September, 2006 Archive

July 25, 2016, 6:15 pm

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Motrin 400mg pills $138.00 Yes, motrin 400mg pills $138.00 due to the vagary in my routine caused by two twelve-hour night shifts in a row, motrin 400mg pills $138.00 I missed the Irish turning down the heat on the Boilermakers from Purdue.

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While her loyal sons are marching
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Motrin 400mg pills $138.00 Gee, motrin 400mg pills $138.00 maybe I’ll go have a Boilermaker (the alcoholic kind) after work tomorrow morning in celebration……

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July 25, 2016, 8:42 am

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Topamax 25mg pills $114.00 Tomorrow?

Topamax 25mg pills $114.00 Then why on earth is this guy having his surgery today?

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Topamax 25mg pills $114.00 Either that or there’s a buffet lunch on that gurney and everyone is standing at the table to partake of the dry croissant sandwhiches, topamax 25mg pills $114.00 wilted lettuce with french dressing, topamax 25mg pills $114.00 bottled water and dry chocolate chip cookies.

Topamax 25mg pills $114.00 Hey, topamax 25mg pills $114.00 that’s what nurses get for a sponsored lunch!

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

I have been immunized.

I received a DTaP shot.

Just like a baby.

I didn’t cry like a baby, topamax 25mg pills $114.00 but someone has decided that those of us who did not have, topamax 25mg pills $114.00 and survive, topamax 25mg pills $114.00 Pertussis (Whooping Cough), topamax 25mg pills $114.00 should be reimmunized as adults as our immunity from previous immunizations cannot be guaranteed.

And they are finding cases of it in the community. Topamax 25mg pills $114.00 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, topamax 25mg pills $114.00 I got the shot in my arm.

And that is where the difference ends.

My arm hurt, topamax 25mg pills $114.00 I went off my bottle and was cranky for four days.

Of course my “bottle” was Diet Pepsi, topamax 25mg pills $114.00 but you get the idea.

No wonder these little tykes get so fussy.

I am not, topamax 25mg pills $114.00 however, topamax 25mg pills $114.00 showing signs of autism.

Oh…wait, topamax 25mg pills $114.00 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…..

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

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

During the 240 minutes I was working, topamax 25mg pills $114.00 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, topamax 25mg pills $114.00 but they had to think of the doses and when they last took them.

Both patients were on, topamax 25mg pills $114.00 I kid you not, topamax 25mg pills $114.00 ten medications each.

And of course every medication came with an explanation. Topamax 25mg pills $114.00 It’s not like Sgt. Topamax 25mg pills $114.00 Friday on Dragnet. Topamax 25mg pills $114.00 The questioning is succinct, topamax 25mg pills $114.00 but the answers aren’t.

Of course, topamax 25mg pills $114.00 we are no longer allowed to write just the name of the medication down on the sheet, topamax 25mg pills $114.00 even if there is no chance the patient will be admitted.

We must fill out the dosage, topamax 25mg pills $114.00 the instructions, topamax 25mg pills $114.00 and time last taken.

On everybody.

And we have to ask because if they don’t know, topamax 25mg pills $114.00 we actually have to write “DNK” for “Does Not Know” everytime they don’t know.

Now, topamax 25mg pills $114.00 we nurses are an adapatable bunch. Topamax 25mg pills $114.00 We simply took our med list off the triage notes so we would not have to double chart.

Fair enough.

But now, topamax 25mg pills $114.00 if every single box isn’t full with either a number or “DNK”, topamax 25mg pills $114.00 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, topamax 25mg pills $114.00 they can simply write a check mark next to the list that the nurses compile and that constitutes an order.

Oh, topamax 25mg pills $114.00 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, topamax 25mg pills $114.00 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, topamax 25mg pills $114.00 over-work and add ridiculous amounts of paperwork to the nurses, topamax 25mg pills $114.00

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, topamax 25mg pills $114.00 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 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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