August, 2007 Archive

June 27, 2016, 10:31 am

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Uk deals cheap viagra This was my favorite skit on the old “Muppet Show”.

Uk deals cheap viagra Usually the “patient” would sit up and make some wisecrack to the OR team.

Uk deals cheap viagra Can’t say much for their technique, uk deals cheap viagra though!

Uk deals cheap viagra No one is wearing a mask and Miss Piggy’s hair would easily all into the surgical field.

Uk deals cheap viagra Oh well, uk deals cheap viagra no one is perfect.

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We all expect our surgeons to be perfect.

Perfect in technique, uk deals cheap viagra perfect in personality, uk deals cheap viagra perfect in demeanor.

Eternally patient, uk deals cheap viagra never exhausted, uk deals cheap viagra always in a good mood.

Uk deals cheap viagra Hate to break this to ya, uk deals cheap viagra folks but surgeons are human!

*****

It’s no secret that surgeons have a reputation for being egotistical, uk deals cheap viagra overbearing and intolerant.

We’ve all heard the horror stories of instrument tossed across the OR in anger.

I once saw a surgeon throw a chest tube full of contaminated blood across a trauma room in an ER.

And let us not forget the infamous Dr. Uk deals cheap viagra Prissy Pants who intimated that no one in my ER was working because the patient did not have his consent signed by the time the Dr. Uk deals cheap viagra walked in to see him!

*****

Surgeon stories.

We nurses have a million of them.

But how many of us have ever looked at the situation from the side of the surgeon?

Instead of dreading the idea of having to work with one, uk deals cheap viagra what can a nurse do pro actively to make the preoperative experience a smooth one for themselves, uk deals cheap viagra the patient and the surgeon?

Having dealt with surgeons as a nurse, uk deals cheap viagra a patient and a family member, uk deals cheap viagra I have a few ideas born out of my experiences. Uk deals cheap viagra Your mileage may vary.

  • If you work with inpatients, uk deals cheap viagra for pete’s sake make sure the patient is NPO! Nothing will make a surgeon blow up faster than finding out the patient can’t go to OR because they have eaten! I know of one incident that caused a six hour delay in the removal of what turned out to be a gangrenous gall bladder.
  • Make it a priority to have the patient ready for surgery. Uk deals cheap viagra Paperwork can come later. Uk deals cheap viagra The surgeon is not operating on the chart.
  • Having said that, uk deals cheap viagra the more paperwork you have done, uk deals cheap viagra the more efficient the process. Uk deals cheap viagra Have alert patients fill out their own anesthesia questionnaire if they can.
  • After hours, uk deals cheap viagra follow up and make sure the supervisor has called in the OR team and make sure you know the ETA. Uk deals cheap viagra Hell hath no fury like a surgeon who walks in ready to take the patient to OR only to discover the team wasn’t called in.
  • If pre-op antibiotics/medications are ordered get them in – they are ordered for a reason.
  • Every nurse knows the surgeon must speak to the patient about the risks/benefits of surgery before the consent is signed. Uk deals cheap viagra Every surgeon knows it too, uk deals cheap viagra but that doesn’t stop them from telling you to have the consent done before they get there. Uk deals cheap viagra Fill it out so it is ready to go after the surgeon is done explaining.
  • Post-op: when you call a surgeon, uk deals cheap viagra be concise. Uk deals cheap viagra Tell them what you want. Uk deals cheap viagra Is more pain medication needed? Are you seeing signs of infection at the incision site? Is the patient now febrile? Don’t beat around the bush with a long-winded story.

Uk deals cheap viagra Those are just a few of the ideas that come to mind when working with pre-op patients and their surgeons that contribute to a smooth peri-operative experience for everyone involved.

*****

Uk deals cheap viagra It helps to remember that surgeons are just like us. Uk deals cheap viagra They get tired with long hours, uk deals cheap viagra they have no control over their workload if they are on-call. Uk deals cheap viagra Yes, uk deals cheap viagra they get paid well and yes, uk deals cheap viagra they chose their specialty and yes, uk deals cheap viagra being called in is part of the deal they signed up for but that doesn’t mean it is easy. Uk deals cheap viagra Even though you work a night shift and are chipper at 0400 (raising hand here) the surgeon who is coming in early to fit your appy in before his full day in the OR might not be so upbeat.

Uk deals cheap viagra There is always room for understanding and for cutting each other a little slack.

Uk deals cheap viagra That is why I can count the number of think-they-are-God surgeons on less than one hand.

Uk deals cheap viagra Mutual respect goes a long way.

*****

(Epilogue: to all surgeons reading, uk deals cheap viagra please understand that nothing undermines the care of your patient worse than an arrogant, uk deals cheap viagra insulting attitude. Uk deals cheap viagra If you are lucky, uk deals cheap viagra the nurse will call you on it. Uk deals cheap viagra Worst case scenario, uk deals cheap viagra the nurse is afraid/unwilling to interact with you and that is never in the best interest of your patients.)

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June 27, 2016, 8:17 am

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12:07 am

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I have five days off, asthma relief & management > advair diskus 250mcg inhaler (generic) > 2 > $82.00 so I’ve been indulging myself and catching up on all the blogs on my blogroll, asthma relief & management > advair diskus 250mcg inhaler (generic) > 2 > $82.00 leaving behind a trail of comments as I go.

I’ve also been messing around with some other internet activities and and I am happy to report that:

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Asthma relief & management > advair diskus 250mcg inhaler (generic) > 2 > $82.00 These internet tests are stupid. Asthma relief & management > advair diskus 250mcg inhaler (generic) > 2 > $82.00 It should be obvious that most of my blogging is done at Starbucks so if I’m 82% addicted to blogs, asthma relief & management > advair diskus 250mcg inhaler (generic) > 2 > $82.00 my coffee addiction should match!

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When I was little, asthma relief & management > advair diskus 250mcg inhaler (generic) > 2 > $82.00 I used to read the old Reader’s Digests in my great-grandmother’s room. Asthma relief & management > advair diskus 250mcg inhaler (generic) > 2 > $82.00 My favorite feature was called “My Most Unforgettable Character”. Asthma relief & management > advair diskus 250mcg inhaler (generic) > 2 > $82.00 Throughout my nursing career, asthma relief & management > advair diskus 250mcg inhaler (generic) > 2 > $82.00 I’ve met a few patients who would meet the criteria. Asthma relief & management > advair diskus 250mcg inhaler (generic) > 2 > $82.00 Here is the story of one of them.

*****

Ninety-seven years old and he was actually going to be discharged from the ER.

Nothing a few Tums wouldn’t cure.

I had just started my shift and the nurse who started at 1900 was going on her break. Asthma relief & management > advair diskus 250mcg inhaler (generic) > 2 > $82.00 Would I be so kind as to discharge the patient in 4A?

Sure! Show me an ER nurse who isn’t all about discharging patients!

I took a quick glance at the chart to see what had gone on with the patient and what discharge instructions I would be giving.

I expected the discharge to take a bit longer than usual. Asthma relief & management > advair diskus 250mcg inhaler (generic) > 2 > $82.00 As I printed up the instructions I realized that at the age of 97 he was probably frail, asthma relief & management > advair diskus 250mcg inhaler (generic) > 2 > $82.00 hard of hearing and I’d have to speak slowly and clearly to be understood. Asthma relief & management > advair diskus 250mcg inhaler (generic) > 2 > $82.00 There might be a bit of dementia. Asthma relief & management > advair diskus 250mcg inhaler (generic) > 2 > $82.00 He’d need help dressing and help out to the car.

*****

He wasn’t in the bed. Asthma relief & management > advair diskus 250mcg inhaler (generic) > 2 > $82.00 He was holding court in a reclining chair, asthma relief & management > advair diskus 250mcg inhaler (generic) > 2 > $82.00 attached to the cardiac monitor.

He was anything but frail; he was borderline stout! Far from hard of hearing, asthma relief & management > advair diskus 250mcg inhaler (generic) > 2 > $82.00 he picked up the slightest sound and responded to normal conversation.

Actually, asthma relief & management > advair diskus 250mcg inhaler (generic) > 2 > $82.00 he did not respond to normal conversation, asthma relief & management > advair diskus 250mcg inhaler (generic) > 2 > $82.00 he directed it! He reminded me of Sam the Snowman from “Rudolf, asthma relief & management > advair diskus 250mcg inhaler (generic) > 2 > $82.00the Red-Nosed Reindeer”. Asthma relief & management > advair diskus 250mcg inhaler (generic) > 2 > $82.00 He didn’t look like Burl Ives but he sounded like him. Asthma relief & management > advair diskus 250mcg inhaler (generic) > 2 > $82.00 Animated, asthma relief & management > advair diskus 250mcg inhaler (generic) > 2 > $82.00 jolly and full of life.

I had gotten out one sentence after introducing myself, asthma relief & management > advair diskus 250mcg inhaler (generic) > 2 > $82.00 something to the effect of “You get to go home!”.

And Mr. Asthma relief & management > advair diskus 250mcg inhaler (generic) > 2 > $82.00 Sam was off!

*****

He was ecstatic that he did not have pneumonia and proceeded to explain to me that he was able to cure people, asthma relief & management > advair diskus 250mcg inhaler (generic) > 2 > $82.00 that he had the gift of healing from God and had treatments and cures for just about anything. Asthma relief & management > advair diskus 250mcg inhaler (generic) > 2 > $82.00 Most of them had to do with poultices and iodine.

Pneumonia is cured by placing iodine on the chest. Asthma relief & management > advair diskus 250mcg inhaler (generic) > 2 > $82.00 Within 24 hours, asthma relief & management > advair diskus 250mcg inhaler (generic) > 2 > $82.00 you cough up all the phlegm in your lungs and the pneumonia is cured.

I did not know that.

Oh, asthma relief & management > advair diskus 250mcg inhaler (generic) > 2 > $82.00 and by the way…no dementia!

This guy was fascinating. Asthma relief & management > advair diskus 250mcg inhaler (generic) > 2 > $82.00 He took my hand as I passed by and had me sit down to tell me more about his gift. Asthma relief & management > advair diskus 250mcg inhaler (generic) > 2 > $82.00 Luckily, asthma relief & management > advair diskus 250mcg inhaler (generic) > 2 > $82.00 the department was not busy so I had a chance to listen.

*****

Mr. Asthma relief & management > advair diskus 250mcg inhaler (generic) > 2 > $82.00 Sam knew he had “the gift” from birth. Asthma relief & management > advair diskus 250mcg inhaler (generic) > 2 > $82.00 The midwife told his mother that he was born with a “double veil”. Asthma relief & management > advair diskus 250mcg inhaler (generic) > 2 > $82.00 This meant he was given the “gift” of healing. Asthma relief & management > advair diskus 250mcg inhaler (generic) > 2 > $82.00 He had healed many people in his lifetime. Asthma relief & management > advair diskus 250mcg inhaler (generic) > 2 > $82.00 People with pancreas trouble and heart trouble and back trouble.

I laughed and told him that he would have a line of nurses out his front door if he had the cure for back pain! He had me turn around so he could show me how he could cure back pain. Asthma relief & management > advair diskus 250mcg inhaler (generic) > 2 > $82.00 He showed me some neck exercises. Asthma relief & management > advair diskus 250mcg inhaler (generic) > 2 > $82.00 His neck was supple and moved easily.

Mine cracked six times.

He assured me he did have the power to heal and that there were 150 angels working with him. Asthma relief & management > advair diskus 250mcg inhaler (generic) > 2 > $82.00 He was quite specific about the number. Asthma relief & management > advair diskus 250mcg inhaler (generic) > 2 > $82.00 His friend, asthma relief & management > advair diskus 250mcg inhaler (generic) > 2 > $82.00 female and somewhat younger nodded as he spoke.

He did not just heal. Asthma relief & management > advair diskus 250mcg inhaler (generic) > 2 > $82.00 He would do “readings”. Asthma relief & management > advair diskus 250mcg inhaler (generic) > 2 > $82.00 He didn’t say tarot cards or palms, asthma relief & management > advair diskus 250mcg inhaler (generic) > 2 > $82.00 he “read” people. Asthma relief & management > advair diskus 250mcg inhaler (generic) > 2 > $82.00 Eventually he had to stop because he often became emotional from what he saw in the future of the people who asked him for insight. Asthma relief & management > advair diskus 250mcg inhaler (generic) > 2 > $82.00 It was hard to tell someone things were not looking good.

*****

Lest you think Mr. Asthma relief & management > advair diskus 250mcg inhaler (generic) > 2 > $82.00 Sam was all spiritual and ethereal in demeanor , asthma relief & management > advair diskus 250mcg inhaler (generic) > 2 > $82.00 let me give you an example of one of his “readings”, asthma relief & management > advair diskus 250mcg inhaler (generic) > 2 > $82.00 as told to me.

A man, asthma relief & management > advair diskus 250mcg inhaler (generic) > 2 > $82.00 75-years-old, asthma relief & management > advair diskus 250mcg inhaler (generic) > 2 > $82.00 came to Mr. Asthma relief & management > advair diskus 250mcg inhaler (generic) > 2 > $82.00 Sam with a problem. Asthma relief & management > advair diskus 250mcg inhaler (generic) > 2 > $82.00 Mr. Asthma relief & management > advair diskus 250mcg inhaler (generic) > 2 > $82.00 Seventy-Five was in love with a twenty-something woman and was sure she felt the same towards him. Asthma relief & management > advair diskus 250mcg inhaler (generic) > 2 > $82.00 He had spent much money on his sweetheart and was considering buying her a new Mercedes. Asthma relief & management > advair diskus 250mcg inhaler (generic) > 2 > $82.00 Mr. Asthma relief & management > advair diskus 250mcg inhaler (generic) > 2 > $82.00 Seventy-Five wanted validation that the woman young enough to be his grand-daughter really did love him.

Mr. Asthma relief & management > advair diskus 250mcg inhaler (generic) > 2 > $82.00 Sam’s response? “YOU’RE STUPID!” he described himself as saying. Asthma relief & management > advair diskus 250mcg inhaler (generic) > 2 > $82.00 “She wants you for your money! How much more stupid can you be? Don’t buy her the car and watch how fast she runs the other direction! YOU’RE STUPID! And you’ll be dead of a heart attack in six months.”

Now that’s a reading with a ton o’ common sense attached!

Guess what? Mr. Asthma relief & management > advair diskus 250mcg inhaler (generic) > 2 > $82.00 Seventy-Five did not buy the car, asthma relief & management > advair diskus 250mcg inhaler (generic) > 2 > $82.00 the young woman dumped him and he died of a heart attack within six months.

*****

It took forty-five minutes to discharge Mr. Asthma relief & management > advair diskus 250mcg inhaler (generic) > 2 > $82.00 Sam, asthma relief & management > advair diskus 250mcg inhaler (generic) > 2 > $82.00 who dressed himself faster than I can take a blood pressure and walked out of the department under his own steam.

He said if I ever wanted a reading to come and see him and he made me write down his number.

I could have sat there and listened to him for hours.

Something tells me he would have obliged.

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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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