September, 2007 Archive

July 30, 2016, 10:53 am

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Casodex 50mg pills $255.00 I’ve been MIA for a few days.

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Casodex 50mg pills $255.00 Part of the reason for my lack of posting (besides school and work and virtually no sleep for three days) is the fact that I saw this man in concert last night!

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By the way, casodex 50mg pills $255.00 the next Change of Shift (October 4th) will be hosted by Girlvet at Madness, casodex 50mg pills $255.00 Tales of an Emergency Room Nurse. Casodex 50mg pills $255.00 I will forward submissions sent to me to Girlvet.

As always, casodex 50mg pills $255.00 you can use Blog Carnival or send your submissions directly to mj.finn at hotmail dot com.

Any stories by any bloggers by or about nurses or nursing are welcome!

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I now have an English draft to re-write, casodex 50mg pills $255.00 a statistics test to take and some assessment skills to learn.

No one should have to do homework the day after a concert.

Who made these rules?

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July 30, 2016, 12:19 am

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The way to a man’s urine sample is through his….nose? Tele Nurse deals with just that situation in her very first submission to Change of Shift entitled Less Carbon, ditropan 5mg pills $298.00 More Oxygen Please at her blog Heart Matters. Ditropan 5mg pills $298.00 Is it me or is something in the air this edition (sorry, ditropan 5mg pills $298.00 bad pun)? Welcome, ditropan 5mg pills $298.00 Tele Nurse!

Jo over at Coffee and Conversation in a Smoky Room checks back in after a hiatus with a great post on the differences between hospital and clinic nursing in, ditropan 5mg pills $298.00 well, ditropan 5mg pills $298.00 Clinic Nursing. Guess which one she likes better? Welcome back, ditropan 5mg pills $298.00 Jo! Don’t be a stranger!

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Wanderer takes a very serious (ha!) look at his philosophy of nursing in I Believe over at Lost on the Floor. Ditropan 5mg pills $298.00 Join him, ditropan 5mg pills $298.00 won’t you? Ponder the meaning of poop. Ditropan 5mg pills $298.00 Better yet, ditropan 5mg pills $298.00 find an administrator to ponder it for you. Ditropan 5mg pills $298.00 Oh, ditropan 5mg pills $298.00 and Wanderer? Make that beer a Bud as that is Kasey Kahne’s new NASCAR sponsor. Ditropan 5mg pills $298.00 (Who says that doesn’t belong in the carnival? Kasey = cute, ditropan 5mg pills $298.00 Kasey gets mentioned in CoS).

Do you work for Medicare? Well put on your runnin’ shoes because there is an ER nurse after you! Check out Those Rascals at Medicare Are at It Again. Ditropan 5mg pills $298.00 I’m right behind her, ditropan 5mg pills $298.00 too. Ditropan 5mg pills $298.00 The craziness starts over at Madness: Tales of an Emergency Room Nurse!

Here’s a post I wish I had written. Ditropan 5mg pills $298.00 ER Murse makes a compelling argument in ED Patient Satisfaction Scores – Out of Balance. Ditropan 5mg pills $298.00 He states the problem but also has some ideas for a solution. Ditropan 5mg pills $298.00 If management only thought like nurses do…

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John has an Uneasy Feeling about dealing with a certain type of patient. Ditropan 5mg pills $298.00 Perhaps you feel the same. Ditropan 5mg pills $298.00 Anybody have some experiences they can share or some insight on how they deal with these patients? You can comment over at Disappearing John.

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Ditropan 5mg pills $298.00 And that concludes our broadcast day! I’m showing my age with that statement! Many, ditropan 5mg pills $298.00 many thanks to all who contributed, ditropan 5mg pills $298.00 including those I was unable to accomodate. Ditropan 5mg pills $298.00 Remember, ditropan 5mg pills $298.00 Change of Shift needs to be by nurses or about nurses. Ditropan 5mg pills $298.00 If you have information for nurses, ditropan 5mg pills $298.00 we can work something out!

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July 30, 2016, 3:07 pm

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Lukol 50 tablet bottle $142.00 Nurse Jenkins chats happily with her fiance.

Lukol 50 tablet bottle $142.00 Head Nurse Robinson waits to pounce on her for making personal phone calls on company time.

Lukol 50 tablet bottle $142.00 They both are stylin’ in their newly starched white uniforms.

Lukol 50 tablet bottle $142.00 Nurse Jenkins has the better cap.

Lukol 50 tablet bottle $142.00 Head Nurse Robinson suffers from “embedded cephalgic syndrome”. Lukol 50 tablet bottle $142.00 She graduated from nursing school so long ago, lukol 50 tablet bottle $142.00 her cap has grown into her head, lukol 50 tablet bottle $142.00 where it sits to this day. Lukol 50 tablet bottle $142.00 They had to bury her with it.

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There is now an online forum where a nurse can rate a physician online.

That’s right. Lukol 50 tablet bottle $142.00 I visited the site and nurses can rate physicians on the following points:

  • Communication and rapport
  • Competence and experience
  • Convenient, lukol 50 tablet bottle $142.00 efficient and responsive
  • Likely to recommend to a patient
  • Treats staff with care and respect

Lukol 50 tablet bottle $142.00 Did you jump up and say, lukol 50 tablet bottle $142.00 “Oh man, lukol 50 tablet bottle $142.00 let me go register right this minute?”

I didn’t. Lukol 50 tablet bottle $142.00 Maybe I’m wrong, lukol 50 tablet bottle $142.00 but I see this as just one more barrier to collegial nurse/physician relationships.

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Here is a quote from the press release at Business Wire:

The NursesRateDoctors online platform where nurses can anonymously join the site and provide their insights on physicians will accumulate a vast knowledge base of information critical to helping a patient seeking a provider. Lukol 50 tablet bottle $142.00

This bothers me. Lukol 50 tablet bottle $142.00 I do not believe a doctor has a right to judge my competence and experience as a registered nurse, lukol 50 tablet bottle $142.00 why should I be able to rate, lukol 50 tablet bottle $142.00 anonymously, lukol 50 tablet bottle $142.00 a physician on the same criteria?

I can’t fault the goal of the site. Lukol 50 tablet bottle $142.00 It is to help patients make good decisions on who to choose for their medical care. Lukol 50 tablet bottle $142.00 The best way to do that is interview, lukol 50 tablet bottle $142.00 visit and choose your doctor before you need him/her. Lukol 50 tablet bottle $142.00 In an emergency, lukol 50 tablet bottle $142.00 you get the physician on-call anyway and by then it is too late. Lukol 50 tablet bottle $142.00 Is a patient going to say, lukol 50 tablet bottle $142.00 “Oh, lukol 50 tablet bottle $142.00 wait until I check NursesRateDoctors.com before you send me to surgery for that rupturing aneurism! I want to make sure Dr. Lukol 50 tablet bottle $142.00 Godly is rated highly!”?

This is not the same as a patient rating a physician. Lukol 50 tablet bottle $142.00 If I have a good or bad experience with a doctor as a patient, lukol 50 tablet bottle $142.00 I own that experience and I can pass it along to other patients, lukol 50 tablet bottle $142.00 knowing that any other ratings I read are the personal beliefs of the other patients in the practice. Lukol 50 tablet bottle $142.00 I can choose to believe them or take them with the proverbial grain of salt.

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There is a potential for abuse with this system or at least skewed ratings. Lukol 50 tablet bottle $142.00 Let me give you a personal example.

The trauma physician who cared for my sister after her accident is one of the biggest asses I’ve ever met in my three decades of nursing. Lukol 50 tablet bottle $142.00 His bedside manner sucks. Lukol 50 tablet bottle $142.00 The nurses can’t stand him (a few birdies told me). Lukol 50 tablet bottle $142.00 The other docs think he’s a twit (an MD birdie told me that).

But that night last May he made the decision not to perform bilateral amputations when my sister had nothing holding her feet to her legs but strips of skin.

A week ago she took twenty steps on her newly built left ankle. Lukol 50 tablet bottle $142.00 In a month she will be able to do the same on her right.

I can’t stand this man. Lukol 50 tablet bottle $142.00 But, lukol 50 tablet bottle $142.00 if I’m ever a trauma patient I want him at my side.

As a nurse, lukol 50 tablet bottle $142.00 if I go rate this doctor he gets a “0” on three out of the five criteria. Lukol 50 tablet bottle $142.00 So his rating from me would be skewed because even though he is competent, lukol 50 tablet bottle $142.00 he is also low on the personality meter.

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With NursesRateDoctors.com, lukol 50 tablet bottle $142.00 you have one set of professionals rating the competency of an entirely different set of professionals. Lukol 50 tablet bottle $142.00 “Doctors aren’t nurses, lukol 50 tablet bottle $142.00 nurses aren’t doctors.” How many times do we hear this, lukol 50 tablet bottle $142.00 read this, lukol 50 tablet bottle $142.00 say this? If the name of this site were DoctorsRateNurses the outcry would be deafening.

Nurses have opinions on our physician colleagues. Lukol 50 tablet bottle $142.00 We have opinions on who knows the most, lukol 50 tablet bottle $142.00 who is the nicest, lukol 50 tablet bottle $142.00 who is the best with patients. Lukol 50 tablet bottle $142.00 Doctors have their opinions about which nurses they can trust, lukol 50 tablet bottle $142.00 which nurses work and which nurses like to surf the internet for half the shift.

The operative word here is opinion. Lukol 50 tablet bottle $142.00 NursesRateDoctors.com asks nurses, lukol 50 tablet bottle $142.00 as professionals to rate physicians. Lukol 50 tablet bottle $142.00 Not our personal lay opinions. Lukol 50 tablet bottle $142.00 The whole point is that the ratings come from professional nurses, lukol 50 tablet bottle $142.00 one of the most trusted of all groups in society.

In my opinion, lukol 50 tablet bottle $142.00 asking nurses to rate physicians exploits that trust.

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I have a hard time balancing nurses giving professional opinions of doctors against this clause in the “Terms of Service”:

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THIS WEBSITE IS NOT INTENDED TO PROVIDE MEDICAL ADVICE, lukol 50 tablet bottle $142.00 DIAGNOSIS, lukol 50 tablet bottle $142.00 TREATMENT OR ADVICE ABOUT DOCTORS, lukol 50 tablet bottle $142.00 NURSES OR OTHER HEALTHCARE PROVIDERS. Lukol 50 tablet bottle $142.00 ANY DECISION ABOUT YOUR PERSONAL HEALTHCARE SHOULD BE MADE IN CONSULTATION WITH YOUR PERSONAL HEALTH CARE PROFESSIONALS AND PROVIDERS.

Lukol 50 tablet bottle $142.00 I went over to register to see what would be available to me as an RN “member” when I found this in the “fine print” in a link at the bottom of the page. Lukol 50 tablet bottle $142.00 I chose not to register.

Lukol 50 tablet bottle $142.00 It’s basically “give your professional opinion as a nurse” but the site is not intended to give advice about doctors.

Am I missing something here?

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Lukol 50 tablet bottle $142.00 This is just a bad idea no matter how you look at it. Lukol 50 tablet bottle $142.00 In the final analysis doctors are accountable to their patients, lukol 50 tablet bottle $142.00 not nursing, lukol 50 tablet bottle $142.00 just as nursing is not accountable to medicine, lukol 50 tablet bottle $142.00 but to the patient.

Lukol 50 tablet bottle $142.00 Nursing has been fighting a long, lukol 50 tablet bottle $142.00 hard battle to be seen as a true profession. Lukol 50 tablet bottle $142.00 Doctors and nurses are working together for the good of the patient and the patient benefits when the relationship between doctors and nurses is one of open communication.

Lukol 50 tablet bottle $142.00 NursesRateDoctors does nothing to advance any of this.

Lukol 50 tablet bottle $142.00 As a nursing professional, lukol 50 tablet bottle $142.00 I am embarrassed by the concept.

Lukol 50 tablet bottle $142.00 Here is the link to NursesRateDoctors.com. Lukol 50 tablet bottle $142.00 I’m interested in how you feel about it.

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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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