September, 2007 Archive

August 26, 2016, 10:53 am

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Levothroid 100mcg $172.00 I’ve been MIA for a few days.

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Levothroid 100mcg $172.00 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, levothroid 100mcg $172.00 the next Change of Shift (October 4th) will be hosted by Girlvet at Madness, levothroid 100mcg $172.00 Tales of an Emergency Room Nurse. Levothroid 100mcg $172.00 I will forward submissions sent to me to Girlvet.

As always, levothroid 100mcg $172.00 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, levothroid 100mcg $172.00 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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August 26, 2016, 12:19 am

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August 26, 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. Inderal 20mg pills $104.00 I visited the site and nurses can rate physicians on the following points:

  • Communication and rapport
  • Competence and experience
  • Convenient, inderal 20mg pills $104.00 efficient and responsive
  • Likely to recommend to a patient
  • Treats staff with care and respect

Inderal 20mg pills $104.00 Did you jump up and say, inderal 20mg pills $104.00 “Oh man, inderal 20mg pills $104.00 let me go register right this minute?”

I didn’t. Inderal 20mg pills $104.00 Maybe I’m wrong, inderal 20mg pills $104.00 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. Inderal 20mg pills $104.00

This bothers me. Inderal 20mg pills $104.00 I do not believe a doctor has a right to judge my competence and experience as a registered nurse, inderal 20mg pills $104.00 why should I be able to rate, inderal 20mg pills $104.00 anonymously, inderal 20mg pills $104.00 a physician on the same criteria?

I can’t fault the goal of the site. Inderal 20mg pills $104.00 It is to help patients make good decisions on who to choose for their medical care. Inderal 20mg pills $104.00 The best way to do that is interview, inderal 20mg pills $104.00 visit and choose your doctor before you need him/her. Inderal 20mg pills $104.00 In an emergency, inderal 20mg pills $104.00 you get the physician on-call anyway and by then it is too late. Inderal 20mg pills $104.00 Is a patient going to say, inderal 20mg pills $104.00 “Oh, inderal 20mg pills $104.00 wait until I check NursesRateDoctors.com before you send me to surgery for that rupturing aneurism! I want to make sure Dr. Inderal 20mg pills $104.00 Godly is rated highly!”?

This is not the same as a patient rating a physician. Inderal 20mg pills $104.00 If I have a good or bad experience with a doctor as a patient, inderal 20mg pills $104.00 I own that experience and I can pass it along to other patients, inderal 20mg pills $104.00 knowing that any other ratings I read are the personal beliefs of the other patients in the practice. Inderal 20mg pills $104.00 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. Inderal 20mg pills $104.00 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. Inderal 20mg pills $104.00 His bedside manner sucks. Inderal 20mg pills $104.00 The nurses can’t stand him (a few birdies told me). Inderal 20mg pills $104.00 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. Inderal 20mg pills $104.00 In a month she will be able to do the same on her right.

I can’t stand this man. Inderal 20mg pills $104.00 But, inderal 20mg pills $104.00 if I’m ever a trauma patient I want him at my side.

As a nurse, inderal 20mg pills $104.00 if I go rate this doctor he gets a “0” on three out of the five criteria. Inderal 20mg pills $104.00 So his rating from me would be skewed because even though he is competent, inderal 20mg pills $104.00 he is also low on the personality meter.

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With NursesRateDoctors.com, inderal 20mg pills $104.00 you have one set of professionals rating the competency of an entirely different set of professionals. Inderal 20mg pills $104.00 “Doctors aren’t nurses, inderal 20mg pills $104.00 nurses aren’t doctors.” How many times do we hear this, inderal 20mg pills $104.00 read this, inderal 20mg pills $104.00 say this? If the name of this site were DoctorsRateNurses the outcry would be deafening.

Nurses have opinions on our physician colleagues. Inderal 20mg pills $104.00 We have opinions on who knows the most, inderal 20mg pills $104.00 who is the nicest, inderal 20mg pills $104.00 who is the best with patients. Inderal 20mg pills $104.00 Doctors have their opinions about which nurses they can trust, inderal 20mg pills $104.00 which nurses work and which nurses like to surf the internet for half the shift.

The operative word here is opinion. Inderal 20mg pills $104.00 NursesRateDoctors.com asks nurses, inderal 20mg pills $104.00 as professionals to rate physicians. Inderal 20mg pills $104.00 Not our personal lay opinions. Inderal 20mg pills $104.00 The whole point is that the ratings come from professional nurses, inderal 20mg pills $104.00 one of the most trusted of all groups in society.

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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, inderal 20mg pills $104.00 DIAGNOSIS, inderal 20mg pills $104.00 TREATMENT OR ADVICE ABOUT DOCTORS, inderal 20mg pills $104.00 NURSES OR OTHER HEALTHCARE PROVIDERS. Inderal 20mg pills $104.00 ANY DECISION ABOUT YOUR PERSONAL HEALTHCARE SHOULD BE MADE IN CONSULTATION WITH YOUR PERSONAL HEALTH CARE PROFESSIONALS AND PROVIDERS.

Inderal 20mg pills $104.00 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. Inderal 20mg pills $104.00 I chose not to register.

Inderal 20mg pills $104.00 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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Inderal 20mg pills $104.00 This is just a bad idea no matter how you look at it. Inderal 20mg pills $104.00 In the final analysis doctors are accountable to their patients, inderal 20mg pills $104.00 not nursing, inderal 20mg pills $104.00 just as nursing is not accountable to medicine, inderal 20mg pills $104.00 but to the patient.

Inderal 20mg pills $104.00 Nursing has been fighting a long, inderal 20mg pills $104.00 hard battle to be seen as a true profession. Inderal 20mg pills $104.00 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.

Inderal 20mg pills $104.00 NursesRateDoctors does nothing to advance any of this.

Inderal 20mg pills $104.00 As a nursing professional, inderal 20mg pills $104.00 I am embarrassed by the concept.

Inderal 20mg pills $104.00 Here is the link to NursesRateDoctors.com. Inderal 20mg pills $104.00 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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