November, 2006 Archive

September 25, 2016, 2:14 am

Vermox 100mg Pills $82.00

Vermox 100mg pills $82.00 patI would love to tell you that the title of this post is an inspiring story about a patient or a nurse.

Vermox 100mg pills $82.00 It isn’t.

Vermox 100mg pills $82.00 A classic story of redemption set in an emergency department and written by yours truly.

Vermox 100mg pills $82.00 In my dreams.

Vermox 100mg pills $82.00 Instead it is a book of many stories. Vermox 100mg pills $82.00 Stories that will have you howling with laughter and heaving with sobs.

Vermox 100mg pills $82.00 In the same paragraph.

Vermox 100mg pills $82.00 My copy isn’t autographed, vermox 100mg pills $82.00 but that’s okay. Vermox 100mg pills $82.00 The author is invited to my house for Christmas dinner.

Vermox 100mg pills $82.00 You see, vermox 100mg pills $82.00 Running Into the Arms of God was written by my brother-in-law.

*****

Vermox 100mg pills $82.00 Don’t tell Pat, vermox 100mg pills $82.00 but I read this book for the first time tonight.

Vermox 100mg pills $82.00 Through hilarious stories of growing up in a family of nine kids (my hubby makes more than one appearance) and poignant stories of people whose lives he has crossed, vermox 100mg pills $82.00 Pat makes the case for “stories of prayer/prayer as story” but you will come away with so much more.

Vermox 100mg pills $82.00 We pray without uttering a single sound or a word.

Vermox 100mg pills $82.00 Prayer is in a father’s kiss, vermox 100mg pills $82.00 a glazed donut and the San Francisco skyline.

Vermox 100mg pills $82.00 Prayer is in a tough kid’s smile, vermox 100mg pills $82.00 a baseball championship and the mysteriously decreasing height of a bench in India!

*****

Vermox 100mg pills $82.00 Although not a book about nursing, vermox 100mg pills $82.00 after you read it you will never practice nursing the same again.

Vermox 100mg pills $82.00 You’ll care for the homeless and underneath the stench and grime you will see God.

Vermox 100mg pills $82.00 You will never sit with a dying patient without noting that “…the line that seemingly separates life from death, vermox 100mg pills $82.00 despair from hope, vermox 100mg pills $82.00 suffering from joy” disappears before your very eyes.

Vermox 100mg pills $82.00 You’ll find a prayer in every hand you hold, vermox 100mg pills $82.00 every brow you wipe, vermox 100mg pills $82.00 every pain you ease and every cup of coffee you hand to a waiting family member.

Vermox 100mg pills $82.00 I’ve been praying for the last 28 years every time I crossed over the threshold of my hospital. Vermox 100mg pills $82.00 I knew my calling to nursing had a purpose. Vermox 100mg pills $82.00 I didn’t realize it was prayer.

Vermox 100mg pills $82.00 I realize it now.

Vermox 100mg pills $82.00 Do yourself a favor and buy yourself this book for Christmas. Vermox 100mg pills $82.00 You deserve it.

Vermox 100mg pills $82.00 You can find the icon for Running Into the Arms of God in the “middle” sidebar just below Blog Carnival.

*****

As a last note, vermox 100mg pills $82.00 I want you to know I can vouch for every single word of the family stories. Vermox 100mg pills $82.00 I’ve been a member of the Hannon family for as long as I’ve been nursing and they are just as charmingly nuts as they sound in the book.

You’ll laugh. Vermox 100mg pills $82.00 You’ll cry. Vermox 100mg pills $82.00 You’ll laugh so hard you’ll cry! And then you’ll wonder how any of them got out alive!

And yes, vermox 100mg pills $82.00 my mother-in-law was a saint. Vermox 100mg pills $82.00 She had to be!

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

Don’t forget!

Change of Shift goes live this Thursday with Mama Doc doing the hosting honors over at Fat Doctor!

You can send in submissions through Blog Carnival or to (the.fat.doctor at gmail dot com).

Average Rating: 5 out of 5 based on 241 user reviews.

Read »

September 25, 2016, 9:59 pm

Cefixime 100mg Pills $126.00

Norvasc 5mg pills $118.00 operationHere we have a classic picture of a surgery in progress.

Norvasc 5mg pills $118.00 Normal people see that.

Norvasc 5mg pills $118.00 Nothing out of the ordinary.

Norvasc 5mg pills $118.00 But first thing I thought when I saw the picture was:

Norvasc 5mg pills $118.00 “Now this patient is saving money by having her annual pap smear and her surgery at the same time!”

Norvasc 5mg pills $118.00 Well it does look like that, norvasc 5mg pills $118.00 you have to admit!

Norvasc 5mg pills $118.00 Now, norvasc 5mg pills $118.00 I know that is the anesthesiologist up there.

Norvasc 5mg pills $118.00 I’d say a nurse anesthetist but this happens to be from the 1950s and I’m not sure they had nurses in that role then.

Norvasc 5mg pills $118.00 But it just shows how warped my sense of humor has gotten after reading ads for a year-and-a-half.

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

It’s insidious.

You find that you are more exhausted after your shifts.

(And you weren’t that busy).

You stop just being happy that you have the next day off.

(And you start praying that today will be over soon).

*****

You find it harder to deal with challenging patients.

You find it very hard to deal with challenging doctors.

Your blood pressure rises just thinking of the last “incident” you had with a physician and you begin to get a headache.

(The “incident” was four months ago).

You are less able to tolerate the idiosyncrasies of your colleagues. Norvasc 5mg pills $118.00 Your first response is to snap at them, norvasc 5mg pills $118.00 only to catch yourself at the last minute and respond appropriately.

(And all they did was ask for help).

*****

Every memo from management feels like an insult.

It seems like you can never do enough..

Nothing that you do accomplish is ever good enough.

You find the game playing and politics of the job tiresome.

Norvasc 5mg pills $118.00 You start dreading having to go to work.

At first it starts an hour before. Norvasc 5mg pills $118.00 Then two. Norvasc 5mg pills $118.00 Then the night before.

And eventually you leave one shift dreading the time you have to return for the next one.

*****

You feel you are “on stage” for eight solid hours playing the part of a nurse.

You smile so hard for so long your face hurts.

You resent everyone. Norvasc 5mg pills $118.00 The doctors. Norvasc 5mg pills $118.00 Your colleagues. Norvasc 5mg pills $118.00 Your manager. Norvasc 5mg pills $118.00 Your patients.

The point comes when you snap. Norvasc 5mg pills $118.00 You can’t play the role any longer.

(You don’t have a choice.)

Depression follows.

You have to take medication just to get to the point that you can put on those damn scrubs and put one foot in front of the other.

(A commercial for “ER” makes you physically sick).

You spend the majority of your time off sleeping. Norvasc 5mg pills $118.00 Your family suffers as apathy and anhedonia infuse every aspect of your life.

You can’t quit. Norvasc 5mg pills $118.00 You’re trapped. Norvasc 5mg pills $118.00 You need the money. Norvasc 5mg pills $118.00 You have to have the benefits. Norvasc 5mg pills $118.00 You desperately look for something outside of nursing to cling to, norvasc 5mg pills $118.00 something else you can do for a living.

But… you aren’t educated to do anything else and besides, norvasc 5mg pills $118.00 every other job you consider just pays minimum wage and you can’t support your family.

Norvasc 5mg pills $118.00 Soon you feel numb. Norvasc 5mg pills $118.00 The energy you no longer have is spent on lifting your five ton body out of bed.

You have nothing left to give. Norvasc 5mg pills $118.00 You have been sucked dry.

You are burned out.

*****

Not a pretty picture, norvasc 5mg pills $118.00 is it?

I’ve been there and I’m living proof that it is possible to bounce back from the depths of burn out.

But occasionally I find myself at the top of the downslope that leads to burn out only now it doesn’t result in a free-fall.

Why?

I know how it starts and I’ve learned from experience that the best way to keep yourself from burning out is to recognize it at the beginning and take steps to stop it.

Norvasc 5mg pills $118.00 So, norvasc 5mg pills $118.00 from the horse’s mouth here’s some hard-earned advice.

  • Do not work one day more than you need to work to pay your bills and live the lifestyle you are willing to maintain.
    • Picking up the extra day here and there to help with a sick call is fine.
    • Scheduling yourself for 24 extra hours a pay period for the next three months is just plain stupid and you are asking for trouble. Norvasc 5mg pills $118.00 Trust me on this one. Norvasc 5mg pills $118.00 I know what I am talking about.
  • Take as much control over your schedule as you can.
    • If you can’t do twelve hours because you feel like a quarterback who has been sacked fifty times by the end of the shift, norvasc 5mg pills $118.00 then don’t do twelve hours!
    • Do not schedule yourself for long stretches without a day off. Norvasc 5mg pills $118.00 Define for yourself what you consider a “long stretch”. Norvasc 5mg pills $118.00 LISTEN to your body. Norvasc 5mg pills $118.00 If you are doing five twelve-hour shifts in a row you are asking for the toaster.
    • To the best of your ability try and get on a regular schedule. Norvasc 5mg pills $118.00 Your body will be more resilient if you keep to a regular routine of work, norvasc 5mg pills $118.00 exercise and nutrition.
  • If you can’t beat ’em, norvasc 5mg pills $118.00 join ’em.
    • Management is not going to listen to you when you say, norvasc 5mg pills $118.00 for example, norvasc 5mg pills $118.00 that they are pushing you to the limit with paperwork. Norvasc 5mg pills $118.00 They don’t care. Norvasc 5mg pills $118.00 The more you understand that, norvasc 5mg pills $118.00 the better off you will be. Norvasc 5mg pills $118.00 They are required to produce a flood of paperwork to prove that work is being done. Norvasc 5mg pills $118.00 You, norvasc 5mg pills $118.00 the nurse, norvasc 5mg pills $118.00 are the bucket at the end of the waterfall made up of “regulations”. Norvasc 5mg pills $118.00 You catch it all.
    • Get involved.
      • For example: you may not like the fact that you now have to write a written report on every patient you transfer but you sure as hell can have a say in what the transfer form looks like.
        • Don’t just gripe. Norvasc 5mg pills $118.00 Come up with an alternative.
        • Join the committee to formulate the document, norvasc 5mg pills $118.00 or at least give constructive feedback to the committee members who are working on it. Norvasc 5mg pills $118.00 You will feel empowered and that helps keep burn out at bay.
  • Consider a change of scenery
    • You don’t have to stay at the same hospital or job from graduation to retirement and while that may be anathema to the older generation, norvasc 5mg pills $118.00 I know for a fact working in a variety of institutions gives you broader experience.
    • Look at other areas of nursing that interest you. Norvasc 5mg pills $118.00 Always been interested in neonatal nursing, norvasc 5mg pills $118.00 for example? Does a hospital in your area offer a preceptorship? Is your own facility willing to train you in another area?
    • Consider transfering to a different floor or a different unit if you no longer find your current position palatable. Norvasc 5mg pills $118.00 Take the ER, norvasc 5mg pills $118.00 since that is what I am familiar with: one ER can be a fantastic place to work and another five miles down the road can be the personification of hell. Norvasc 5mg pills $118.00 Do your homework.

Norvasc 5mg pills $118.00 Once you realize that you are in the acute stages of burn out and you are pretty sure it has become a chronic problem:

  • Keep your mouth shut!
    • No body cares that you are burning out. Norvasc 5mg pills $118.00 Trust me again, norvasc 5mg pills $118.00 no one cares!
      • Your manager will listen, norvasc 5mg pills $118.00 but don’t expect any slack.
      • All that management cares about, norvasc 5mg pills $118.00 and your co-workers too, norvasc 5mg pills $118.00 for that matter is that you show up for work, norvasc 5mg pills $118.00 do your job and do it well.
    • You are a professional. Norvasc 5mg pills $118.00 Your manager and your co-workers are your colleagues, norvasc 5mg pills $118.00 NOT your therapists. Norvasc 5mg pills $118.00 Forget that and you will pay the price; anything you say can and will be used against you in the court of unit opinion.
  • If you have reached the point of no return and need to take a medical leave for a few weeks so that you can get yourself and your sanity together, norvasc 5mg pills $118.00 do NOT discuss your reasons with your co-workers.
    • If you need to take time off to recover from the mental hell of burn out, norvasc 5mg pills $118.00 to get some space, norvasc 5mg pills $118.00 take it! Better to have you not working for six weeks than to lose you from the nursing profession. Norvasc 5mg pills $118.00 But understand that burn out is synonymous with depression and mental health is not looked upon with favor, norvasc 5mg pills $118.00 even by your colleagues. Norvasc 5mg pills $118.00 So understand that:
    • You will be resented and they will assume you are just doing it to get some “free” time off. Norvasc 5mg pills $118.00 Break a bone and everyone supports you. Norvasc 5mg pills $118.00 Take time to repair your soul and you are a slacker.
    • At this point your manager needs to know. Norvasc 5mg pills $118.00 These days it can’t be discussed due to HIPAA regulations.

Norvasc 5mg pills $118.00 Someone once commented that I only presented the happy face of nursing, norvasc 5mg pills $118.00 that I was, norvasc 5mg pills $118.00 essentially a cheerleader.

Norvasc 5mg pills $118.00 I guess I am. Norvasc 5mg pills $118.00 I love my profession. Norvasc 5mg pills $118.00 I’m passionate about it.

Norvasc 5mg pills $118.00 But I’ve been to the “dark side” of nursing, norvasc 5mg pills $118.00 where is sucks everything you have to give and leaves you a dessicated shell. Norvasc 5mg pills $118.00 Maybe that’s how you feel right now. Norvasc 5mg pills $118.00 You may be working side-by-side with someone going through it.

Norvasc 5mg pills $118.00 This is an important topic.

Norvasc 5mg pills $118.00 By sharing what it felt like to slide into nursing hell, norvasc 5mg pills $118.00 what I experienced as I desperately grabbed onto anything and anyone for help, norvasc 5mg pills $118.00 I hope to make the point that burn out is not an inevitable result of nursing and definitely not fatal to a career.

Norvasc 5mg pills $118.00 The key is to recognize and deal with the early warning signs.

Norvasc 5mg pills $118.00 I wanted to show that you can bounce back and have the passion for nursing return even stronger than before.

Norvasc 5mg pills $118.00 If anything, norvasc 5mg pills $118.00 I’m a better nurse having lived through it.

Norvasc 5mg pills $118.00 You don’t have to live through it. Norvasc 5mg pills $118.00 Learn from my experiences.

Norvasc 5mg pills $118.00 Even one nurse lost to burnout is one too many.

Average Rating: 4.9 out of 5 based on 219 user reviews.

Read »

September 25, 2016, 9:03 pm

Vasotec 10mg Pills $236.00

Penegra 100mg pills $327.00 nd

Penegra 100mg pills $327.00 I have a confession to make.

Penegra 100mg pills $327.00 I turned off the game.

Penegra 100mg pills $327.00 Twice.

Penegra 100mg pills $327.00 My options were to obliterate any evidence of the slaughter or go take ten milligrams of Valium for my nerves.

Penegra 100mg pills $327.00 The other option was a few shots of Irish whiskey.

Penegra 100mg pills $327.00 So I’m a horrible Irish fan and I should turn in my autographed Brady Quinn football and put my pom poms in storage.

Penegra 100mg pills $327.00 But I have one thing to say to the offensive line of Notre Dame right now.

Penegra 100mg pills $327.00 Hey, penegra 100mg pills $327.00 dudes, penegra 100mg pills $327.00 your PRIME DIRECTIVE is to PROTECT YOUR QUARTERBACK.

Penegra 100mg pills $327.00 Your other job is to GET YOUR BIG O’ SELVES FREE from any and all spoiled brat rich kid defensive line JERKS trying to PREVENT you from exercising your PRIME DIRECTIVE.

Penegra 100mg pills $327.00 Not that I’m bitter. Penegra 100mg pills $327.00 Or anything.

Penegra 100mg pills $327.00 And you! Yeah, penegra 100mg pills $327.00 you on the Notre Dame defensive line. Penegra 100mg pills $327.00 Okay ALL of you on the Notre Dame defensive line! YOUR job is to STOP the spoiled brat rich kid OFFENSE of the OTHER team from exercising their Prime Directive.

Penegra 100mg pills $327.00 John David Booty needed his bootie kicked and badly. Penegra 100mg pills $327.00 While chivalrous of you to allow him unimpeded access to his receivers, penegra 100mg pills $327.00 it would have been much more appreciated if you had landed him flat on his back, penegra 100mg pills $327.00 oh, penegra 100mg pills $327.00 I don’t know, penegra 100mg pills $327.00 maybe…..once or twice a quarter!

Penegra 100mg pills $327.00 Not that I’m upset. Penegra 100mg pills $327.00 Or anything.

Penegra 100mg pills $327.00 Irish, penegra 100mg pills $327.00 you blew it. Penegra 100mg pills $327.00 When you win you play like the champions I know you are, penegra 100mg pills $327.00 but when you blow it you make Hurricane Katrina look like a puff of wind.

Penegra 100mg pills $327.00 I do NOT want to be a fly on the wall when Charlie Weis gets ahold of this team after this abomination of a game.

Penegra 100mg pills $327.00 Now my only consolation is the fact that the Irish will be in a Bowl game. Penegra 100mg pills $327.00 I think.

Penegra 100mg pills $327.00 And that I will be able to follow Brady Quinn and that hunk of a receiver Jeff Samardzjia in the NFL next year.

Penegra 100mg pills $327.00 Well, penegra 100mg pills $327.00 let me paraphrase that deep philosopher named Scarlett O’Hara.

Penegra 100mg pills $327.00 Tomorrow…is another season!

Penegra 100mg pills $327.00 I’m so upset right now, penegra 100mg pills $327.00 I am not even going to post the Notre Dame fight song. Penegra 100mg pills $327.00 How upset am I? My husband took my football out of my hands so that I would not throw it through the television set.

Penegra 100mg pills $327.00 In conclusion, penegra 100mg pills $327.00 I am a bad, penegra 100mg pills $327.00 bad fan.

Penegra 100mg pills $327.00 And I hate usc with a passion never before seen in human history.

Penegra 100mg pills $327.00 So! How was YOUR day?

Average Rating: 4.4 out of 5 based on 269 user reviews.

Read »

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...

Continue reading »

Find Me On...
Twitter     Technorati

Subscribe to Emergiblog
Scrubs Gallery
Nursing Scrubs
Nursing Scrubs
At Excellent Prices
Or see our selection of Lab Coats
from ScrubsGallery.com
Office of the National Nurse

Zippy Was Here


Healthcare Blogger Code of Ethics

  • Perspective
  • Confidentiality
  • Disclosure
  • Reliability
  • Courtesy

medbloggercode.com

I Support the Public Library of Science

Dr. Val
Johnson & Johnson
Johnson & Johnson Health Channel
Webicina
Nursing and Web 2.0



Health blogs

Medicine Blogs - Blog Catalog Blog Directory

Alltop. Seriously?! I got in?

Health Blogs - Blog Rankings