February, 2008 Archive

August 24, 2016, 12:23 pm

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10:29 am

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Viagra oral jelly 100mg $148.00 What the hell is going on here?

Viagra oral jelly 100mg $148.00 The one on the left has to be a nurse because she is wearing a cap (that looks like a two-gallon Stetson, viagra oral jelly 100mg $148.00 definitely a -1/10 on the Emergiblog Cap Rating Scale!)…

Viagra oral jelly 100mg $148.00 …and holding a Darth Vader mask in front of her face.

Viagra oral jelly 100mg $148.00 Given the hair, viagra oral jelly 100mg $148.00 it might be Gene Wilder behind that mask.

Viagra oral jelly 100mg $148.00 (I swear we have “hats” for measuring urine in a commode that look exactly like that cap.)

Viagra oral jelly 100mg $148.00 Looks like something you might don for a “code brown”, viagra oral jelly 100mg $148.00 lord knows I’ve had patients with what I swear was flammable excrement.

Viagra oral jelly 100mg $148.00 I don’t remember ever having to orient to a welding unit, viagra oral jelly 100mg $148.00 and metal shop wasn’t a required class in my nursing education. Viagra oral jelly 100mg $148.00 Maybe it’s a graduate course…


I need an attitude adjustment.

Frankly, viagra oral jelly 100mg $148.00 I think the entire world of emergency medicine needs an attitude adjustment.

But, viagra oral jelly 100mg $148.00 since I only have the ability to work on my own attitude, viagra oral jelly 100mg $148.00 I’ll start there.


Work has just sucked lately. Viagra oral jelly 100mg $148.00 Major league suckage.

I’m not sure what phase of the moon or what evolutionary phase humanity is undergoing at the moment, viagra oral jelly 100mg $148.00 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, viagra oral jelly 100mg $148.00 they start pouring in. Viagra oral jelly 100mg $148.00 All ages, viagra oral jelly 100mg $148.00 all sexes.

And they are sick. Viagra oral jelly 100mg $148.00 Really sick. Viagra oral jelly 100mg $148.00 As in drop-the-blood pressure, viagra oral jelly 100mg $148.00 rupture-the-viscous, viagra oral jelly 100mg $148.00 call-the-cath-lab-stat, viagra oral jelly 100mg $148.00 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, viagra oral jelly 100mg $148.00 I’m tired.

I snapped at a co-worker this week. Viagra oral jelly 100mg $148.00 It wasn’t the straw that broke the camel’s back, viagra oral jelly 100mg $148.00 either. Viagra oral jelly 100mg $148.00 Just came out of the blue – BAM! Not exactly the epitome of professionalism.

ER nurses are not supposed to do that. Viagra oral jelly 100mg $148.00 We are supposed to see the whole picture, viagra oral jelly 100mg $148.00 function efficiently and if we are hungry, viagra oral jelly 100mg $148.00 have to pee, viagra oral jelly 100mg $148.00 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. Viagra oral jelly 100mg $148.00 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. Viagra oral jelly 100mg $148.00 But from the patient’s perspective, viagra oral jelly 100mg $148.00 it’s the less critical aspects that make all the difference.

And I’m not talking patient satisfaction scores here. Viagra oral jelly 100mg $148.00 I’m talking about making sure our patients are comfortable because we care how they feel, viagra oral jelly 100mg $148.00 no matter what their chief complaint or how demanding they may be.

Caring. Viagra oral jelly 100mg $148.00 As a nurse I am supposed to be “caring” for the entire patient. Viagra oral jelly 100mg $148.00 That’s hard to do when you work in a department that by definition is a “medical-model”, viagra oral jelly 100mg $148.00 as the ER is (and should be!). Viagra oral jelly 100mg $148.00 After all people don’t come to the ER to have their chakras realigned. Viagra oral jelly 100mg $148.00 They come in because they believe they have, viagra oral jelly 100mg $148.00 and often do have a medical emergency.

So what’s my issue?


Viagra oral jelly 100mg $148.00 Well, viagra oral jelly 100mg $148.00 this week I had someone tell me how to do a fingerstick glucose. Viagra oral jelly 100mg $148.00 A family member of a patient. Viagra oral jelly 100mg $148.00 I responded cordially, viagra oral jelly 100mg $148.00 agreeing with exactly what they were saying and even adding a little theory as to why we do it the way they described.

Viagra oral jelly 100mg $148.00 In my mind, viagra oral jelly 100mg $148.00 I was saying “YOU FREAKING SOB, viagra oral jelly 100mg $148.00 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.)

Viagra oral jelly 100mg $148.00 You see the disconnect? There’s no harmony between how I feel and what I actually do. Viagra oral jelly 100mg $148.00 I’m acting. Viagra oral jelly 100mg $148.00 I’m acting professional.

Viagra oral jelly 100mg $148.00 The person who felt the need to give me an inservice in finger-stick blood sugars was scared. Viagra oral jelly 100mg $148.00 Didn’t look it, viagra oral jelly 100mg $148.00 but they were. Viagra oral jelly 100mg $148.00 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.

Viagra oral jelly 100mg $148.00 I know that. Viagra oral jelly 100mg $148.00 And I responded appropriately to them.

Viagra oral jelly 100mg $148.00 Then I went and snapped at my co-worker for absolutely nothing.


And while I’m ventilating, viagra oral jelly 100mg $148.00 let me state for the record that patients are not stupid, viagra oral jelly 100mg $148.00 jerks, viagra oral jelly 100mg $148.00 little-old-ladies, viagra oral jelly 100mg $148.00 asses, viagra oral jelly 100mg $148.00 gomers, viagra oral jelly 100mg $148.00 druggies, viagra oral jelly 100mg $148.00 “alkies”, viagra oral jelly 100mg $148.00 twits, viagra oral jelly 100mg $148.00 hysterical, viagra oral jelly 100mg $148.00 wimps, viagra oral jelly 100mg $148.00 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, viagra oral jelly 100mg $148.00 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, viagra oral jelly 100mg $148.00 whether or not action is required. Viagra oral jelly 100mg $148.00 And if I feel it’s germain to the care of the patient, viagra oral jelly 100mg $148.00 I’ll document that I mentioned it.


They may not know how or why to appropriately access an emergency department. Viagra oral jelly 100mg $148.00 They may or may not have the means to pay for their medical care. Viagra oral jelly 100mg $148.00 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, viagra oral jelly 100mg $148.00 we are going to eat ourselves up inside with anger, viagra oral jelly 100mg $148.00 disgust and tension.

It’s happening to me – I’m the only one I can speak for, viagra oral jelly 100mg $148.00 really.

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

Anybody wanna join me?

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August 24, 2016, 11:33 pm

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Minipress 2mg pills $253.00 Margaret Kissack is in a million ads – always with the same expression.

Minipress 2mg pills $253.00 Here, minipress 2mg pills $253.00 she explains how to use the “indispensible” rubber water bottle.

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Minipress 2mg pills $253.00 First of all, minipress 2mg pills $253.00 it isn’t a bottle, minipress 2mg pills $253.00 it’s a “bladder”.

Minipress 2mg pills $253.00 If your patient can’t figure out that you put water in the bag and then put the stopper in the hole, minipress 2mg pills $253.00 you have your work cut out for you as a nurse educator.

Minipress 2mg pills $253.00 It amazes me how nurses were trusted figures of authority in advertisements…

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

Yes, minipress 2mg pills $253.00 I’ll wear my cap.

But it also means that all over the country, minipress 2mg pills $253.00 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, minipress 2mg pills $253.00 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. Minipress 2mg pills $253.00 Set up a ‘race track’ and on the day of the race, minipress 2mg pills $253.00 divide up the nurses into teams. Minipress 2mg pills $253.00 Use a clipboard or ruler as a baton. Minipress 2mg pills $253.00 Provide each participant with a…water bottle and give winners….insulated lunch bags.”

Minipress 2mg pills $253.00 Yep, minipress 2mg pills $253.00 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, minipress 2mg pills $253.00 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.”

Minipress 2mg pills $253.00 Oh yes, minipress 2mg pills $253.00 I want so much to have a chuckle at work. Minipress 2mg pills $253.00 Tee-hee and ho-ho. Minipress 2mg pills $253.00 Silly, minipress 2mg pills $253.00 silly nurses! How about we list 101 things that would make our jobs more rewarding and administration actually listens. Minipress 2mg pills $253.00 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, minipress 2mg pills $253.00 at the start of the week, minipress 2mg pills $253.00 give each nurse a…scrub top. Minipress 2mg pills $253.00 Require them to wear this shirt on dress up day, minipress 2mg pills $253.00 but to be sure not to wear anything that will hinder their ability to work. Minipress 2mg pills $253.00 Hold a costume contest and allow them to vote for their three favorites. Minipress 2mg pills $253.00 Give winners…red microfleece blankets.”

Minipress 2mg pills $253.00 Criminy, minipress 2mg pills $253.00 that’s what I want to see if I’m a patient. Minipress 2mg pills $253.00 Nurses in costumes. Minipress 2mg pills $253.00 I love the attitude…let them, minipress 2mg pills $253.00 require them, minipress 2mg pills $253.00 allow them. Minipress 2mg pills $253.00 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.”

Minipress 2mg pills $253.00 Yeah, minipress 2mg pills $253.00 and get Emeril Lagasse to cook the lunch. Minipress 2mg pills $253.00 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. Minipress 2mg pills $253.00 I don’t need any logo-bearing buttons to spice up my scrubs, minipress 2mg pills $253.00 either. Minipress 2mg pills $253.00 I find that blood, minipress 2mg pills $253.00 stool, minipress 2mg pills $253.00 urine and emesis – you know, minipress 2mg pills $253.00 the stuff that I deal with as I do professional nursing care?- is pretty much all the “spice” I need, minipress 2mg pills $253.00 thank you.

  • Handy Work – “Using notepad paper, minipress 2mg pills $253.00 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, minipress 2mg pills $253.00 hang them in a common area…along with a …poster…give each nurse a stationery set of his or her own.”

Minipress 2mg pills $253.00 Where the hell do we work, minipress 2mg pills $253.00 at a freakin’ preschool? Handprints? From adults? A bunch of adult-sized handprints hanging on the wall? Forget the stationery. Minipress 2mg pills $253.00 The only paper I need from my place of employment is the paper that has my check printed on it.

Minipress 2mg pills $253.00 Oh, minipress 2mg pills $253.00 there’s a few more, minipress 2mg pills $253.00 but I’m disgusted with the four examples I gave.

Minipress 2mg pills $253.00 Ask yourself this: have you ever heard of these type of suggestions made to honor doctors?

Minipress 2mg pills $253.00 I didn’t think so.

Minipress 2mg pills $253.00 We have a loooong way to go.

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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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