August, 2007 Archive

July 27, 2016, 10:31 am

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Maxalt 10mg pills $178.00 This was my favorite skit on the old “Muppet Show”.

Maxalt 10mg pills $178.00 Usually the “patient” would sit up and make some wisecrack to the OR team.

Maxalt 10mg pills $178.00 Can’t say much for their technique, maxalt 10mg pills $178.00 though!

Maxalt 10mg pills $178.00 No one is wearing a mask and Miss Piggy’s hair would easily all into the surgical field.

Maxalt 10mg pills $178.00 Oh well, maxalt 10mg pills $178.00 no one is perfect.

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We all expect our surgeons to be perfect.

Perfect in technique, maxalt 10mg pills $178.00 perfect in personality, maxalt 10mg pills $178.00 perfect in demeanor.

Eternally patient, maxalt 10mg pills $178.00 never exhausted, maxalt 10mg pills $178.00 always in a good mood.

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It’s no secret that surgeons have a reputation for being egotistical, maxalt 10mg pills $178.00 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. Maxalt 10mg pills $178.00 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. Maxalt 10mg pills $178.00 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, maxalt 10mg pills $178.00 what can a nurse do pro actively to make the preoperative experience a smooth one for themselves, maxalt 10mg pills $178.00 the patient and the surgeon?

Having dealt with surgeons as a nurse, maxalt 10mg pills $178.00 a patient and a family member, maxalt 10mg pills $178.00 I have a few ideas born out of my experiences. Maxalt 10mg pills $178.00 Your mileage may vary.

  • If you work with inpatients, maxalt 10mg pills $178.00 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. Maxalt 10mg pills $178.00 Paperwork can come later. Maxalt 10mg pills $178.00 The surgeon is not operating on the chart.
  • Having said that, maxalt 10mg pills $178.00 the more paperwork you have done, maxalt 10mg pills $178.00 the more efficient the process. Maxalt 10mg pills $178.00 Have alert patients fill out their own anesthesia questionnaire if they can.
  • After hours, maxalt 10mg pills $178.00 follow up and make sure the supervisor has called in the OR team and make sure you know the ETA. Maxalt 10mg pills $178.00 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. Maxalt 10mg pills $178.00 Every surgeon knows it too, maxalt 10mg pills $178.00 but that doesn’t stop them from telling you to have the consent done before they get there. Maxalt 10mg pills $178.00 Fill it out so it is ready to go after the surgeon is done explaining.
  • Post-op: when you call a surgeon, maxalt 10mg pills $178.00 be concise. Maxalt 10mg pills $178.00 Tell them what you want. Maxalt 10mg pills $178.00 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.

Maxalt 10mg pills $178.00 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.

*****

Maxalt 10mg pills $178.00 It helps to remember that surgeons are just like us. Maxalt 10mg pills $178.00 They get tired with long hours, maxalt 10mg pills $178.00 they have no control over their workload if they are on-call. Maxalt 10mg pills $178.00 Yes, maxalt 10mg pills $178.00 they get paid well and yes, maxalt 10mg pills $178.00 they chose their specialty and yes, maxalt 10mg pills $178.00 being called in is part of the deal they signed up for but that doesn’t mean it is easy. Maxalt 10mg pills $178.00 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.

Maxalt 10mg pills $178.00 There is always room for understanding and for cutting each other a little slack.

Maxalt 10mg pills $178.00 That is why I can count the number of think-they-are-God surgeons on less than one hand.

Maxalt 10mg pills $178.00 Mutual respect goes a long way.

*****

(Epilogue: to all surgeons reading, maxalt 10mg pills $178.00 please understand that nothing undermines the care of your patient worse than an arrogant, maxalt 10mg pills $178.00 insulting attitude. Maxalt 10mg pills $178.00 If you are lucky, maxalt 10mg pills $178.00 the nurse will call you on it. Maxalt 10mg pills $178.00 Worst case scenario, maxalt 10mg pills $178.00 the nurse is afraid/unwilling to interact with you and that is never in the best interest of your patients.)

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July 27, 2016, 8:17 am

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12:07 am

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I have five days off, deltasone 5mg pills $61.00 so I’ve been indulging myself and catching up on all the blogs on my blogroll, deltasone 5mg pills $61.00 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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Deltasone 5mg pills $61.00 These internet tests are stupid. Deltasone 5mg pills $61.00 It should be obvious that most of my blogging is done at Starbucks so if I’m 82% addicted to blogs, deltasone 5mg pills $61.00 my coffee addiction should match!

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When I was little, deltasone 5mg pills $61.00 I used to read the old Reader’s Digests in my great-grandmother’s room. Deltasone 5mg pills $61.00 My favorite feature was called “My Most Unforgettable Character”. Deltasone 5mg pills $61.00 Throughout my nursing career, deltasone 5mg pills $61.00 I’ve met a few patients who would meet the criteria. Deltasone 5mg pills $61.00 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. Deltasone 5mg pills $61.00 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. Deltasone 5mg pills $61.00 As I printed up the instructions I realized that at the age of 97 he was probably frail, deltasone 5mg pills $61.00 hard of hearing and I’d have to speak slowly and clearly to be understood. Deltasone 5mg pills $61.00 There might be a bit of dementia. Deltasone 5mg pills $61.00 He’d need help dressing and help out to the car.

*****

He wasn’t in the bed. Deltasone 5mg pills $61.00 He was holding court in a reclining chair, deltasone 5mg pills $61.00 attached to the cardiac monitor.

He was anything but frail; he was borderline stout! Far from hard of hearing, deltasone 5mg pills $61.00 he picked up the slightest sound and responded to normal conversation.

Actually, deltasone 5mg pills $61.00 he did not respond to normal conversation, deltasone 5mg pills $61.00 he directed it! He reminded me of Sam the Snowman from “Rudolf, deltasone 5mg pills $61.00the Red-Nosed Reindeer”. Deltasone 5mg pills $61.00 He didn’t look like Burl Ives but he sounded like him. Deltasone 5mg pills $61.00 Animated, deltasone 5mg pills $61.00 jolly and full of life.

I had gotten out one sentence after introducing myself, deltasone 5mg pills $61.00 something to the effect of “You get to go home!”.

And Mr. Deltasone 5mg pills $61.00 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, deltasone 5mg pills $61.00 that he had the gift of healing from God and had treatments and cures for just about anything. Deltasone 5mg pills $61.00 Most of them had to do with poultices and iodine.

Pneumonia is cured by placing iodine on the chest. Deltasone 5mg pills $61.00 Within 24 hours, deltasone 5mg pills $61.00 you cough up all the phlegm in your lungs and the pneumonia is cured.

I did not know that.

Oh, deltasone 5mg pills $61.00 and by the way…no dementia!

This guy was fascinating. Deltasone 5mg pills $61.00 He took my hand as I passed by and had me sit down to tell me more about his gift. Deltasone 5mg pills $61.00 Luckily, deltasone 5mg pills $61.00 the department was not busy so I had a chance to listen.

*****

Mr. Deltasone 5mg pills $61.00 Sam knew he had “the gift” from birth. Deltasone 5mg pills $61.00 The midwife told his mother that he was born with a “double veil”. Deltasone 5mg pills $61.00 This meant he was given the “gift” of healing. Deltasone 5mg pills $61.00 He had healed many people in his lifetime. Deltasone 5mg pills $61.00 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. Deltasone 5mg pills $61.00 He showed me some neck exercises. Deltasone 5mg pills $61.00 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. Deltasone 5mg pills $61.00 He was quite specific about the number. Deltasone 5mg pills $61.00 His friend, deltasone 5mg pills $61.00 female and somewhat younger nodded as he spoke.

He did not just heal. Deltasone 5mg pills $61.00 He would do “readings”. Deltasone 5mg pills $61.00 He didn’t say tarot cards or palms, deltasone 5mg pills $61.00 he “read” people. Deltasone 5mg pills $61.00 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. Deltasone 5mg pills $61.00 It was hard to tell someone things were not looking good.

*****

Lest you think Mr. Deltasone 5mg pills $61.00 Sam was all spiritual and ethereal in demeanor , deltasone 5mg pills $61.00 let me give you an example of one of his “readings”, deltasone 5mg pills $61.00 as told to me.

A man, deltasone 5mg pills $61.00 75-years-old, deltasone 5mg pills $61.00 came to Mr. Deltasone 5mg pills $61.00 Sam with a problem. Deltasone 5mg pills $61.00 Mr. Deltasone 5mg pills $61.00 Seventy-Five was in love with a twenty-something woman and was sure she felt the same towards him. Deltasone 5mg pills $61.00 He had spent much money on his sweetheart and was considering buying her a new Mercedes. Deltasone 5mg pills $61.00 Mr. Deltasone 5mg pills $61.00 Seventy-Five wanted validation that the woman young enough to be his grand-daughter really did love him.

Mr. Deltasone 5mg pills $61.00 Sam’s response? “YOU’RE STUPID!” he described himself as saying. Deltasone 5mg pills $61.00 “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. Deltasone 5mg pills $61.00 Seventy-Five did not buy the car, deltasone 5mg pills $61.00 the young woman dumped him and he died of a heart attack within six months.

*****

It took forty-five minutes to discharge Mr. Deltasone 5mg pills $61.00 Sam, deltasone 5mg pills $61.00 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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