September, 2007 Archive

July 28, 2016, 11:00 am

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Zetia 10mg pills $207.00 Change of Shift will be hosted by GirlVet at Madness: Tales of an Emergency Room Nurse this coming Thursday. Zetia 10mg pills $207.00 Submissions can be sent to mj.finn at hotmail dot com or through Blog Carnival.

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12:59 am

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I am appalled at a certain HMO whose slogan rhymes with “Drive”.

Let me put it this way.

In my ER, detrol 2mg pills $104.00 if you come in with pain in your calf with redness and heat, detrol 2mg pills $104.00 a doppler study is done to determine if a deep vein thrombosis (DVT) is present. Detrol 2mg pills $104.00 If you complain that your other calf is also sore, detrol 2mg pills $104.00 we will do a doppler study of that leg to make sure you don’t have bilateral DVTs.

In my ER, detrol 2mg pills $104.00 if you present with bilateral calf pain, detrol 2mg pills $104.00 redness and heat and you happen to mention you had burning in your chest that morning and jaw pain the night before, detrol 2mg pills $104.00 you get all of the above and (a) an EKG, detrol 2mg pills $104.00 (b) a big ass IV in your left antecubital space for the contrast you will get when you go for the (c) CT scan of your chest to rule out pulmonary embolism.

In my ER, detrol 2mg pills $104.00 if you present with all this and you are a status/post trauma patient of four-and-a-half-months with bilateral fused ankles, detrol 2mg pills $104.00 a cast on one leg and a halo on the other leg with explicit instructions to keep your legs elevated since the accident until you began weight bearing two weeks ago, detrol 2mg pills $104.00 you would be admitted for observation.

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Take the same patient with the same chief complaint and let’s see how one particular HMO facility decided to handle the case.

Well, detrol 2mg pills $104.00 they did a doppler study of one leg, detrol 2mg pills $104.00 despite the presence of pain in both. Detrol 2mg pills $104.00 What do you know? There’s a DVT there!

Then, detrol 2mg pills $104.00 they gave an anticoagulant and sent the patient home.

No doppler on the second leg. Detrol 2mg pills $104.00 No EKG. Detrol 2mg pills $104.00 No CT of the chest despite the presence of transient chest burning and jaw pains earlier in the day.

You see, detrol 2mg pills $104.00 if you have a simple DVT, detrol 2mg pills $104.00 you can take oral anticoagulants and follow up as an outpatient with your doctor.

But…the patient didn’t have a simple DVT. Detrol 2mg pills $104.00 The patient had bilateral DVTs.

That wasn’t all she had.

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How did the patient finally get the correct diagnosis? She was taken by ambulance late last night to a decent facility; one that was not affiliated with the HMO.

She had chest burning, detrol 2mg pills $104.00 shortness of breath and bilateral leg pain.

She was throwing pulmonary embolisms.

This facility gave a damn. Detrol 2mg pills $104.00 This facility did not brush off her complaints. Detrol 2mg pills $104.00 This facility did the tests. Detrol 2mg pills $104.00 This facility made the diagnosis. Detrol 2mg pills $104.00 And this facility will treat her appropriately.

Just like they did last May.

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You know that HMO, detrol 2mg pills $104.00 the one that has the slogan beginning with “Be Well….”? They should change it to “Go to Hell…” because that is how they treat their members.

Yeah, detrol 2mg pills $104.00 pardon the language, detrol 2mg pills $104.00 but I’m pissed.

This patient nearly died last May. Detrol 2mg pills $104.00 What the hell was “Brand X ” HMO thinking when they saw this constellation of symptoms?

“Let’s finish the job?”

Health maintainence, detrol 2mg pills $104.00 my derriere.

Idiots.

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July 28, 2016, 1:59 am

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Somehow that didn’t come out right…

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I believe that as long as nurses are employees of a hospital and not private contractors they will not have power in an organization.

I started to brainstorm ideas. Aspirin 75mg pills $97.00 After the shock of having my brain still functioning after three hours of Statistics, aspirin 75mg pills $97.00 I asked myself…

How could this be done?

What if nurses started their own staffing companies? Companies that the nurses themselves would own.

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For a price. Aspirin 75mg pills $97.00 We contract with the hospital to provide nursing service on a unit for a set fee. Aspirin 75mg pills $97.00 One fee negotiated for the year. Aspirin 75mg pills $97.00 If the census drops the fee stays the same. Aspirin 75mg pills $97.00 If the census increases and more EmergiNurses are needed, aspirin 75mg pills $97.00 the fee stays the same.

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We are professionals who own our own practice, aspirin 75mg pills $97.00 and we own the company. Aspirin 75mg pills $97.00 If we make money we keep it. Aspirin 75mg pills $97.00 We aren’t going to lose money because the hospital still has to provide for nursing services to the patients – they would be paying this money anyway. Aspirin 75mg pills $97.00 They don’t have to worry about union contracts because they are not our employers. Aspirin 75mg pills $97.00 We would manage ourselves, aspirin 75mg pills $97.00 bound only by hospital policies and state laws regarding breaks and overtime. Aspirin 75mg pills $97.00 We hire only the best nurses who meet our high standards. Aspirin 75mg pills $97.00 Magazine readers, aspirin 75mg pills $97.00 internet surfers and all ’round lazy attitudes need not apply.

We would be paid for our service and not have our professional services hidden in room fees and miscellaneous hospital costs.

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So we make it easy for them. Aspirin 75mg pills $97.00 They are still paying (big time – nurses don’t come cheap), aspirin 75mg pills $97.00 but with less administrative hassles to deal with.

Imagine hiring a nursing company to staff your facility.

Travel nurses do it as individuals. Aspirin 75mg pills $97.00 Registries do it per shift.

Why not entire units?

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Average Rating: 4.7 out of 5 based on 254 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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