December, 2006 Archive

September 27, 2016, 2:20 pm

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Tentex forte 10 tablet packet $320.00 beegeesI bet you’re wondering what this Bee Gees anthology has to do with Grand Rounds.

Tentex forte 10 tablet packet $320.00 Nothing!

Tentex forte 10 tablet packet $320.00 It was just my favorite Christmas present this year so I thought I’d include it in the post!

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Tentex forte 10 tablet packet $320.00 Grand Rounds goes home to Blogborygmi this week, tentex forte 10 tablet packet $320.00 as Nick takes over the hosting duties, tentex forte 10 tablet packet $320.00 fills us in on a bit of Grand Rounds trivia and history and presents “The Best of Grand Rounds”, tentex forte 10 tablet packet $320.00 both old and new.

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My friend Coturnix has been chosen to be editor of the first ever Anthology of the Best Science Blogging over at Blog Around the Clock (see, tentex forte 10 tablet packet $320.00 I’d fit the word “anthology” in here somewhere!).

He is looking for the best 50 science blog posts ever written for the first anthology; later editions will be selected solely from the previous year.

Don’t think you are a “science blogger”? Think again. Tentex forte 10 tablet packet $320.00 This post describes what Coturnix is looking for in a “science blog” post, tentex forte 10 tablet packet $320.00 and here is an update with a sampling of submissions.

Hey, tentex forte 10 tablet packet $320.00 I submitted something!

You can, tentex forte 10 tablet packet $320.00 too!

Average Rating: 4.9 out of 5 based on 236 user reviews.

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September 27, 2016, 11:32 am

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Ceclor 250mg pills $279.00 This photo was taken at 4:00 am by my son on the campus of Notre Dame.

Ceclor 250mg pills $279.00 I’d like to wish everyone a very Merry Christmas, ceclor 250mg pills $279.00 with a heartfelt thanks to all who have taken the time to read and to my “web guy” Shane who makes this all so easy to keep up with.

Ceclor 250mg pills $279.00 May the Peace of the Season be with you all.

Ceclor 250mg pills $279.00 And here’s to a 2007 Notre Dame Championship!

Average Rating: 5 out of 5 based on 182 user reviews.

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September 27, 2016, 7:39 pm

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Buspar 10mg pills $267.00 tea

Buspar 10mg pills $267.00 Okay, buspar 10mg pills $267.00 let’s all have our hot cups of tea around the newborns!

Buspar 10mg pills $267.00 Hmmm….look at the ages of the nurses. Buspar 10mg pills $267.00 I’m not sure how old this ad is, buspar 10mg pills $267.00 but there are two things that catch my eye.

Buspar 10mg pills $267.00 One, buspar 10mg pills $267.00 there isn’t a single nurse in this photo who looks under the age of thirty.

Buspar 10mg pills $267.00 I guess we’ve been an aging workforce for awhile now.

Buspar 10mg pills $267.00 And, buspar 10mg pills $267.00 out of seven nurses, buspar 10mg pills $267.00 there isn’t a single guy.

Buspar 10mg pills $267.00 Unless the baby is a boy…..

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Buspar 10mg pills $267.00 Once upon a time there was a nurse. Buspar 10mg pills $267.00 An emergency room nurse.

Buspar 10mg pills $267.00 Let’s say they are a “friend” of mine.

Buspar 10mg pills $267.00 They pride themselves on their nursing care and their ability to document that care.

Buspar 10mg pills $267.00 A few years ago, buspar 10mg pills $267.00 this nurse found xanadu in the form of a particular emergency department.

Buspar 10mg pills $267.00 And it was good.

*****

The waiting times were short.

Their nursing colleagues were experienced.

The doctors were top-notch.

This nurse was able to give excellent care to their patients.

And it was really good.

*****

One day the hospital administration decided to have their nursing professionals punch a time clock.

Such a sight to see a bunch of professionals crowded around a digital read-out waiting for the precise moment to swipe their badge.

You see, buspar 10mg pills $267.00 if they punch out one minute too soon, buspar 10mg pills $267.00 they will lose 15 minutes of pay.

It would be funny if it weren’t so insulting.

The nurses protested having to punch a timeclock.

Were they not professionals?

Nobody cared.

*****

One day hospital administration decided that a written report would be faxed to the receiving unit on all admissions.

My “friend” thought this was a great idea! They loved to chart, buspar 10mg pills $267.00 you see. Buspar 10mg pills $267.00 They were wierd that way.

Besides, buspar 10mg pills $267.00 the report was not part of the record but it gave plenty of room to give a narrative of the patients ER stay. Buspar 10mg pills $267.00 Yes, buspar 10mg pills $267.00 it was a bit of additional work but the reports were thorough and my “friend” could clearly see the benefit.

But then the hospital administration decided that the same report had to be used for all admissions and transfers in house. Buspar 10mg pills $267.00 A committee was formed. Buspar 10mg pills $267.00 Much feedback was given and the emergency department representatives did their best.

The resulting form had virtually nothing to do with the emergency nursing. Buspar 10mg pills $267.00 It did not fit the needs of my “friend” and their colleagues.

Now it was hard to give a thorough written report. Buspar 10mg pills $267.00 This truncated, buspar 10mg pills $267.00 sketchy report form became part of the permanent record.

There was much protesting by the nurses.

No one cared.

*****

JCAHO recommended that hospitals implement a medication reconcilliation form.

Hospital Xanadu was one of the first to try it.

They made their emergency department nurses responsible for starting it.

First it was just a list.

Then my “friend” had to add dosages.

Then they wanted the dosage regimen.

Finally they wanted the date and time of the last dose.

It put a severe strain on Hospital Xanadu’s emergency department.

My “friend” once had to do three pages. Buspar 10mg pills $267.00 Twenty five minutes of just writing down medications and dosages and times and dates on a patient who had twisted their knee.

The nurses verbalized strongly that medication reconcilliation was the responsibility of the admitting physician.

No one cared.

*****

Ah, buspar 10mg pills $267.00 but wait!

Hospital Xanadu’s emergency physicians were told they would have to reconcile every single medication on every single patient before they left the emergency department.

They did not protest, buspar 10mg pills $267.00 for they had the power to just say:

“No.”

And that was that.

*****

My “friend” no longer feels they can give the nursing care and document that care to the standards now set for the emergency department. Buspar 10mg pills $267.00 The one that once felt like Xanadu. Buspar 10mg pills $267.00 The one that now makes nurses feel they are operating in a vacuum.

My friend feels, buspar 10mg pills $267.00 even at their best, buspar 10mg pills $267.00 they are operating at 75% efficiency, buspar 10mg pills $267.00 maximum.

Their morale is quickly depleting, buspar 10mg pills $267.00 even as they take their own advice to minimize burn out.

A group of nurses can protest loudly. Buspar 10mg pills $267.00 A group of doctors can just say “no”.

Who has the power here?

It sure as hell isn’t my “friend” or any of their nursing colleagues.

*****

I’m afraid my “friend” is becoming militant and is of the age where they are not shy about letting the world know it.

Of course, buspar 10mg pills $267.00 my “friend” could find another job, buspar 10mg pills $267.00 one with computerized charting or one that lays the medication reconciliation at the feet of the primary/admitting physician, buspar 10mg pills $267.00 where it belongs.

Meaning my “friend” could leave Hospital Xanadu.

They could even tell the hospital administration why they were leaving.

And no one would care.

Average Rating: 4.4 out of 5 based on 286 user reviews.

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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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