September, 2006 Archive

July 1, 2016, 6:15 pm

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July 1, 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, women's health dostinex 0.5mg pills (generic) $395.00 but someone has decided that those of us who did not have, women's health dostinex 0.5mg pills (generic) $395.00 and survive, women's health dostinex 0.5mg pills (generic) $395.00 Pertussis (Whooping Cough), women's health dostinex 0.5mg pills (generic) $395.00 should be reimmunized as adults as our immunity from previous immunizations cannot be guaranteed.

And they are finding cases of it in the community. Women's health dostinex 0.5mg pills (generic) $395.00 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, women's health dostinex 0.5mg pills (generic) $395.00 I got the shot in my arm.

And that is where the difference ends.

My arm hurt, women's health dostinex 0.5mg pills (generic) $395.00 I went off my bottle and was cranky for four days.

Of course my “bottle” was Diet Pepsi, women's health dostinex 0.5mg pills (generic) $395.00 but you get the idea.

No wonder these little tykes get so fussy.

I am not, women's health dostinex 0.5mg pills (generic) $395.00 however, women's health dostinex 0.5mg pills (generic) $395.00 showing signs of autism.

Oh…wait, women's health dostinex 0.5mg pills (generic) $395.00 wasn’t that the MMR?

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, women's health dostinex 0.5mg pills (generic) $395.00 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, women's health dostinex 0.5mg pills (generic) $395.00 but they had to think of the doses and when they last took them.

Both patients were on, women's health dostinex 0.5mg pills (generic) $395.00 I kid you not, women's health dostinex 0.5mg pills (generic) $395.00 ten medications each.

And of course every medication came with an explanation. Women's health dostinex 0.5mg pills (generic) $395.00 It’s not like Sgt. Women's health dostinex 0.5mg pills (generic) $395.00 Friday on Dragnet. Women's health dostinex 0.5mg pills (generic) $395.00 The questioning is succinct, women's health dostinex 0.5mg pills (generic) $395.00 but the answers aren’t.

Of course, women's health dostinex 0.5mg pills (generic) $395.00 we are no longer allowed to write just the name of the medication down on the sheet, women's health dostinex 0.5mg pills (generic) $395.00 even if there is no chance the patient will be admitted.

We must fill out the dosage, women's health dostinex 0.5mg pills (generic) $395.00 the instructions, women's health dostinex 0.5mg pills (generic) $395.00 and time last taken.

On everybody.

And we have to ask because if they don’t know, women's health dostinex 0.5mg pills (generic) $395.00 we actually have to write “DNK” for “Does Not Know” everytime they don’t know.

Now, women's health dostinex 0.5mg pills (generic) $395.00 we nurses are an adapatable bunch. Women's health dostinex 0.5mg pills (generic) $395.00 We simply took our med list off the triage notes so we would not have to double chart.

Fair enough.

But now, women's health dostinex 0.5mg pills (generic) $395.00 if every single box isn’t full with either a number or “DNK”, women's health dostinex 0.5mg pills (generic) $395.00 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, women's health dostinex 0.5mg pills (generic) $395.00 they can simply write a check mark next to the list that the nurses compile and that constitutes an order.

Oh, women's health dostinex 0.5mg pills (generic) $395.00 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, women's health dostinex 0.5mg pills (generic) $395.00 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, women's health dostinex 0.5mg pills (generic) $395.00 over-work and add ridiculous amounts of paperwork to the nurses, women's health dostinex 0.5mg pills (generic) $395.00

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.

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On a lighter note, women's health dostinex 0.5mg pills (generic) $395.00 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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July 1, 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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