September, 2007 Archive

July 1, 2016, 10:53 am

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Rx generic viagra I’ve been MIA for a few days.

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Rx generic viagra 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, rx generic viagra the next Change of Shift (October 4th) will be hosted by Girlvet at Madness, rx generic viagra Tales of an Emergency Room Nurse. Rx generic viagra I will forward submissions sent to me to Girlvet.

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I now have an English draft to re-write, rx generic viagra 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 1, 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, blood pressure aceon 8mg pills (generic) $102.00 More Oxygen Please at her blog Heart Matters. Blood pressure aceon 8mg pills (generic) $102.00 Is it me or is something in the air this edition (sorry, blood pressure aceon 8mg pills (generic) $102.00 bad pun)? Welcome, blood pressure aceon 8mg pills (generic) $102.00 Tele Nurse!

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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. Blood pressure aceon 8mg pills (generic) $102.00 Join him, blood pressure aceon 8mg pills (generic) $102.00 won’t you? Ponder the meaning of poop. Blood pressure aceon 8mg pills (generic) $102.00 Better yet, blood pressure aceon 8mg pills (generic) $102.00 find an administrator to ponder it for you. Blood pressure aceon 8mg pills (generic) $102.00 Oh, blood pressure aceon 8mg pills (generic) $102.00 and Wanderer? Make that beer a Bud as that is Kasey Kahne’s new NASCAR sponsor. Blood pressure aceon 8mg pills (generic) $102.00 (Who says that doesn’t belong in the carnival? Kasey = cute, blood pressure aceon 8mg pills (generic) $102.00 Kasey gets mentioned in CoS).

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July 1, 2016, 3:07 pm

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

That’s right. Antibiotics ceftin 500mg pills (generic) $450.00 I visited the site and nurses can rate physicians on the following points:

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Antibiotics ceftin 500mg pills (generic) $450.00 Did you jump up and say, antibiotics ceftin 500mg pills (generic) $450.00 “Oh man, antibiotics ceftin 500mg pills (generic) $450.00 let me go register right this minute?”

I didn’t. Antibiotics ceftin 500mg pills (generic) $450.00 Maybe I’m wrong, antibiotics ceftin 500mg pills (generic) $450.00 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. Antibiotics ceftin 500mg pills (generic) $450.00

This bothers me. Antibiotics ceftin 500mg pills (generic) $450.00 I do not believe a doctor has a right to judge my competence and experience as a registered nurse, antibiotics ceftin 500mg pills (generic) $450.00 why should I be able to rate, antibiotics ceftin 500mg pills (generic) $450.00 anonymously, antibiotics ceftin 500mg pills (generic) $450.00 a physician on the same criteria?

I can’t fault the goal of the site. Antibiotics ceftin 500mg pills (generic) $450.00 It is to help patients make good decisions on who to choose for their medical care. Antibiotics ceftin 500mg pills (generic) $450.00 The best way to do that is interview, antibiotics ceftin 500mg pills (generic) $450.00 visit and choose your doctor before you need him/her. Antibiotics ceftin 500mg pills (generic) $450.00 In an emergency, antibiotics ceftin 500mg pills (generic) $450.00 you get the physician on-call anyway and by then it is too late. Antibiotics ceftin 500mg pills (generic) $450.00 Is a patient going to say, antibiotics ceftin 500mg pills (generic) $450.00 “Oh, antibiotics ceftin 500mg pills (generic) $450.00 wait until I check NursesRateDoctors.com before you send me to surgery for that rupturing aneurism! I want to make sure Dr. Antibiotics ceftin 500mg pills (generic) $450.00 Godly is rated highly!”?

This is not the same as a patient rating a physician. Antibiotics ceftin 500mg pills (generic) $450.00 If I have a good or bad experience with a doctor as a patient, antibiotics ceftin 500mg pills (generic) $450.00 I own that experience and I can pass it along to other patients, antibiotics ceftin 500mg pills (generic) $450.00 knowing that any other ratings I read are the personal beliefs of the other patients in the practice. Antibiotics ceftin 500mg pills (generic) $450.00 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. Antibiotics ceftin 500mg pills (generic) $450.00 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. Antibiotics ceftin 500mg pills (generic) $450.00 His bedside manner sucks. Antibiotics ceftin 500mg pills (generic) $450.00 The nurses can’t stand him (a few birdies told me). Antibiotics ceftin 500mg pills (generic) $450.00 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. Antibiotics ceftin 500mg pills (generic) $450.00 In a month she will be able to do the same on her right.

I can’t stand this man. Antibiotics ceftin 500mg pills (generic) $450.00 But, antibiotics ceftin 500mg pills (generic) $450.00 if I’m ever a trauma patient I want him at my side.

As a nurse, antibiotics ceftin 500mg pills (generic) $450.00 if I go rate this doctor he gets a “0” on three out of the five criteria. Antibiotics ceftin 500mg pills (generic) $450.00 So his rating from me would be skewed because even though he is competent, antibiotics ceftin 500mg pills (generic) $450.00 he is also low on the personality meter.

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With NursesRateDoctors.com, antibiotics ceftin 500mg pills (generic) $450.00 you have one set of professionals rating the competency of an entirely different set of professionals. Antibiotics ceftin 500mg pills (generic) $450.00 “Doctors aren’t nurses, antibiotics ceftin 500mg pills (generic) $450.00 nurses aren’t doctors.” How many times do we hear this, antibiotics ceftin 500mg pills (generic) $450.00 read this, antibiotics ceftin 500mg pills (generic) $450.00 say this? If the name of this site were DoctorsRateNurses the outcry would be deafening.

Nurses have opinions on our physician colleagues. Antibiotics ceftin 500mg pills (generic) $450.00 We have opinions on who knows the most, antibiotics ceftin 500mg pills (generic) $450.00 who is the nicest, antibiotics ceftin 500mg pills (generic) $450.00 who is the best with patients. Antibiotics ceftin 500mg pills (generic) $450.00 Doctors have their opinions about which nurses they can trust, antibiotics ceftin 500mg pills (generic) $450.00 which nurses work and which nurses like to surf the internet for half the shift.

The operative word here is opinion. Antibiotics ceftin 500mg pills (generic) $450.00 NursesRateDoctors.com asks nurses, antibiotics ceftin 500mg pills (generic) $450.00 as professionals to rate physicians. Antibiotics ceftin 500mg pills (generic) $450.00 Not our personal lay opinions. Antibiotics ceftin 500mg pills (generic) $450.00 The whole point is that the ratings come from professional nurses, antibiotics ceftin 500mg pills (generic) $450.00 one of the most trusted of all groups in society.

In my opinion, antibiotics ceftin 500mg pills (generic) $450.00 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, antibiotics ceftin 500mg pills (generic) $450.00 DIAGNOSIS, antibiotics ceftin 500mg pills (generic) $450.00 TREATMENT OR ADVICE ABOUT DOCTORS, antibiotics ceftin 500mg pills (generic) $450.00 NURSES OR OTHER HEALTHCARE PROVIDERS. Antibiotics ceftin 500mg pills (generic) $450.00 ANY DECISION ABOUT YOUR PERSONAL HEALTHCARE SHOULD BE MADE IN CONSULTATION WITH YOUR PERSONAL HEALTH CARE PROFESSIONALS AND PROVIDERS.

Antibiotics ceftin 500mg pills (generic) $450.00 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. Antibiotics ceftin 500mg pills (generic) $450.00 I chose not to register.

Antibiotics ceftin 500mg pills (generic) $450.00 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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Antibiotics ceftin 500mg pills (generic) $450.00 This is just a bad idea no matter how you look at it. Antibiotics ceftin 500mg pills (generic) $450.00 In the final analysis doctors are accountable to their patients, antibiotics ceftin 500mg pills (generic) $450.00 not nursing, antibiotics ceftin 500mg pills (generic) $450.00 just as nursing is not accountable to medicine, antibiotics ceftin 500mg pills (generic) $450.00 but to the patient.

Antibiotics ceftin 500mg pills (generic) $450.00 Nursing has been fighting a long, antibiotics ceftin 500mg pills (generic) $450.00 hard battle to be seen as a true profession. Antibiotics ceftin 500mg pills (generic) $450.00 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.

Antibiotics ceftin 500mg pills (generic) $450.00 NursesRateDoctors does nothing to advance any of this.

Antibiotics ceftin 500mg pills (generic) $450.00 As a nursing professional, antibiotics ceftin 500mg pills (generic) $450.00 I am embarrassed by the concept.

Antibiotics ceftin 500mg pills (generic) $450.00 Here is the link to NursesRateDoctors.com. Antibiotics ceftin 500mg pills (generic) $450.00 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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