May, 2008 Archive

June 28, 2016, 1:08 pm

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…..is up over at Miss-Elaine-ious RN!

The theme is nursing school/new nurse stories and there are some great stories!

The next Change of Shift will be over at Nurse Ratched’s Place, viagra sales in canada so get those keyboards flying!

You can send your submissions to “motherjones at yahoo dot com” or use Blog Carnival.

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There is a new nurse community online and you should check it out. Viagra sales in canada It’s called NurseLinkUp.

I found out about NurseLinkUp from Keith at Digital Doorway. Viagra sales in canada If you have never read “Digital Doorway” you should and if you have read it, viagra sales in canada you’ll know why I’m excited about NurseLinkUp!

I signed up. Viagra sales in canada Check it out and join me!

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Average Rating: 4.7 out of 5 based on 287 user reviews.

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June 28, 2016, 9:15 pm

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Mental health parlodel 1.25mg pills (generic) $130.00 Wow – Between Change of Shift and Grand Rounds, mental health parlodel 1.25mg pills (generic) $130.00 Dr. Mental health parlodel 1.25mg pills (generic) $130.00 Emer is one busy guy!

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Mental health parlodel 1.25mg pills (generic) $130.00 Don’t forget….Miss-Elaine-ious RN is hosting Change of Shift Thursday and her theme revolves around being in nursing school or a new graduate. Mental health parlodel 1.25mg pills (generic) $130.00 You can email your submissions to her directly at “misselaineious1 at gmail dot com”.

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Average Rating: 4.7 out of 5 based on 159 user reviews.

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June 28, 2016, 1:44 pm

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Antibiotics suprax 200mg pills (generic) $216.00 Gee, antibiotics suprax 200mg pills (generic) $216.00 you think they could look a little happier about getting their cap!

Antibiotics suprax 200mg pills (generic) $216.00 Nevermind that the ceremony is being held in Dracula’s castle next to Transylvania General.

Antibiotics suprax 200mg pills (generic) $216.00 The one getting capped looks like a pin was just stuck into her scalp and the one on the far left looks like she’s happy about it!

Antibiotics suprax 200mg pills (generic) $216.00 You can’t see it, antibiotics suprax 200mg pills (generic) $216.00 but the nurse actually doing the capping is holding bobby pins in her mouth. Antibiotics suprax 200mg pills (generic) $216.00 Tres unsanitary!

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The San Francisco Bay Area is a very diverse place. Antibiotics suprax 200mg pills (generic) $216.00 Many languages are spoken, antibiotics suprax 200mg pills (generic) $216.00 and I happen to be competent in one of the more common latin-based languages you will find in this area.

Meaning I studied it for four years in high school and use it on-the-job every day.

Oh, antibiotics suprax 200mg pills (generic) $216.00 I’m not fluent by any means but I can get through a full triage, antibiotics suprax 200mg pills (generic) $216.00 tell a patient what is happening to them, antibiotics suprax 200mg pills (generic) $216.00 how it will feel, antibiotics suprax 200mg pills (generic) $216.00 give full discharge instructions and answer basic questions in full, antibiotics suprax 200mg pills (generic) $216.00 grammatically correct sentences.

I’ve also discovered that many patients know quite a bit of English, antibiotics suprax 200mg pills (generic) $216.00 but are not confident enough to try using it. Antibiotics suprax 200mg pills (generic) $216.00 They don’t want to make any mistakes. Antibiotics suprax 200mg pills (generic) $216.00 When they see I’m making the effort to speak their language, antibiotics suprax 200mg pills (generic) $216.00 they are more confident in trying out their English. Antibiotics suprax 200mg pills (generic) $216.00 They do great and we wind up encouraging each other.

It can be a lot of fun, antibiotics suprax 200mg pills (generic) $216.00 and I enjoy it.

Usually.

**********

What do you do with a group of people you know speak fluent English, antibiotics suprax 200mg pills (generic) $216.00 but pretend they don’t?

I’m not talking “Gee, antibiotics suprax 200mg pills (generic) $216.00 I would like to converse in my native language as I am more comfortable.” I’m talking, antibiotics suprax 200mg pills (generic) $216.00 “Let’s screw with the nurse and doctor for the hell of it.”

My colleagues familiar with this multi-generational group told me to expect the “act”, antibiotics suprax 200mg pills (generic) $216.00 but I really didn’t think anything of it. Antibiotics suprax 200mg pills (generic) $216.00 I figured I would just speak their language to the best of my ability

Wrong.

**********

The entire time I’m in the room, antibiotics suprax 200mg pills (generic) $216.00 speaking their language, antibiotics suprax 200mg pills (generic) $216.00 the group is smirking. Either my version of the language is really off the wall and there is a reason to smirk, antibiotics suprax 200mg pills (generic) $216.00 or they are playing me like a fiddle.

Talk about “rosin’ up the bow”!

Now, antibiotics suprax 200mg pills (generic) $216.00 I know they know English, antibiotics suprax 200mg pills (generic) $216.00 but they don’t know that I know they speak English. Antibiotics suprax 200mg pills (generic) $216.00 I notice that the patient innocently looks all confused at the most basic statement and plaintively looks to the man and says “What?”.

The man repeats what I said back to her! Word-for-word. Antibiotics suprax 200mg pills (generic) $216.00 In their language. Antibiotics suprax 200mg pills (generic) $216.00 Exactly like I said it.

Ah, antibiotics suprax 200mg pills (generic) $216.00 so the game is to pretend not to understand anything I say, antibiotics suprax 200mg pills (generic) $216.00 English or not!

Okay, antibiotics suprax 200mg pills (generic) $216.00 as long as the patient is getting the information she needs I don’t care if it’s English, antibiotics suprax 200mg pills (generic) $216.00 the native language or Morse Code.

**********

But then the ante is upped. Antibiotics suprax 200mg pills (generic) $216.00 On my next visit, antibiotics suprax 200mg pills (generic) $216.00 no one in the room is acknowledging that they understand anything!

I begin to notice breaks in the “other team’s” strategy.

First, antibiotics suprax 200mg pills (generic) $216.00 the patient says “thank you” in English. Antibiotics suprax 200mg pills (generic) $216.00 That was nice, antibiotics suprax 200mg pills (generic) $216.00 she really was thanking me for the ice chips. Antibiotics suprax 200mg pills (generic) $216.00 Except… before I left, antibiotics suprax 200mg pills (generic) $216.00 one of the younger folks ask her “Why are you speaking English?”, antibiotics suprax 200mg pills (generic) $216.00 only to be hit in the leg by another family member.

Ah, antibiotics suprax 200mg pills (generic) $216.00 young grasshopper. Antibiotics suprax 200mg pills (generic) $216.00 You have just arrived and are new to the game, antibiotics suprax 200mg pills (generic) $216.00 you have not yet learned I can speak your native language and understood what you just asked your elder.

Strike One

Next, antibiotics suprax 200mg pills (generic) $216.00 the patient needed something from the utility room. Antibiotics suprax 200mg pills (generic) $216.00 Grasshopper comes out and asks for it in perfect English! (Remember the underlying principle of the game, antibiotics suprax 200mg pills (generic) $216.00 NO ONE in that room knows English.)

Strike Two.

The bases are loaded, antibiotics suprax 200mg pills (generic) $216.00 the last runner is up.

I am about to give pain medication to my patient and I tell her that in her language. Antibiotics suprax 200mg pills (generic) $216.00 She understands that without any translation or repetition. Antibiotics suprax 200mg pills (generic) $216.00 Amazing how that works! But then in a voice without a hint of an accent she emphatically yells out:

“THAT HAD BETTER NOT BE DILAUDID!”

Strike frickin’ three, antibiotics suprax 200mg pills (generic) $216.00 lady.

Game’s over.

**********

Now I know for sure that I have been played for a fool. Antibiotics suprax 200mg pills (generic) $216.00 They did everything but put their finger and their thumb in the shape of an “L” on their forehead (with apologies to Smashmouth).

So I figure I’ll just clear the air.

I walk in with the discharge instructions and announce, antibiotics suprax 200mg pills (generic) $216.00 with a smile:

“I know for a fact everyone in this room speaks English. Antibiotics suprax 200mg pills (generic) $216.00 But, antibiotics suprax 200mg pills (generic) $216.00 since I like to speak your native language I am going to give the discharge instructions in that language. Antibiotics suprax 200mg pills (generic) $216.00 Now, antibiotics suprax 200mg pills (generic) $216.00 I may mangle some words so don’t laugh too hard, antibiotics suprax 200mg pills (generic) $216.00 but it’s good for me to practice. Antibiotics suprax 200mg pills (generic) $216.00 If I get stuck on a word, antibiotics suprax 200mg pills (generic) $216.00 feel free to jump in and help me out.”

They went from smirking to sheepish in five seconds. Antibiotics suprax 200mg pills (generic) $216.00 I gave my instructions, antibiotics suprax 200mg pills (generic) $216.00 they helped me with the words I got stuck on and when I asked questions in plain English they answered them.

SCORE!

**********

The moral of the story?

1. Antibiotics suprax 200mg pills (generic) $216.00 I’m waaaaay too trusting and willing to give others the benefit of the doubt.

2. Antibiotics suprax 200mg pills (generic) $216.00 Most people are willing to at least try to speak English. Antibiotics suprax 200mg pills (generic) $216.00 If you can, antibiotics suprax 200mg pills (generic) $216.00 and you don’t I would file that under “obnoxious”.

3. Antibiotics suprax 200mg pills (generic) $216.00 The next time you try to play a registered nurse, antibiotics suprax 200mg pills (generic) $216.00 know that he/she is not as stupid as you think.

4. Antibiotics suprax 200mg pills (generic) $216.00 For Pete’s sake, antibiotics suprax 200mg pills (generic) $216.00 if you are going to play games get your game plan together before you come into the ER.

Amateurs.

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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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