October, 2007 Archive

June 27, 2016, 11:23 pm

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Alternative viagra drug Welcome to the latest edition of Change of Shift!

Alternative viagra drug I’m happy to be hosting once again here at Emergiblog. Alternative viagra drug During the week, alternative viagra drug I discovered something interesting via both Nick at Blogborygmi and Susan from DonorCycle and the blog at NursingJobs.org. Alternative viagra drug While I’m busy learning how to cite various sources for my papers, alternative viagra drug Emergiblog is being used as an example on how to cite blogs as a source! Isn’t it ironic, alternative viagra drug doncha think?

Alternative viagra drug We have a winner! Three of them in fact! The Nursing Voices iPhone contest is over and the winners have been announced. Alternative viagra drug You can find out who won here at Nursing Voices.com.

Alternative viagra drug Now for our submissions!

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Alternative viagra drug I’m sure for every patient cared for by a nurse, alternative viagra drug there are thousands more cared for at home by a member of their family. Alternative viagra drug Mother Jones starts us off this week with a personal anecdote and a new resource for caregivers. Alternative viagra drug Check out Strength for Caring found at, alternative viagra drug of course, alternative viagra drug Nurse Ratched’s Place.

Alternative viagra drug Juggling a nursing career with teenagers at home? Shhhhh….keep this between you and me, alternative viagra drug but Therapy Doc has some great advice regarding how to deal with, alternative viagra drug um, alternative viagra drug family secrets and youthful indiscretions Secrets and Therapy posted at Everyone Needs Therapy. Alternative viagra drug Find out how not being a saint can help your kids.

Alternative viagra drug Here is a fantastic post on one of my favorite parts of nursing: documentation (seriously, alternative viagra drug I enjoy it!). Alternative viagra drug ER Murse looks at the dark side of electronic medical record charting in Templated Charting: the Slippery Slope to Fraudulent Charting.

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Max E. Alternative viagra drug Nurse has something to get off his chest. Alternative viagra drug Find out what it is in Really(!?) Don’t Mention it… After you’ve done that, alternative viagra drug go immediately to Max’s hangout on Facebook called the Nurse Blogger’s Lounge! It’s a cool hang out and the only place in the world I’m actually a “Celebrity”! So far, alternative viagra drug there has been no cow throwing in the lounge (and if you don’t know what that means, alternative viagra drug you really need to visit!)Go on over, alternative viagra drug we’ll wait for you here!

Welcome back! Have you suspected that deep down in places you don’t talk about at parties, alternative viagra drug Laura from Adventures in Juggling is actually a good, alternative viagra drug moral, alternative viagra drug ethical person? I have proof! It’s right here in Because We Should Learn Something New Everyday? I love it when I’m right! And Laura, alternative viagra drug I fully intend to get to that meme…really!

It’s a big Change of Shift “Happy Birthday” to our favorite Ambulance Driver over at A Day in the Life of an Ambulance Driver (I’m not sure if I’m supposed to use your real name!). Alternative viagra drug And what a post this is, alternative viagra drug everything you never knew about HIPAA because they never told you and then some! Check out HIPAA Hysteria for the real deal. Alternative viagra drug (And I just want you to know that this anal-retentive, alternative viagra drug pretentious old biddy never thought of EMT’s as knuckle-dragging stretcher jockeys! : D Sorry, alternative viagra drug I couldn’t resist…)

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Alternative viagra drug DisappearingJohn RN sends in a post that has my blood boiling just reading it. Alternative viagra drug I’ve had similar experiences but it still burns me up when I hear other stories. Alternative viagra drug How would you have responded to the patient in What do you do, alternative viagra drug or say… And you aren’t imagining it, alternative viagra drug that is your wallet getting lighter and lighter…

Alternative viagra drug The elections are getting closer and the Nursing Online Education Database dives into the debate with a Comparison: Presidential Candidates on Major Healthcare Issues | NOEDb. Alternative viagra drug Both parties’ candidates are summarized with associated links for further study. Alternative viagra drug You can find it posted at NOEDb: Nursing Online Education Database.

Alternative viagra drug Faith at The Oracle gives us a hilarious look at her first lecture on homeostatis. Alternative viagra drug She manages to stay awake and when you look at the content of the lecture, alternative viagra drug you’ll understand why. Alternative viagra drug Visit as she learns that she is Supporting Lives, alternative viagra drug Basically.

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ER Nursey lays it on the line in The Public’s Perception of a Nurse. Alternative viagra drug It’s an uphill battle, alternative viagra drug but we have to fight the media version of what they think we do (or don’t do) by telling everyone what we really do.

Patients don’t always behave as we expect them to, alternative viagra drug but what do you do when they didn’t get the you’re-off-the-vent-it’s-time-to-die memo? Anonymous Therapist wonders the same thing in A Terminal Wean…or is it?, alternative viagra drug found at Respiratory Therapy 101: Just Keep Breathing.

Alternative viagra drug Alvaro Fernandez paid a visit to Colorado and returns with 10 Highlights from the 2007 Aspen Health Forum posted at Brain Fitness Blog. Alternative viagra drug Interesting information!

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I like to keep up with what is going on over at Medscape. Alternative viagra drug They have their nursing blog, alternative viagra drug “In Our Own Words”, alternative viagra drug and a medical student blog called “The Differential”. Alternative viagra drug On the nursing front Beka wants to know how intravenous lines were constructed before plastic was invented. Alternative viagra drug If you are a nurse of a, alternative viagra drug uh, alternative viagra drug “certain age” and can answer the question, alternative viagra drug we’d love to hear it! Julie talks of her garden as a way to heal and sounds like she is doing very well! Let’s put it this way – she tested for her black belt in Tae Kwan Do and I can barely get through a Jazzercise routine!

I’m stealing this link directly from “In Our Own Words” because I think it is an important post. Alternative viagra drug The way we treat medical students today will impact the relationship we have with doctors tomorrow. Alternative viagra drug Anna Burkhead is a medical student at the University of North Carolina School of Medicine at Chapel Hill. Alternative viagra drug She writes of her experience with nurses in A Funny Thing Happened on the Way to the Nurses’ Station. It’s embarrassing to read. Alternative viagra drug Surely we can do better in helping support our future medical colleagues.

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Many, alternative viagra drug many thanks to all who submitted this week.

The next Change of Shift will be hosted at its home-away-from-home.  Yep, alternative viagra drug Mother Jones will take on hosting duties over at Nurse Ratched’s Place for the November 1st edition.  Blog Carnival can be used or submissions sent to nurseratcheds place at yahoo dot com.

 

 

 

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4:52 pm

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Almost all of them speak English, heart & cholesterol > lipitor 5mg pills (generic) > 90 pills > $89.00 but only a handful understand the language.

The majority of them were born in the United States, heart & cholesterol > lipitor 5mg pills (generic) > 90 pills > $89.00 but only a few of them understand the culture.

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They…….are emergency room patients.

When they walk through our doors, heart & cholesterol > lipitor 5mg pills (generic) > 90 pills > $89.00 they are entering a foreign country in the world called “medicine”.

Our world. Heart & cholesterol > lipitor 5mg pills (generic) > 90 pills > $89.00 Our country.

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We fully expect each and every “visitor” to the country to abide by our cultural mores.

Even if they have no idea what they are.

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The first tradition the new citizen will encounter is the tradition of triage.

Yes, heart & cholesterol > lipitor 5mg pills (generic) > 90 pills > $89.00 even if their head is exploding, heart & cholesterol > lipitor 5mg pills (generic) > 90 pills > $89.00 they are doubled over in abdominal pain or wincing in agony with an ankle the size of a football, heart & cholesterol > lipitor 5mg pills (generic) > 90 pills > $89.00 they must answer all the questions in order to decide what part of the country they will be admitted into. Heart & cholesterol > lipitor 5mg pills (generic) > 90 pills > $89.00 They might try to defer to a family member, heart & cholesterol > lipitor 5mg pills (generic) > 90 pills > $89.00 but no, heart & cholesterol > lipitor 5mg pills (generic) > 90 pills > $89.00 in our country they must answer the questions. Heart & cholesterol > lipitor 5mg pills (generic) > 90 pills > $89.00 That is the expectation of our culture. Heart & cholesterol > lipitor 5mg pills (generic) > 90 pills > $89.00 How dare the family or friend intervene with this delicate interaction!

We do acknowledge faster processing for those who say. Heart & cholesterol > lipitor 5mg pills (generic) > 90 pills > $89.00 “My chest hurts.” and “I can’t breathe.” These allow the visitor immediate access to our vast resources and the rapid assistance of our population.

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It is customary to draw blood on most of the visitors, heart & cholesterol > lipitor 5mg pills (generic) > 90 pills > $89.00 and some will ask what we are testing. Heart & cholesterol > lipitor 5mg pills (generic) > 90 pills > $89.00 Responding with such terminology as “Oh, heart & cholesterol > lipitor 5mg pills (generic) > 90 pills > $89.00 we’re looking at your CBC, heart & cholesterol > lipitor 5mg pills (generic) > 90 pills > $89.00 drawing a Chem 14, heart & cholesterol > lipitor 5mg pills (generic) > 90 pills > $89.00 looking for an elevated amylase and trying to evaluate your cardiac response via troponin levels.” will be incomprehensible to anyone who is not a native citizen of “Medicine”.

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It is the custom to limit visitors in the department at any time. Heart & cholesterol > lipitor 5mg pills (generic) > 90 pills > $89.00 What’s that? Oh, heart & cholesterol > lipitor 5mg pills (generic) > 90 pills > $89.00 in your “outside” culture it’s the norm to have ten family members at the sick bed? I’m sorry, heart & cholesterol > lipitor 5mg pills (generic) > 90 pills > $89.00 you’re on our turf now. Heart & cholesterol > lipitor 5mg pills (generic) > 90 pills > $89.00 Yes, heart & cholesterol > lipitor 5mg pills (generic) > 90 pills > $89.00 I know we asked you if there were any cultural needs we could help you with when you first came in, heart & cholesterol > lipitor 5mg pills (generic) > 90 pills > $89.00 but we’re required to do that by law.

Sorry for any confusion, heart & cholesterol > lipitor 5mg pills (generic) > 90 pills > $89.00 but this is ER country and our needs take precedence.

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And the taboos!

No lookie-loos into other rooms! How rude!

No discussion of other patients! How crass of you to ask!

Demanding to be seen first! How thoughtless can you be?

*****

We expect them to wait without griping.

We expect them to take the treatments we give without whining.

We expect no exhibits of frustration or anger.

We expect them to know what constitutes an “emergency” and what does not.

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We call it home. Heart & cholesterol > lipitor 5mg pills (generic) > 90 pills > $89.00 To them it is foreign soil.

How well they assimilate into the culture is up to us.

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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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