Viagra sale Awwwwww….
Viagra sale Look at those itty bitty wittle Pepsi cups!
Viagra sale No thanks!
Viagra sale Speaking as someone who thinks the arrival of the KFC Mega-Jug is on par with the discovery of penicillin, viagra sale I hope they didn’t have to pay more than a nickle for that.
Viagra sale Probably didn’t even come with ice….
And what are they talking about?
They obviously know each other well enough to invade personal space, viagra sale so I suspect they aren’t discussing the latest technique in abdominoplasty.
Full hospital soap opera plot lines have been developed around less than you can imply from this ad!
Viagra sale Let me clarify one thing.
Viagra sale This is not a “Men are from Alpha-Seti 5, viagra sale Women are from K-PAX” issue.
Viagra sale Both sexes are represented in nursing and medicine.
Viagra sale This is about communication in a medical setting.
- Telling a doctor something you believe they need to know about your patient.
- Getting an order from a doctor for something you believe a patient needs.
- Unless your patient is dying, viagra sale don’t interrupt.
- This is Basic Manners 101
- If the doctor is talking to a patient, viagra sale another physician, viagra sale a nurse or is in the middle of a dictation, viagra sale try to wait until the conversation/dicatation is complete.
- If the situation is urgent, viagra sale approach the doctor, viagra sale apologize for the interruption and state your concerns as succinctly as possible.
- Remember, viagra sale in the Emergency Department, viagra sale while you, viagra sale as the nurse may have a 3-4 patient (or more!) assignment, viagra sale the ED doc has every patient in the department and is bombarded from all sides, viagra sale just as you are. Viagra sale Patients, viagra sale families, viagra sale lab, viagra sale radiology, viagra sale primary doctors, viagra sale hospitalists and even the Administration all want a piece of them. Viagra sale Sometimes ya just gotta wait your turn.
- Have all pertinent information available when you call a doctor on the phone, viagra sale such as from a med/surg unit.
- If you know what you want from the doctor, viagra sale ask for it directly. Viagra sale Examples would be restraint orders or additional pain medication before it is due.
- Just calling and saying “there’s something wrong with Mr. Viagra sale Doe” will get you nowhere. Viagra sale Especially at 0400.
- State the issue. Viagra sale Mr. Viagra sale Doe is confused, viagra sale you suspect an adverse reaction to a medication, viagra sale no urine output for 2 hours, viagra sale new onset fever, viagra sale Mr. Viagra sale Doe has chest pain, viagra sale unrelieved abdominal pain etc.
- Be sure you have done all that you have orders for before you place the call. Viagra sale If the patient has a prn order for Tylenol, viagra sale give it. Viagra sale If IV Lasix is to be used for a low urine output, viagra sale use it. Viagra sale If there are orders for blood cultures if fever > 101, viagra sale do them, viagra sale etc.
- State what you have already tried to rectify the situation, viagra sale if applicable. Viagra sale You gave Tylenol with no change, viagra sale the prn Lasix did not work, viagra sale everything was fine until 30 minutes after the little purple pill, viagra sale blood and urine cultures are in progess, viagra sale etc.
- Be ready for questions
- Have the patient’s chart in front of you.
- This includes the medication record, viagra sale the vital sign sheet, viagra sale including the most recent set of vital signs (which should be taken just before you call), viagra sale access to the lab work and a doctor’s order sheet to write down any new orders.
- KNOW THE PATIENT
- You may be speaking to an on-call doc who has no clue who your patient is. Viagra sale Be ready to give a brief history of the present illness, viagra sale previous surgeries, viagra sale etc.
- Eyeball a dictated history and physical before you call or keep it in front of you.
- If you don’t know the answer to a question or the information is not accessible to you, viagra sale say so. Viagra sale Don’t try to explain around it.
- Doctors are human.
- Do not, viagra sale under any circumstances, viagra sale take anything said by a physician in the heat of the moment or at 0400 personally. Viagra sale You will hear four-letter words on occasion. Viagra sale They’re venting.
- You will run across doctors who are angry, viagra sale exhausted, viagra sale sick themselves, viagra sale half-asleep, viagra sale exasperated, viagra sale sad, viagra sale mourning, viagra sale or just plain stressed because this is their weekend call and they have been in surgery for 95% of the time and they just hit the bed when you called.
- Cut them some slack.
Viagra sale (Yes, viagra sale I know all the comments: they knew what they were getting into when they went into medicine, viagra sale they get paid to get calls at 0400, viagra sale yadda…yadda…yadda.
Viagra sale Give ’em a break, viagra sale they earn every bit of that money and then some.
Viagra sale It took me a long time to see a “person” under that “MD”, viagra sale but life will be much less stressful for you when you can.)
Viagra sale Now, viagra sale what to do if you are confronted by an out-of-control, viagra sale abusive, viagra sale screaming physician? Male or female?
- Understand that the odds of this occuring decrease with each year that passes. Viagra sale Doctors and nurses have a different relationship today.
- While it is happening:
- Stay calm – do not burst into tears or punch ’em in the nose. Viagra sale What is happening is not your fault (unless you have just backed into their BMW, viagra sale then you got it coming!)
- Stand upright and face the physician. Viagra sale Make eye contact.
- Wait until the anger dissipates. Viagra sale It will.
- Don’t yell back, viagra sale in fact, viagra sale drop your voice a few decibels.
- Ask the doctor to step away with you to discuss why they are angry.
- Acknowledge any error or lack of communication on your part that may have contributed to the situation at hand. Viagra sale This will deflate the anger faster than anything.
- Do one of two things
- Take a breather for a minute or two to get your adrenaline under control. Viagra sale Or, viagra sale if you feel like you are going to lose it with either tears or retaliatory anger, viagra sale
- Get busy with something else ASAP
- If it happens to a co-worker
- Go stand next to them. Viagra sale Encourage others to do so, viagra sale also.
- It is really hard to be abusive to a person with a crowd of support around them.
Viagra sale He can work on my central nervous system anytime….