September 26, 2016, 8:42 am

Viagra 50 Mg Tablets

Viagra 50 mg tablets or

Viagra 50 mg tablets A better chance to live….

Viagra 50 mg tablets Tomorrow?

Viagra 50 mg tablets Then why on earth is this guy having his surgery today?

Viagra 50 mg tablets And the ad is for Electric Furnace Steel!

Viagra 50 mg tablets What? Are they going to melt him?

Viagra 50 mg tablets It looks like he was abducted by aliens and their resident Scotty is ready to beam him up!

Viagra 50 mg tablets 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, viagra 50 mg tablets wilted lettuce with french dressing, viagra 50 mg tablets bottled water and dry chocolate chip cookies.

Viagra 50 mg tablets Hey, viagra 50 mg tablets that’s what nurses get for a sponsored lunch!

Viagra 50 mg tablets Paid for, viagra 50 mg tablets of course, viagra 50 mg tablets by the Electric Furnace Steel sales rep!

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

I have been immunized.

I received a DTaP shot.

Just like a baby.

I didn’t cry like a baby, viagra 50 mg tablets but someone has decided that those of us who did not have, viagra 50 mg tablets and survive, viagra 50 mg tablets Pertussis (Whooping Cough), viagra 50 mg tablets should be reimmunized as adults as our immunity from previous immunizations cannot be guaranteed.

And they are finding cases of it in the community. Viagra 50 mg tablets 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, viagra 50 mg tablets I got the shot in my arm.

And that is where the difference ends.

My arm hurt, viagra 50 mg tablets I went off my bottle and was cranky for four days.

Of course my “bottle” was Diet Pepsi, viagra 50 mg tablets but you get the idea.

No wonder these little tykes get so fussy.

I am not, viagra 50 mg tablets however, viagra 50 mg tablets showing signs of autism.

Oh…wait, viagra 50 mg tablets 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, viagra 50 mg tablets 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, viagra 50 mg tablets but they had to think of the doses and when they last took them.

Both patients were on, viagra 50 mg tablets I kid you not, viagra 50 mg tablets ten medications each.

And of course every medication came with an explanation. Viagra 50 mg tablets It’s not like Sgt. Viagra 50 mg tablets Friday on Dragnet. Viagra 50 mg tablets The questioning is succinct, viagra 50 mg tablets but the answers aren’t.

Of course, viagra 50 mg tablets we are no longer allowed to write just the name of the medication down on the sheet, viagra 50 mg tablets even if there is no chance the patient will be admitted.

We must fill out the dosage, viagra 50 mg tablets the instructions, viagra 50 mg tablets and time last taken.

On everybody.

And we have to ask because if they don’t know, viagra 50 mg tablets we actually have to write “DNK” for “Does Not Know” everytime they don’t know.

Now, viagra 50 mg tablets we nurses are an adapatable bunch. Viagra 50 mg tablets We simply took our med list off the triage notes so we would not have to double chart.

Fair enough.

But now, viagra 50 mg tablets if every single box isn’t full with either a number or “DNK”, viagra 50 mg tablets 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, viagra 50 mg tablets they can simply write a check mark next to the list that the nurses compile and that constitutes an order.

Oh, viagra 50 mg tablets 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, viagra 50 mg tablets 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, viagra 50 mg tablets over-work and add ridiculous amounts of paperwork to the nurses, viagra 50 mg tablets

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, viagra 50 mg tablets 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.

Average Rating: 4.5 out of 5 based on 233 user reviews.

12 Comments

  • Kelly
    Kelly

    September 29, 2006 at 2:09 pm

    There’s still a generation that believes in active infection……

    And I’m pretty sure they’re the ones who’s DTaP shot didn’t do any good when whooping cough came around.

    I could be wrong though.


  • Peggy
    Peggy

    September 29, 2006 at 2:55 pm

    Parents who are not getting vaccinations for their children should have to watch videos of babies slowly strangling to death with whooping cough. So many parents watched their own babes dying in such a horrific way….until the vaccines. My mother and aunts were R.N.s and made themselves available any time to give vaccinations for anyone who asked. That, of course, was ‘back when’. I wonder if nurses still can do that for neighbors?


  • Mel
    Mel

    September 29, 2006 at 4:16 pm

    I have an autistic kid. He has Asperger’s Syndrome. I blame it on his genes because I’m a pretty classic case myself, except I’m a girl. I don’t blame it on his MMR vaccine because AS was described in children long before there was such a thing, but even if I did believe it was caused by the vaccine, I’d rather have a really smart, great kid with AS than a kid dead of a preventable disease.


  • Sid Schwab
    Sid Schwab

    September 29, 2006 at 8:09 pm

    It’s all about the chart. Long as the boxes are checked, nothing else matters


  • Julie
    Julie

    September 29, 2006 at 10:08 pm

    …a scrubbing bubble in the toilet bowl of healthcare I love it! And amen to everything you have said. Med recs. Bleh. 🙂
    Hoping you have an enjoyable weekend. On the bottle. heh heh


  • Alice
    Alice

    September 29, 2006 at 10:09 pm

    Do you actually fill in all that stuff? The nurses here just fill in as much as they can get readily. The “last taken” (which is a really dumb and unnecessary question; for the few patients for whom it matters, it won’t hurt the doctors to ask) is usually blank, and the dosage doesn’t always make it on, and no one bothers to write “DNK.” Try slacking off a bit; I bet JCAHO is too bored by their own forms to notice particularly. Our hospital is surviving, so far. 🙂


  • Candy
    Candy

    September 30, 2006 at 7:58 am

    My guess is that SMF requires the form to be filled out as a CYA move…and to keep the docs happy.

    I wish there were more moms like Mel out there who understand prevention and the horrible end result when preventive measures are ignored — or outright avoided.


  • Annemiek
    Annemiek

    September 30, 2006 at 3:28 pm

    We are not allowed to fill in DNK, but have to find other ways of getting the dosages and names of the drugs; calling the patient’s pharmacy or MD office if we have to. Way too much time consuming. Thanks JCAHO.


  • Azygos
    Azygos

    September 30, 2006 at 3:43 pm

    I’m guessing you actually got the Tdap (reduced dose) as a childs dose of the D and P componet could make an adult ill. When I worked in family practice I would always look for cuts and scrapes on my patients just so I could get them a Td that was paid for by the insurance company.


  • Jo
    Jo

    October 1, 2006 at 12:15 pm

    I got a DTAP during a fingerstick a couple of years ago. No harm, no foul.
    Someone’s gotta do it.
    I think it’s weird though that I haven’t met a kid with Chicken pox in over 15 years.
    Maybe those things do work.


  • Tatiana, RN
    Tatiana, RN

    October 2, 2006 at 7:34 am

    I prefer the patients who come in with 2 bags of medications in tow. Full info on the bottle label. Then you have to sort through the medications they are taking and no longer taking becuase they cleaned out the entire medication cabinet.


  • Bridget Corcoran
    Bridget Corcoran

    December 19, 2006 at 10:10 am

    Hey, I just found this, I love it. I am also a RN with 28 (this year) years experiance. Did Newborn ICU, Adult ICU, ER, and peds tele advice. This is so funny about the immunizations. Isn’t so right about those not getting imm, and that we get to suffer. I found this by looking for med reconcilliation site. we are starting this at a clinic, but did this before in our ER and ICU. What a mess!! How to take a 20 min job, and expand it to 1 hour/per patient. Well keep up the good work. Bridget


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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