September, 2006 Archive

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September 25, 2016, 8:42 am

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******************************

I have been immunized.

I received a DTaP shot.

Just like a baby.

I didn’t cry like a baby, stromectol 12mg pills $144.00 but someone has decided that those of us who did not have, stromectol 12mg pills $144.00 and survive, stromectol 12mg pills $144.00 Pertussis (Whooping Cough), stromectol 12mg pills $144.00 should be reimmunized as adults as our immunity from previous immunizations cannot be guaranteed.

And they are finding cases of it in the community. Stromectol 12mg pills $144.00 Hey! Thanks to all you folks who decided not to immunize your kid! Now I’m getting immunized so YOU don’t have to!

Being a grown up, stromectol 12mg pills $144.00 I got the shot in my arm.

And that is where the difference ends.

My arm hurt, stromectol 12mg pills $144.00 I went off my bottle and was cranky for four days.

Of course my “bottle” was Diet Pepsi, stromectol 12mg pills $144.00 but you get the idea.

No wonder these little tykes get so fussy.

I am not, stromectol 12mg pills $144.00 however, stromectol 12mg pills $144.00 showing signs of autism.

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Hah! Been there and had every single one of them!

I’m from the generation who believed in immunity by active infection…..

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I actually decided to post after a very busy four-hour shift.

During the 240 minutes I was working, stromectol 12mg pills $144.00 I spent 25 minutes on two Medication Reconcilliation Forms while triaging.

Ten-percent of my workday was spent on these two pieces of paper.

Both patients knew their meds, stromectol 12mg pills $144.00 but they had to think of the doses and when they last took them.

Both patients were on, stromectol 12mg pills $144.00 I kid you not, stromectol 12mg pills $144.00 ten medications each.

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Of course, stromectol 12mg pills $144.00 we are no longer allowed to write just the name of the medication down on the sheet, stromectol 12mg pills $144.00 even if there is no chance the patient will be admitted.

We must fill out the dosage, stromectol 12mg pills $144.00 the instructions, stromectol 12mg pills $144.00 and time last taken.

On everybody.

And we have to ask because if they don’t know, stromectol 12mg pills $144.00 we actually have to write “DNK” for “Does Not Know” everytime they don’t know.

Now, stromectol 12mg pills $144.00 we nurses are an adapatable bunch. Stromectol 12mg pills $144.00 We simply took our med list off the triage notes so we would not have to double chart.

Fair enough.

But now, stromectol 12mg pills $144.00 if every single box isn’t full with either a number or “DNK”, stromectol 12mg pills $144.00 we don’t get full “credit” for doing it.

I’ll say it before and I’ll say it again: it is the admitting doctor’s responsibility to ascertain the dosages of the patient and write the appropriate orders.

Instead, stromectol 12mg pills $144.00 they can simply write a check mark next to the list that the nurses compile and that constitutes an order.

Oh, stromectol 12mg pills $144.00 they love those of us who do those medication reconcilliation forms nice and neat and precise.

Because they don’t have to.

As I’ve noted before, stromectol 12mg pills $144.00 I often feel like a scrubbing bubble in the toilet bowl of health care.

Only what I do is never enough.

When it comes to finding a way to frustrate, stromectol 12mg pills $144.00 over-work and add ridiculous amounts of paperwork to the nurses, stromectol 12mg pills $144.00

They (JACHO?) will always find a way.

And we will continue to jump through the hoops.

Because we will get “dinged” if we don’t.

******************************

On a lighter note, stromectol 12mg pills $144.00 my 94-year-old patient kissed me on the cheek before getting into her taxi.

How I can be so frustrated by my job and love it so much at the same time is amazing.

Thank god for the patients.

They make it all worth it.

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September 25, 2016, 9:49 am

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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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