June, 2008 Archive

September 30, 2016, 3:22 pm

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Tenormin 100mg pills $91.00 Don’t forget that Braden is hosting Change of Shift this week over at 20 out of 10: Musings of an Emergency Room Nurse this Thursday.

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Average Rating: 4.9 out of 5 based on 220 user reviews.

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September 30, 2016, 1:14 pm

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

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September 30, 2016, 11:31 am

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Synthroid 200mcg pills $126.00 Did you catch this post from Grand Rounds by Peter over at Medical Pastiche?

Synthroid 200mcg pills $126.00 Doctors weren’t the only ones getting targeted by the cigarette companies. Synthroid 200mcg pills $126.00 Nurses were used to promote many products because nurses were trusted by the public.

Synthroid 200mcg pills $126.00 It wasn’t that long ago (oh, synthroid 200mcg pills $126.00 mid 1980s) that the nurses in my coronary care unit would sit for report in the room behind the nurses station and smoke!

Synthroid 200mcg pills $126.00 This was about 30 feet away from the patient’s rooms. Synthroid 200mcg pills $126.00 And no one thought a thing of it. Synthroid 200mcg pills $126.00 No need to go outside! And I don’t remember having a problem with it, synthroid 200mcg pills $126.00 although now I’d be hacking and coughing in that environment. Synthroid 200mcg pills $126.00 I figured it was no different than me sitting down with my Snickers bar and cup of coffee.

Synthroid 200mcg pills $126.00 My older colleagues tell stories of doctors actually smoking in patient’s rooms.

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I came as close to having a heart attack as I ever want to be. Synthroid 200mcg pills $126.00 I sat down to blog and couldn’t find my “Blog Folder”. Synthroid 200mcg pills $126.00 Everything I “own” for this blog is in that folder. Synthroid 200mcg pills $126.00 Three years of collecting nursing ephemera. Synthroid 200mcg pills $126.00 My entire 50, synthroid 200mcg pills $126.00000 word novel I wrote in 2006. Synthroid 200mcg pills $126.00 My ideas. Synthroid 200mcg pills $126.00 My “Blog Brain”!

Found it in the trash can! Just thinking of what could have happened if I had emptied that trash without thinking makes me syncopal.

Time to back up my stuff. Synthroid 200mcg pills $126.00 After 14 years of using computers daily, synthroid 200mcg pills $126.00 you would think I’d know to do that already.


Maybe I should back it up on my new iPhone 3G. Synthroid 200mcg pills $126.00 (Compulsory Grand Rounds Theme inclusion! : D)


The Joint Commission is on the prowl.

Rumor has it that they are coming ANY MINUTE! They’ve already been to some of the hospitals in our organization so that means THEY MUST BE COMING FOR US NEXT!

It’s ridiculous. Synthroid 200mcg pills $126.00 The level of anxiety is bordering on neurotic. Synthroid 200mcg pills $126.00 Signs, synthroid 200mcg pills $126.00 reminders, synthroid 200mcg pills $126.00 posters everywhere! Tiny little Joint Commission “encyclopedias” with everything we could possibly need to know. Synthroid 200mcg pills $126.00 A four hour mandatory class to tell us what we already know from the last fifty thousand surveys we’ve lived through. Synthroid 200mcg pills $126.00 Faxes coming through to warn us of what THEY want to know, synthroid 200mcg pills $126.00 what THEY are looking at, synthroid 200mcg pills $126.00 including how many times a nurse uses hand sanitizer going into a patient’s room.

What about those of us who sanitize coming out of the room so that we are bug-free when we go into the next room?

I draw the line at fliers placed two feet away from the front of the toilet. Synthroid 200mcg pills $126.00 I mean really. Synthroid 200mcg pills $126.00 Where are you supposed to go to get any peace?

Of course, synthroid 200mcg pills $126.00 when we thought they were amassing forces outside the front gates, synthroid 200mcg pills $126.00 all those posters and signs and reminders and booklets had to be put away because it would look bad if the Joint Commission thought we were actually preparing for their arrival.

We even have a script for the operator when the JC arrives. Synthroid 200mcg pills $126.00 Geeze.


Now, synthroid 200mcg pills $126.00 I’m not ticked off over the patient safety goals although the medication reconciliation form is ridiculous and having to write a written report every time a patient makes a move is a pain in the derrière.

But, synthroid 200mcg pills $126.00 in case you are not aware of what the JC requires to keep you, synthroid 200mcg pills $126.00 the patient/client/consumer safer, synthroid 200mcg pills $126.00 let me give you a few examples of what the JC looks for:

  • IV trays behind locked cupboards. Synthroid 200mcg pills $126.00 That’s so an errant angiocath won’t accidentally fly into your forearm. Synthroid 200mcg pills $126.00 That’s so the syringes of normal saline won’t find their way into a highly lucrative street trade in salt water.
  • Locked dirty utility rooms. Synthroid 200mcg pills $126.00 That’s so you won’t be tempted to look in the biohazard bin and perhaps finger some blood-soaked old gauze or dripping chux. Synthroid 200mcg pills $126.00 Plus, synthroid 200mcg pills $126.00 the sight of a commode might cause irreversible emotional trauma. Synthroid 200mcg pills $126.00 And we cannot have patients stealing the urine dipsticks. Synthroid 200mcg pills $126.00 Just because they look like a rainbow when you pee on them doesn’t mean they are yours to take.
  • Locked clean utility rooms. Synthroid 200mcg pills $126.00 That’s so you won’t be subjected to flying sterile instruments like a hemostat attaching to your fly or ring forceps trying to forcibly remove your tampon. Synthroid 200mcg pills $126.00 You might mistake the backboard for a surfboard and try to hang ten from the gurney. Synthroid 200mcg pills $126.00 You see, synthroid 200mcg pills $126.00 the JC only has your safety in mind.
  • A locked medication room. Synthroid 200mcg pills $126.00 This will keep you from wandering in to a space the size of a broom closet where you might pick up a vial, synthroid 200mcg pills $126.00 have it break in your hand only to have it be something you are allergic to. Synthroid 200mcg pills $126.00 Lots of people try to find the med room, synthroid 200mcg pills $126.00 but only 2 can fit in at a time and you have to pass a bazillion employees to do it. Synthroid 200mcg pills $126.00 But there is a chance you could accidentally find yourself face-to-face with a Pyxis machine and who knows when it will pull a HAL 9000 and go medieval on your heinnie!

Synthroid 200mcg pills $126.00 Are you detecting a pattern here? The Joint Commission is fixated on locks. Synthroid 200mcg pills $126.00 But that’s not the only thing they’ve mandated to keep you safe, synthroid 200mcg pills $126.00 here are a few more:

  • No beverages at the nurses station. Synthroid 200mcg pills $126.00 The JC is dedicated to making life as difficult for nurses as possible. Synthroid 200mcg pills $126.00 It is their prime directive. Synthroid 200mcg pills $126.00 Star Fleet has less regulations. Synthroid 200mcg pills $126.00 Give them a beverage as they sit and chart at the desk and they actually have a moment of enjoyment. Synthroid 200mcg pills $126.00 Nope, synthroid 200mcg pills $126.00 not gonna happen! Worse, synthroid 200mcg pills $126.00 they will demand to pee which will take them out of commission for 30 seconds and you, synthroid 200mcg pills $126.00 the patient, synthroid 200mcg pills $126.00 might need something right then!
  • Multi dose bottles of medicine are now “one dose and toss ’em” medications! Yep, synthroid 200mcg pills $126.00 although you are charged for the entire bottle of nitroglycerin that was used to assess its effect on your chest pain, synthroid 200mcg pills $126.00 you have been diagnosed with hemorrhoids instead. Synthroid 200mcg pills $126.00 You don’t need to take the nitro home, synthroid 200mcg pills $126.00 so it gets tossed. Synthroid 200mcg pills $126.00 Perfectly good nitroglycerin goes bye-bye. Synthroid 200mcg pills $126.00 But thanks, synthroid 200mcg pills $126.00 you paid for it. Synthroid 200mcg pills $126.00 That dose of Tylenol your baby got in the ER? It came from a bottle of Infant Tylenol that you are paying hospital price for (that means expensive). Synthroid 200mcg pills $126.00 I’ll send it home with you, synthroid 200mcg pills $126.00 but technically, synthroid 200mcg pills $126.00 I’m not supposed to “dispense” medication.

Synthroid 200mcg pills $126.00 That’s just a little taste of what the Joint Commission finds so important.

Synthroid 200mcg pills $126.00 Oh, synthroid 200mcg pills $126.00 but it is going to get better. Synthroid 200mcg pills $126.00 The newest patient care issue is skin care/integrity. Synthroid 200mcg pills $126.00 Mark my word, synthroid 200mcg pills $126.00 the day is coming when we will have to strip every patient in the ER and mark every mole, synthroid 200mcg pills $126.00 every red spot and every freckle for posterity. Synthroid 200mcg pills $126.00 Yes, synthroid 200mcg pills $126.00 that will be overkill when you come in for an infected toenail, synthroid 200mcg pills $126.00 but the JC cares not about practicality.

Synthroid 200mcg pills $126.00 And you think I’m joking……..

Average Rating: 4.4 out of 5 based on 214 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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