinyl estradiol 0.3mg $118.00 but do continue to send them. Yasmin drospirenone 3mg + ethinyl estradiol 0.3mg $118.00 The Answer Nurse lives for these inquiries and hopes someday to have a life!

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Yasmin drospirenone 3mg + ethinyl estradiol 0.3mg $118.00 Some questions are serious, yasmin drospirenone 3mg + ethinyl estradiol 0.3mg $118.00 some a farcical, yasmin drospirenone 3mg + ethinyl estradiol 0.3mg $118.00 but all require a professional look at the world through the eyes of The Answer Nurse!

Yasmin drospirenone 3mg + ethinyl estradiol 0.3mg $118.00 If you are disappointed in the answers, yasmin drospirenone 3mg + ethinyl estradiol 0.3mg $118.00 The Answer Nurse suggests re-evaluating the nature of the submitted question and increase the quality accordingly.

Yasmin drospirenone 3mg + ethinyl estradiol 0.3mg $118.00 And so, yasmin drospirenone 3mg + ethinyl estradiol 0.3mg $118.00 let us all strike a pose by our nearest Coke machine and fresh flowers, yasmin drospirenone 3mg + ethinyl estradiol 0.3mg $118.00 grab a patient’s chart and begin….

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Yasmin drospirenone 3mg + ethinyl estradiol 0.3mg $118.00 Question Number One:

  • Why would a mom with a rash also sign in her 2yo and 4yo [to the ER] with matching complaints of “insect bite?”
  • The Answer Nurse Speaks: The average human has approximately 60 trillion synapses in their cerebral cortex. Yasmin drospirenone 3mg + ethinyl estradiol 0.3mg $118.00 The Answer Nurse knows this because she looked it up on Google. Yasmin drospirenone 3mg + ethinyl estradiol 0.3mg $118.00 Your particular patient obviously had only three synapses; one for herself and one for each child. Yasmin drospirenone 3mg + ethinyl estradiol 0.3mg $118.00 One can only hope that said patient had a tubal ligaton.

Yasmin drospirenone 3mg + ethinyl estradiol 0.3mg $118.00 Question Number Two:

  • From the UK: Who would turn up at 7am on a Monday morning after a weekend of agony with toothache….abscess, yasmin drospirenone 3mg + ethinyl estradiol 0.3mg $118.00 plain as paint. Yasmin drospirenone 3mg + ethinyl estradiol 0.3mg $118.00 “How long have you had toothache?” “Errm, yasmin drospirenone 3mg + ethinyl estradiol 0.3mg $118.00 about a month, yasmin drospirenone 3mg + ethinyl estradiol 0.3mg $118.00 Nurse.”
  • The Answer Nurse Speaks: Greetings from the Colonies! The Answer Nurse is a sucker for a British accent. Yasmin drospirenone 3mg + ethinyl estradiol 0.3mg $118.00 But she does wonder, yasmin drospirenone 3mg + ethinyl estradiol 0.3mg $118.00 doesn’t The Prince of Wales have his own dentist?

Yasmin drospirenone 3mg + ethinyl estradiol 0.3mg $118.00 Question Number Three:

  • If your left toe has been hurting for 3 months, yasmin drospirenone 3mg + ethinyl estradiol 0.3mg $118.00 why would you decide to come in at 3:00 in the morning on a Friday night????
  • The Answer Nurse Speaks: It seems to The Answer Nurse this poor soul has no life and that when he attempted to ask a woman if she rented by the hour, yasmin drospirenone 3mg + ethinyl estradiol 0.3mg $118.00 she stomped on his foot with her 4-inch pumps. Yasmin drospirenone 3mg + ethinyl estradiol 0.3mg $118.00 It has take him this long to swallow his pride and obtain care. Yasmin drospirenone 3mg + ethinyl estradiol 0.3mg $118.00 The Answer Nurse notes that the silver lining to this pitiful cloud is that the patient has nine other toes with which to work.

Yasmin drospirenone 3mg + ethinyl estradiol 0.3mg $118.00 Ouestion Number Four:

  • I’m graduating in December, yasmin drospirenone 3mg + ethinyl estradiol 0.3mg $118.00 sitting boards in January. Yasmin drospirenone 3mg + ethinyl estradiol 0.3mg $118.00 Tell me why I should consider ER nursing.
  • The Answer Nurse Speaks: The Answer Nurse notes that this inquiry is in the form of a command as opposed to a question, yasmin drospirenone 3mg + ethinyl estradiol 0.3mg $118.00 but she deems it significant enough to respond none-the-less. Yasmin drospirenone 3mg + ethinyl estradiol 0.3mg $118.00 Here are the reasons The Answer Nurse would consider ER nursing:
    • Never the same job two days in a row
      • you will alternate hours of sheer terror with moments of pure boredom
      • unless you work in a small ER at which point you would reverse the above.
    • Nurses gravitating to the ER are out-spoken, yasmin drospirenone 3mg + ethinyl estradiol 0.3mg $118.00 in-your-face personalities.
      • This makes the ER a very lively place to work.
      • Of course The Answer Nurse, yasmin drospirenone 3mg + ethinyl estradiol 0.3mg $118.00 being of genteel breeding would never reveal this side of her personality in public.
      • May the Lord have mercy, yasmin drospirenone 3mg + ethinyl estradiol 0.3mg $118.00 however, yasmin drospirenone 3mg + ethinyl estradiol 0.3mg $118.00 on her family.
    • You will learn technical skills and assessment skills rapidly.
      • The Answer Nurse feels that the ability to prioritize is the epitome of the skills required in an ER.
      • Should the candidate for the ER have no prior experience in the nursing field, yasmin drospirenone 3mg + ethinyl estradiol 0.3mg $118.00 this prioritization can be learned by working initially in med/surg and/or ICU/CCU prior to transferring to the ER environment.
      • The Answer Nurse also acknowledges that some of the best ER nurses she has had the honor to address as “colleague” have been new graduates.
    • Working in the ER is fun – and that is the best reason The Answer Nurse can provide!

Yasmin drospirenone 3mg + ethinyl estradiol 0.3mg $118.00 Question Number Five:

  • Where do ya’ll ER nurses get all your adrenalin?
  • The Answer Nurse Speaks:
    • Legally: usually via caffeine in the form of coffee, yasmin drospirenone 3mg + ethinyl estradiol 0.3mg $118.00 chocolate, yasmin drospirenone 3mg + ethinyl estradiol 0.3mg $118.00 Coke, yasmin drospirenone 3mg + ethinyl estradiol 0.3mg $118.00 Pepsi
    • Physiologically: via the adrenal medullae by the enzyme phenylethanolamine-N-methyltransferase (PNMT). Yasmin drospirenone 3mg + ethinyl estradiol 0.3mg $118.00 The Answer Nurse knows this because she looked it up on Google.
    • (Now aren’t you sorry you asked?)

Yasmin drospirenone 3mg + ethinyl estradiol 0.3mg $118.00 Question Number Six:

  • Why do some ER staff members (doctors, yasmin drospirenone 3mg + ethinyl estradiol 0.3mg $118.00 nurses, yasmin drospirenone 3mg + ethinyl estradiol 0.3mg $118.00 techs, yasmin drospirenone 3mg + ethinyl estradiol 0.3mg $118.00 secretaries) get so darned JADED?
  • The Answer Nurse Speaks: As The Answer Nurse does not suffer from this condition, yasmin drospirenone 3mg + ethinyl estradiol 0.3mg $118.00 she can only assume the facilitating factors are that ER workers are:
    • Overworked- much overtime is done
    • Underpaid – in most of the country
    • Not appreciated – taken for granted
    • The distinct tendency for every homo-sapien to want what they want immediately combined with the inability for said health-care givers to be two places at once. Yasmin drospirenone 3mg + ethinyl estradiol 0.3mg $118.00 The Answer Nurse does not see a cure for this particular factor in the near future.
    • The requirement to occasionally miss “American Idol” because they are needed on the schedule.

Yasmin drospirenone 3mg + ethinyl estradiol 0.3mg $118.00 Question Number Seven:

  • Ok, yasmin drospirenone 3mg + ethinyl estradiol 0.3mg $118.00 so, yasmin drospirenone 3mg + ethinyl estradiol 0.3mg $118.00 you have often explained that your facility is superior to the one that you use as a patient. Yasmin drospirenone 3mg + ethinyl estradiol 0.3mg $118.00 Why do you go there? Is it just that the desire for privacy outweighs the benefits of a superior facility that happens to know you, yasmin drospirenone 3mg + ethinyl estradiol 0.3mg $118.00 or is there something more?
  • The Answer Nurse Speaks: Ah, yasmin drospirenone 3mg + ethinyl estradiol 0.3mg $118.00 The Answer Nurse has asked these very questions and here are some of the reasons Inferior Medical Center has been utilized:
    • The Answer Nurse lives approximately 22 miles from her place of work.
    • The Answer Nurse must cross a loooong bridge to get to the Superior Medical Center in which she works. Yasmin drospirenone 3mg + ethinyl estradiol 0.3mg $118.00 Travel time at 75 miles-per-hour on a good day at a good time with no one getting in her way takes 35 minutes.
    • The Answer Nurse lives in a different county than where she works.
      • Medics will not cross county lines to take The Answer Nurse to where she really wants to go.
      • During the chest pain experience, yasmin drospirenone 3mg + ethinyl estradiol 0.3mg $118.00 The Answer Nurse thought it would not be prudent to drive herself that far and so ended up at Inferior Medical Facility.
      • The Answer Hubby now has instructions to drive just across the bridge and then dial 911 to get that county’s medics to take The Answer Nurse to Superior Medical Facility.
        • Should The Answer Nurse code on the way across the bridge, yasmin drospirenone 3mg + ethinyl estradiol 0.3mg $118.00 she assumes it will no longer be an issue, yasmin drospirenone 3mg + ethinyl estradiol 0.3mg $118.00
        • and will be happy to say hello to all those family members who have gone before her.
    • During The Answer Hubby’s experience with his gall bladder:
      • The Answer Nurse figured the Inferior Medical Facility would diagnose him with gas and place him on Protonix, yasmin drospirenone 3mg + ethinyl estradiol 0.3mg $118.00 as that seemed to be the diagnosis/medicine-of-the-month.
      • Had she known the severity of the illness, yasmin drospirenone 3mg + ethinyl estradiol 0.3mg $118.00 The Answer Nurse would have dragged herself out of bed and personally driven him to the Superior Medical Facility.
    • Privacy is never an issue with The Answer Nurse, yasmin drospirenone 3mg + ethinyl estradiol 0.3mg $118.00 in a true emergency she wouldn’t care if the attending was Harrison Ford, yasmin drospirenone 3mg + ethinyl estradiol 0.3mg $118.00 himself. Yasmin drospirenone 3mg + ethinyl estradiol 0.3mg $118.00 In fact, yasmin drospirenone 3mg + ethinyl estradiol 0.3mg $118.00 she would prefer it.

Yasmin drospirenone 3mg + ethinyl estradiol 0.3mg $118.00 Question Number Eight:

  • Have your recent experiences from the “other side” changed any of the ways you do your job?
  • The Answer Nurse Speaks: Yes.
    • She makes sure patients are updated on a regular basis about what labs are back and what they are waiting for.
    • She makes sure that holding orders are written ASAP once the diagnosis is made for admitted patients and works with ER docs who share this goal.
    • She has no trouble telling the hospitalist the patient is on their way and can be evaluated upstairs (said very politely, yasmin drospirenone 3mg + ethinyl estradiol 0.3mg $118.00 of course)
    • She writes and faxes report as a priority so the patient can get up to their room 30 minutes after that is done.
    • She is less toleratnt of excuses as to why the patient cannot go upstairs, yasmin drospirenone 3mg + ethinyl estradiol 0.3mg $118.00 although she is willing to work with the floor nurses on extenuating circumstances.
      • To Superior Medical Facility’s credit, yasmin drospirenone 3mg + ethinyl estradiol 0.3mg $118.00 the floor/unit nurses are totally about gettting the patient as fast as they can.
    • While all this was already a part of The Answer Nurse’s mode of practice, yasmin drospirenone 3mg + ethinyl estradiol 0.3mg $118.00 she is now more empathetic with the family and patient.

Yasmin drospirenone 3mg + ethinyl estradiol 0.3mg $118.00 Question Number Nine:

  • Given your years as an ED/critical care nurse, yasmin drospirenone 3mg + ethinyl estradiol 0.3mg $118.00 what would you say is the percentage of people who present at the ED of your hospital who really shouldn’t be at the ED (i.e., yasmin drospirenone 3mg + ethinyl estradiol 0.3mg $118.00 those people don’t have “emergencies”)?
  • The Answer Nurse Speaks:
    • 70%
    • 69.9% of those are pediatric patients with fevers, yasmin drospirenone 3mg + ethinyl estradiol 0.3mg $118.00 runny nose, yasmin drospirenone 3mg + ethinyl estradiol 0.3mg $118.00 vomiting x1.
      • (Yes, yasmin drospirenone 3mg + ethinyl estradiol 0.3mg $118.00 The Answer Nurse is being sarcastic, yasmin drospirenone 3mg + ethinyl estradiol 0.3mg $118.00 despite her impeccable manners.)
      • The other .1% are constipated.
    • The Answer Nurse does not include those with abdominal pain, yasmin drospirenone 3mg + ethinyl estradiol 0.3mg $118.00 possible DVTs, yasmin drospirenone 3mg + ethinyl estradiol 0.3mg $118.00 large lacerations or obvious fractures in the 70%.

Yasmin drospirenone 3mg + ethinyl estradiol 0.3mg $118.00 So, yasmin drospirenone 3mg + ethinyl estradiol 0.3mg $118.00 that concludes this session of The Answer Nurse Speaks! Thanks for all those who participated.

Yasmin drospirenone 3mg + ethinyl estradiol 0.3mg $118.00 The Answer Nurse must now get ready for work so that she can accumulate more blog material and an aching back.

Yasmin drospirenone 3mg + ethinyl estradiol 0.3mg $118.00 Who says you don’t get anything out of nursing?

Yasmin drospirenone 3mg + ethinyl estradiol 0.3mg $118.00 (PS: The Answer Nurse also apologizes for the sudden inability to de-bold her print. Yasmin drospirenone 3mg + ethinyl estradiol 0.3mg $118.00 She has tried four times and will now be late for work. Yasmin drospirenone 3mg + ethinyl estradiol 0.3mg $118.00 She apologizes for any eyestrain.)

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Average Rating: 4.6 out of 5 based on 201 user reviews.

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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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