November, 2006 Archive

July 28, 2016, 2:14 am

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Coversyl 8mg pills $182.00 patI would love to tell you that the title of this post is an inspiring story about a patient or a nurse.

Coversyl 8mg pills $182.00 It isn’t.

Coversyl 8mg pills $182.00 A classic story of redemption set in an emergency department and written by yours truly.

Coversyl 8mg pills $182.00 In my dreams.

Coversyl 8mg pills $182.00 Instead it is a book of many stories. Coversyl 8mg pills $182.00 Stories that will have you howling with laughter and heaving with sobs.

Coversyl 8mg pills $182.00 In the same paragraph.

Coversyl 8mg pills $182.00 My copy isn’t autographed, coversyl 8mg pills $182.00 but that’s okay. Coversyl 8mg pills $182.00 The author is invited to my house for Christmas dinner.

Coversyl 8mg pills $182.00 You see, coversyl 8mg pills $182.00 Running Into the Arms of God was written by my brother-in-law.


Coversyl 8mg pills $182.00 Don’t tell Pat, coversyl 8mg pills $182.00 but I read this book for the first time tonight.

Coversyl 8mg pills $182.00 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, coversyl 8mg pills $182.00 Pat makes the case for “stories of prayer/prayer as story” but you will come away with so much more.

Coversyl 8mg pills $182.00 We pray without uttering a single sound or a word.

Coversyl 8mg pills $182.00 Prayer is in a father’s kiss, coversyl 8mg pills $182.00 a glazed donut and the San Francisco skyline.

Coversyl 8mg pills $182.00 Prayer is in a tough kid’s smile, coversyl 8mg pills $182.00 a baseball championship and the mysteriously decreasing height of a bench in India!


Coversyl 8mg pills $182.00 Although not a book about nursing, coversyl 8mg pills $182.00 after you read it you will never practice nursing the same again.

Coversyl 8mg pills $182.00 You’ll care for the homeless and underneath the stench and grime you will see God.

Coversyl 8mg pills $182.00 You will never sit with a dying patient without noting that “…the line that seemingly separates life from death, coversyl 8mg pills $182.00 despair from hope, coversyl 8mg pills $182.00 suffering from joy” disappears before your very eyes.

Coversyl 8mg pills $182.00 You’ll find a prayer in every hand you hold, coversyl 8mg pills $182.00 every brow you wipe, coversyl 8mg pills $182.00 every pain you ease and every cup of coffee you hand to a waiting family member.

Coversyl 8mg pills $182.00 I’ve been praying for the last 28 years every time I crossed over the threshold of my hospital. Coversyl 8mg pills $182.00 I knew my calling to nursing had a purpose. Coversyl 8mg pills $182.00 I didn’t realize it was prayer.

Coversyl 8mg pills $182.00 I realize it now.

Coversyl 8mg pills $182.00 Do yourself a favor and buy yourself this book for Christmas. Coversyl 8mg pills $182.00 You deserve it.

Coversyl 8mg pills $182.00 You can find the icon for Running Into the Arms of God in the “middle” sidebar just below Blog Carnival.


As a last note, coversyl 8mg pills $182.00 I want you to know I can vouch for every single word of the family stories. Coversyl 8mg pills $182.00 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. Coversyl 8mg pills $182.00 You’ll cry. Coversyl 8mg pills $182.00 You’ll laugh so hard you’ll cry! And then you’ll wonder how any of them got out alive!

And yes, coversyl 8mg pills $182.00 my mother-in-law was a saint. Coversyl 8mg pills $182.00 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 ( at gmail dot com).

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July 28, 2016, 9:59 pm

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Mobic 7.5mg pills $138.00 operationHere we have a classic picture of a surgery in progress.

Mobic 7.5mg pills $138.00 Normal people see that.

Mobic 7.5mg pills $138.00 Nothing out of the ordinary.

Mobic 7.5mg pills $138.00 But first thing I thought when I saw the picture was:

Mobic 7.5mg pills $138.00 “Now this patient is saving money by having her annual pap smear and her surgery at the same time!”

Mobic 7.5mg pills $138.00 Well it does look like that, mobic 7.5mg pills $138.00 you have to admit!

Mobic 7.5mg pills $138.00 Now, mobic 7.5mg pills $138.00 I know that is the anesthesiologist up there.

Mobic 7.5mg pills $138.00 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.

Mobic 7.5mg pills $138.00 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. Mobic 7.5mg pills $138.00 Your first response is to snap at them, mobic 7.5mg pills $138.00 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.

Mobic 7.5mg pills $138.00 You start dreading having to go to work.

At first it starts an hour before. Mobic 7.5mg pills $138.00 Then two. Mobic 7.5mg pills $138.00 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. Mobic 7.5mg pills $138.00 The doctors. Mobic 7.5mg pills $138.00 Your colleagues. Mobic 7.5mg pills $138.00 Your manager. Mobic 7.5mg pills $138.00 Your patients.

The point comes when you snap. Mobic 7.5mg pills $138.00 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. Mobic 7.5mg pills $138.00 Your family suffers as apathy and anhedonia infuse every aspect of your life.

You can’t quit. Mobic 7.5mg pills $138.00 You’re trapped. Mobic 7.5mg pills $138.00 You need the money. Mobic 7.5mg pills $138.00 You have to have the benefits. Mobic 7.5mg pills $138.00 You desperately look for something outside of nursing to cling to, mobic 7.5mg pills $138.00 something else you can do for a living.

But… you aren’t educated to do anything else and besides, mobic 7.5mg pills $138.00 every other job you consider just pays minimum wage and you can’t support your family.

Mobic 7.5mg pills $138.00 Soon you feel numb. Mobic 7.5mg pills $138.00 The energy you no longer have is spent on lifting your five ton body out of bed.

You have nothing left to give. Mobic 7.5mg pills $138.00 You have been sucked dry.

You are burned out.


Not a pretty picture, mobic 7.5mg pills $138.00 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.


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.

Mobic 7.5mg pills $138.00 So, mobic 7.5mg pills $138.00 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. Mobic 7.5mg pills $138.00 Trust me on this one. Mobic 7.5mg pills $138.00 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, mobic 7.5mg pills $138.00 then don’t do twelve hours!
    • Do not schedule yourself for long stretches without a day off. Mobic 7.5mg pills $138.00 Define for yourself what you consider a “long stretch”. Mobic 7.5mg pills $138.00 LISTEN to your body. Mobic 7.5mg pills $138.00 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. Mobic 7.5mg pills $138.00 Your body will be more resilient if you keep to a regular routine of work, mobic 7.5mg pills $138.00 exercise and nutrition.
  • If you can’t beat ’em, mobic 7.5mg pills $138.00 join ’em.
    • Management is not going to listen to you when you say, mobic 7.5mg pills $138.00 for example, mobic 7.5mg pills $138.00 that they are pushing you to the limit with paperwork. Mobic 7.5mg pills $138.00 They don’t care. Mobic 7.5mg pills $138.00 The more you understand that, mobic 7.5mg pills $138.00 the better off you will be. Mobic 7.5mg pills $138.00 They are required to produce a flood of paperwork to prove that work is being done. Mobic 7.5mg pills $138.00 You, mobic 7.5mg pills $138.00 the nurse, mobic 7.5mg pills $138.00 are the bucket at the end of the waterfall made up of “regulations”. Mobic 7.5mg pills $138.00 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. Mobic 7.5mg pills $138.00 Come up with an alternative.
        • Join the committee to formulate the document, mobic 7.5mg pills $138.00 or at least give constructive feedback to the committee members who are working on it. Mobic 7.5mg pills $138.00 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, mobic 7.5mg pills $138.00 I know for a fact working in a variety of institutions gives you broader experience.
    • Look at other areas of nursing that interest you. Mobic 7.5mg pills $138.00 Always been interested in neonatal nursing, mobic 7.5mg pills $138.00 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. Mobic 7.5mg pills $138.00 Take the ER, mobic 7.5mg pills $138.00 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. Mobic 7.5mg pills $138.00 Do your homework.

Mobic 7.5mg pills $138.00 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. Mobic 7.5mg pills $138.00 Trust me again, mobic 7.5mg pills $138.00 no one cares!
      • Your manager will listen, mobic 7.5mg pills $138.00 but don’t expect any slack.
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    • You are a professional. Mobic 7.5mg pills $138.00 Your manager and your co-workers are your colleagues, mobic 7.5mg pills $138.00 NOT your therapists. Mobic 7.5mg pills $138.00 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, mobic 7.5mg pills $138.00 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, mobic 7.5mg pills $138.00 to get some space, mobic 7.5mg pills $138.00 take it! Better to have you not working for six weeks than to lose you from the nursing profession. Mobic 7.5mg pills $138.00 But understand that burn out is synonymous with depression and mental health is not looked upon with favor, mobic 7.5mg pills $138.00 even by your colleagues. Mobic 7.5mg pills $138.00 So understand that:
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    • At this point your manager needs to know. Mobic 7.5mg pills $138.00 These days it can’t be discussed due to HIPAA regulations.

Mobic 7.5mg pills $138.00 Someone once commented that I only presented the happy face of nursing, mobic 7.5mg pills $138.00 that I was, mobic 7.5mg pills $138.00 essentially a cheerleader.

Mobic 7.5mg pills $138.00 I guess I am. Mobic 7.5mg pills $138.00 I love my profession. Mobic 7.5mg pills $138.00 I’m passionate about it.

Mobic 7.5mg pills $138.00 But I’ve been to the “dark side” of nursing, mobic 7.5mg pills $138.00 where is sucks everything you have to give and leaves you a dessicated shell. Mobic 7.5mg pills $138.00 Maybe that’s how you feel right now. Mobic 7.5mg pills $138.00 You may be working side-by-side with someone going through it.

Mobic 7.5mg pills $138.00 This is an important topic.

Mobic 7.5mg pills $138.00 By sharing what it felt like to slide into nursing hell, mobic 7.5mg pills $138.00 what I experienced as I desperately grabbed onto anything and anyone for help, mobic 7.5mg pills $138.00 I hope to make the point that burn out is not an inevitable result of nursing and definitely not fatal to a career.

Mobic 7.5mg pills $138.00 The key is to recognize and deal with the early warning signs.

Mobic 7.5mg pills $138.00 I wanted to show that you can bounce back and have the passion for nursing return even stronger than before.

Mobic 7.5mg pills $138.00 If anything, mobic 7.5mg pills $138.00 I’m a better nurse having lived through it.

Mobic 7.5mg pills $138.00 You don’t have to live through it. Mobic 7.5mg pills $138.00 Learn from my experiences.

Mobic 7.5mg pills $138.00 Even one nurse lost to burnout is one too many.

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July 28, 2016, 9:03 pm

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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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