February, 2008 Archive

September 27, 2016, 12:23 pm

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Prasugrel 10mg pills $127.00 I’ve been a bad blogger.

Prasugrel 10mg pills $127.00 I have neglected linkage duties for a week!

Prasugrel 10mg pills $127.00 So without further ado, prasugrel 10mg pills $127.00 David at HealthBlawg is hosting this week’s Grand Rounds. Prasugrel 10mg pills $127.00 The theme? Valentine’s Day!

Prasugrel 10mg pills $127.00 Hence this photo from Cookies by Design.

Prasugrel 10mg pills $127.00 I want this for Valentines Day. Prasugrel 10mg pills $127.00 No way will my husband by them for me. Prasugrel 10mg pills $127.00 He’ll say they are bad for my heart. Prasugrel 10mg pills $127.00 I’ll say it’s because he is cheap frugal.

Prasugrel 10mg pills $127.00 I’d pout, prasugrel 10mg pills $127.00 but after thirty years, prasugrel 10mg pills $127.00 that doesn’t work anymore!

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health2.0

Prasugrel 10mg pills $127.00 Last week, prasugrel 10mg pills $127.00 Grand Rounds was hosted by Amy over at Diabetes Mine.

Prasugrel 10mg pills $127.00 If you missed it (and I did!) be sure to check it out!

Prasugrel 10mg pills $127.00 I’d put up the permalink, prasugrel 10mg pills $127.00 but can’t seem to get my brower to show it.

Prasugrel 10mg pills $127.00 Also check out Amy’s take on the ACCORD research results.

Prasugrel 10mg pills $127.00 Sure threw us for a loop!

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cos

Prasugrel 10mg pills $127.00 You know it’s bad when I forget to link to Change of Shift!

Prasugrel 10mg pills $127.00 Especially when I hosted it! The difference is that is is actually over at Nursing Voices this time.

Prasugrel 10mg pills $127.00 Next CoS will be hosted by emily at crzegrl.net and submissions can be sent through Blog Carnival or to emily directly at “emily at crzegrl dot net”.

Average Rating: 4.5 out of 5 based on 197 user reviews.

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10:29 am

Tadalis 20mg Pills $182.00

Buspirone 5mg $144.00 welder

Buspirone 5mg $144.00 What the hell is going on here?

Buspirone 5mg $144.00 The one on the left has to be a nurse because she is wearing a cap (that looks like a two-gallon Stetson, buspirone 5mg $144.00 definitely a -1/10 on the Emergiblog Cap Rating Scale!)…

Buspirone 5mg $144.00 …and holding a Darth Vader mask in front of her face.

Buspirone 5mg $144.00 Given the hair, buspirone 5mg $144.00 it might be Gene Wilder behind that mask.

Buspirone 5mg $144.00 (I swear we have “hats” for measuring urine in a commode that look exactly like that cap.)

Buspirone 5mg $144.00 Looks like something you might don for a “code brown”, buspirone 5mg $144.00 lord knows I’ve had patients with what I swear was flammable excrement.

Buspirone 5mg $144.00 I don’t remember ever having to orient to a welding unit, buspirone 5mg $144.00 and metal shop wasn’t a required class in my nursing education. Buspirone 5mg $144.00 Maybe it’s a graduate course…

********************

I need an attitude adjustment.

Frankly, buspirone 5mg $144.00 I think the entire world of emergency medicine needs an attitude adjustment.

But, buspirone 5mg $144.00 since I only have the ability to work on my own attitude, buspirone 5mg $144.00 I’ll start there.

*****

Work has just sucked lately. Buspirone 5mg $144.00 Major league suckage.

I’m not sure what phase of the moon or what evolutionary phase humanity is undergoing at the moment, buspirone 5mg $144.00 but for some reason we have a new paradigm on the night shift.

It’s called the “0400 Rush Hour”.

Somewhere between 0330 when the “third nurse” leaves the department and 0400, buspirone 5mg $144.00 they start pouring in. Buspirone 5mg $144.00 All ages, buspirone 5mg $144.00 all sexes.

And they are sick. Buspirone 5mg $144.00 Really sick. Buspirone 5mg $144.00 As in drop-the-blood pressure, buspirone 5mg $144.00 rupture-the-viscous, buspirone 5mg $144.00 call-the-cath-lab-stat, buspirone 5mg $144.00 vag-hemorrhage-from-hell sick.

As in what do you mean there are no beds and we have to keep this patient for four hours? sick.

As in what-the-hell-are-you-thinking-this-patient-is critical and why-don’t-you-give-a-damn? sick.

*****

Yeah, buspirone 5mg $144.00 I’m tired.

I snapped at a co-worker this week. Buspirone 5mg $144.00 It wasn’t the straw that broke the camel’s back, buspirone 5mg $144.00 either. Buspirone 5mg $144.00 Just came out of the blue – BAM! Not exactly the epitome of professionalism.

ER nurses are not supposed to do that. Buspirone 5mg $144.00 We are supposed to see the whole picture, buspirone 5mg $144.00 function efficiently and if we are hungry, buspirone 5mg $144.00 have to pee, buspirone 5mg $144.00 have a headache or are just plain pissed off we keep it to ourselves and don’t not take it out on each other.

It’s not about me.

*****

But it is about the patients. Buspirone 5mg $144.00 And I’m finding it harder and harder to give what I consider good nursing care in an emergency department.

We know what needs to be done for our patients. Buspirone 5mg $144.00 But from the patient’s perspective, buspirone 5mg $144.00 it’s the less critical aspects that make all the difference.

And I’m not talking patient satisfaction scores here. Buspirone 5mg $144.00 I’m talking about making sure our patients are comfortable because we care how they feel, buspirone 5mg $144.00 no matter what their chief complaint or how demanding they may be.

Caring. Buspirone 5mg $144.00 As a nurse I am supposed to be “caring” for the entire patient. Buspirone 5mg $144.00 That’s hard to do when you work in a department that by definition is a “medical-model”, buspirone 5mg $144.00 as the ER is (and should be!). Buspirone 5mg $144.00 After all people don’t come to the ER to have their chakras realigned. Buspirone 5mg $144.00 They come in because they believe they have, buspirone 5mg $144.00 and often do have a medical emergency.

So what’s my issue?

*****

Buspirone 5mg $144.00 Well, buspirone 5mg $144.00 this week I had someone tell me how to do a fingerstick glucose. Buspirone 5mg $144.00 A family member of a patient. Buspirone 5mg $144.00 I responded cordially, buspirone 5mg $144.00 agreeing with exactly what they were saying and even adding a little theory as to why we do it the way they described.

Buspirone 5mg $144.00 In my mind, buspirone 5mg $144.00 I was saying “YOU FREAKING SOB, buspirone 5mg $144.00 I’VE BEEN DOING THIS GOD-FORSAKEN JOB FOR THIRTY F’ING YEARS AND GOOD GOD I KNOW HOW TO CHECK AN F’ING BLOOD SUGAR!” (Pardon the language.)

Buspirone 5mg $144.00 You see the disconnect? There’s no harmony between how I feel and what I actually do. Buspirone 5mg $144.00 I’m acting. Buspirone 5mg $144.00 I’m acting professional.

Buspirone 5mg $144.00 The person who felt the need to give me an inservice in finger-stick blood sugars was scared. Buspirone 5mg $144.00 Didn’t look it, buspirone 5mg $144.00 but they were. Buspirone 5mg $144.00 And the only way they could deal with a frightening situation was to feel as though they had some control over what was happening to their relative.

Buspirone 5mg $144.00 I know that. Buspirone 5mg $144.00 And I responded appropriately to them.

Buspirone 5mg $144.00 Then I went and snapped at my co-worker for absolutely nothing.

*****

And while I’m ventilating, buspirone 5mg $144.00 let me state for the record that patients are not stupid, buspirone 5mg $144.00 jerks, buspirone 5mg $144.00 little-old-ladies, buspirone 5mg $144.00 asses, buspirone 5mg $144.00 gomers, buspirone 5mg $144.00 druggies, buspirone 5mg $144.00 “alkies”, buspirone 5mg $144.00 twits, buspirone 5mg $144.00 hysterical, buspirone 5mg $144.00 wimps, buspirone 5mg $144.00 whiners or babies.

(Unless you are under 1 year of age and then you are a baby…)

And if I feel something is necessary to report, buspirone 5mg $144.00 I am really tired of hearing “I couldn’t care less” or “we aren’t dealing with that now” or “I don’t want to hear it.”

Because it will be mentioned and it will be heard, buspirone 5mg $144.00 whether or not action is required. Buspirone 5mg $144.00 And if I feel it’s germain to the care of the patient, buspirone 5mg $144.00 I’ll document that I mentioned it.

*****

They may not know how or why to appropriately access an emergency department. Buspirone 5mg $144.00 They may or may not have the means to pay for their medical care. Buspirone 5mg $144.00 They may be talking on a cell phone and listening to their iPods while decrying their inability to pay for the two-hundred dollar antibiotic they just got the prescription for.

Some may knowingly abuse the system.

Most don’t realize they are doing it.

But if we can’t at least try keep a non-judgmental attitude, buspirone 5mg $144.00 we are going to eat ourselves up inside with anger, buspirone 5mg $144.00 disgust and tension.

It’s happening to me – I’m the only one I can speak for, buspirone 5mg $144.00 really.

And I’m going to work on stopping it from going any farther.

Anybody wanna join me?

Average Rating: 4.5 out of 5 based on 228 user reviews.

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September 27, 2016, 11:33 pm

Haridra 60 Tablet Bottle $159.00

Herbolax 10 strip box $313.00 kissack

Herbolax 10 strip box $313.00 Margaret Kissack is in a million ads – always with the same expression.

Herbolax 10 strip box $313.00 Here, herbolax 10 strip box $313.00 she explains how to use the “indispensible” rubber water bottle.

Herbolax 10 strip box $313.00 For periodic pain, herbolax 10 strip box $313.00 no less.

Herbolax 10 strip box $313.00 First of all, herbolax 10 strip box $313.00 it isn’t a bottle, herbolax 10 strip box $313.00 it’s a “bladder”.

Herbolax 10 strip box $313.00 If your patient can’t figure out that you put water in the bag and then put the stopper in the hole, herbolax 10 strip box $313.00 you have your work cut out for you as a nurse educator.

Herbolax 10 strip box $313.00 It amazes me how nurses were trusted figures of authority in advertisements…

Herbolax 10 strip box $313.00 But expected to give doctors their seat on the wards.

******************************

Soon it will be time for Nurse’s Week and we all know what that means.

Yes, herbolax 10 strip box $313.00 I’ll wear my cap.

But it also means that all over the country, herbolax 10 strip box $313.00 nurses will be receiving key chains and water bottles and tote bags and T-shirts touting their facility’s love for their nursing staff.

Either that or the company logo.

Ever wonder where they get that stuff?

Well! I found a catalog at the nurses’ station last week that is a veritable cornucopia of gifty goodies for nurses (and other groups that don’t get paid much and work their butts off, herbolax 10 strip box $313.00 including volunteers).

Actually the merchandise looks pretty nice as long as your hospital is willing to pay for more than a key chain or a water bottle.

But it was what was attached to the catalog that had me falling off my chair laughing.

*****

It was an “Event Planning Guide” for Nurses Week activities.

Let me share some of them with you!

I’m not making these up.

  • Fun On Wheels – “Organize a wheelchair relay race in a parking lot or in a wide hallway. Herbolax 10 strip box $313.00 Set up a ‘race track’ and on the day of the race, herbolax 10 strip box $313.00 divide up the nurses into teams. Herbolax 10 strip box $313.00 Use a clipboard or ruler as a baton. Herbolax 10 strip box $313.00 Provide each participant with a…water bottle and give winners….insulated lunch bags.”

Herbolax 10 strip box $313.00 Yep, herbolax 10 strip box $313.00 nothing says “Professional Nursing” like the site of a bunch of RNs rolling down the hill of the parking lot in wheelchairs!

  • Think Outside the Box – “Challenge your nursing staff to come up with silly uses for everyday equipment…get them to create a list of 101 ways to use a bedpan….at the end of the week, herbolax 10 strip box $313.00 gather them around and read the lists aloud so everyone can have a chuckle…pass out (wait for it….)…water bottles or deluxe lunch bags to all nursing staff present.”

Herbolax 10 strip box $313.00 Oh yes, herbolax 10 strip box $313.00 I want so much to have a chuckle at work. Herbolax 10 strip box $313.00 Tee-hee and ho-ho. Herbolax 10 strip box $313.00 Silly, herbolax 10 strip box $313.00 silly nurses! How about we list 101 things that would make our jobs more rewarding and administration actually listens. Herbolax 10 strip box $313.00 Hard to put the logo on that ……

  • Out of Character – “Let them [nurses] dress up at the end of the week…nurses won’t be able to wear any outfit that’s too crazy so, herbolax 10 strip box $313.00 at the start of the week, herbolax 10 strip box $313.00 give each nurse a…scrub top. Herbolax 10 strip box $313.00 Require them to wear this shirt on dress up day, herbolax 10 strip box $313.00 but to be sure not to wear anything that will hinder their ability to work. Herbolax 10 strip box $313.00 Hold a costume contest and allow them to vote for their three favorites. Herbolax 10 strip box $313.00 Give winners…red microfleece blankets.”

Herbolax 10 strip box $313.00 Criminy, herbolax 10 strip box $313.00 that’s what I want to see if I’m a patient. Herbolax 10 strip box $313.00 Nurses in costumes. Herbolax 10 strip box $313.00 I love the attitude…let them, herbolax 10 strip box $313.00 require them, herbolax 10 strip box $313.00 allow them. Herbolax 10 strip box $313.00 How about I let you staff my unit correctly while requiring you to pay me adequately and allow you to kiss my derriere in the process?

  • Cajun Celebration – “…purchase inexpensive stings of beads and give out one to each nurse for every day worked during the week….pass out buttons….to spice up their scrubs…serve a Louisiana-style luncheon…provide nurses with [notice the new twist on water bottles] motivational message tumblers to drink beverages out of during the meal.”

Herbolax 10 strip box $313.00 Yeah, herbolax 10 strip box $313.00 and get Emeril Lagasse to cook the lunch. Herbolax 10 strip box $313.00 Do I have to flash my boobs upper region to get the beads? Why not have the patients just throw them at us? It’s about the same level of dignity. Herbolax 10 strip box $313.00 I don’t need any logo-bearing buttons to spice up my scrubs, herbolax 10 strip box $313.00 either. Herbolax 10 strip box $313.00 I find that blood, herbolax 10 strip box $313.00 stool, herbolax 10 strip box $313.00 urine and emesis – you know, herbolax 10 strip box $313.00 the stuff that I deal with as I do professional nursing care?- is pretty much all the “spice” I need, herbolax 10 strip box $313.00 thank you.

  • Handy Work – “Using notepad paper, herbolax 10 strip box $313.00 have patients or residents make outlines of their hands…have them write their names and a message of thanks…when all of the hand drawings are complete, herbolax 10 strip box $313.00 hang them in a common area…along with a …poster…give each nurse a stationery set of his or her own.”

Herbolax 10 strip box $313.00 Where the hell do we work, herbolax 10 strip box $313.00 at a freakin’ preschool? Handprints? From adults? A bunch of adult-sized handprints hanging on the wall? Forget the stationery. Herbolax 10 strip box $313.00 The only paper I need from my place of employment is the paper that has my check printed on it.

Herbolax 10 strip box $313.00 Oh, herbolax 10 strip box $313.00 there’s a few more, herbolax 10 strip box $313.00 but I’m disgusted with the four examples I gave.

Herbolax 10 strip box $313.00 Ask yourself this: have you ever heard of these type of suggestions made to honor doctors?

Herbolax 10 strip box $313.00 I didn’t think so.

Herbolax 10 strip box $313.00 We have a loooong way to go.

Average Rating: 4.6 out of 5 based on 229 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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