June, 2008 Archive

June 26, 2016, 3:22 pm

Viagra Purchase

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Viagra purchase Oh my…I’m almost speechless!

Viagra purchase This is the new iPhone. Viagra purchase See those buttons? If you go to Shrink Rap for this week’s edition of Grand Rounds, viagra purchase you will find that everyone of those buttons is attached to a post!

Viagra purchase The buttons actually work!

Viagra purchase This is like Nirvana if you are an Apple geek like I am.

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Viagra purchase I’m quite happy with the one I received as a gift from my “web guy”, viagra purchase Shane! The scream that emanated when I opened the box registered on the Richter scale!

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Viagra purchase 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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Viagra purchase This is looking to be a very thorough look at our profession, viagra purchase so send your submissions to braden at bkellis dot com.

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June 26, 2016, 1:14 pm

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I don’t do heat very well.

I’m sitting here in my favorite Starbucks trying to think of something witty to post and it just ain’t happening!

I’ve gone through every lyric in my iTunes library looking for inspiration, men's sexual health > confido 60 tablet bottle > 3 > $159.00 but my brain has melted.

It’s only 89 degrees today. Men's sexual health > confido 60 tablet bottle > 3 > $159.00 It was so hot yesterday I was dizzy. Men's sexual health > confido 60 tablet bottle > 3 > $159.00 Then again it could have been the 148 ounces of Diet Pepsi, men's sexual health > confido 60 tablet bottle > 3 > $159.00 the 32 ounce iced coffee and the can of Bud Light.

I did manage to fit some water in there, men's sexual health > confido 60 tablet bottle > 3 > $159.00 too.

Orthostatic hypotension isn’t all it’s cracked up to be…

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Men's sexual health > confido 60 tablet bottle > 3 > $159.00 Well I may have a brain the consistency of a frappuchino at the moment, men's sexual health > confido 60 tablet bottle > 3 > $159.00 but that doesn’t mean I don’t have some great news to share!

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Men's sexual health > confido 60 tablet bottle > 3 > $159.00 Kasey strikes again!

Men's sexual health > confido 60 tablet bottle > 3 > $159.00 Yep, men's sexual health > confido 60 tablet bottle > 3 > $159.00 my guy wins the pole position for the Save Mart 350 at Infineon Raceway in Sonoma.

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my fan club T-shirt to wear for good luck.

Men's sexual health > confido 60 tablet bottle > 3 > $159.00 I’d like to think this great streak he’s having is due to my repetitive voting that got him into the All-Star race last month. Men's sexual health > confido 60 tablet bottle > 3 > $159.00 I still have the callous on my right index finger! Hey, men's sexual health > confido 60 tablet bottle > 3 > $159.00 you have any idea what it’s like hitting the “enter” button every five seconds for three hours?

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Men's sexual health > confido 60 tablet bottle > 3 > $159.00 Geeze, men's sexual health > confido 60 tablet bottle > 3 > $159.00 I am such a geek….!”

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June 26, 2016, 11:31 am

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Blood pressure > cardizem 30mg pills (generic) > 120 pills > $156.00 Did you catch this post from Grand Rounds by Peter over at Medical Pastiche?

Blood pressure > cardizem 30mg pills (generic) > 120 pills > $156.00 Doctors weren’t the only ones getting targeted by the cigarette companies. Blood pressure > cardizem 30mg pills (generic) > 120 pills > $156.00 Nurses were used to promote many products because nurses were trusted by the public.

Blood pressure > cardizem 30mg pills (generic) > 120 pills > $156.00 It wasn’t that long ago (oh, blood pressure > cardizem 30mg pills (generic) > 120 pills > $156.00 mid 1980s) that the nurses in my coronary care unit would sit for report in the room behind the nurses station and smoke!

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Blood pressure > cardizem 30mg pills (generic) > 120 pills > $156.00 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. Blood pressure > cardizem 30mg pills (generic) > 120 pills > $156.00 I sat down to blog and couldn’t find my “Blog Folder”. Blood pressure > cardizem 30mg pills (generic) > 120 pills > $156.00 Everything I “own” for this blog is in that folder. Blood pressure > cardizem 30mg pills (generic) > 120 pills > $156.00 Three years of collecting nursing ephemera. Blood pressure > cardizem 30mg pills (generic) > 120 pills > $156.00 My entire 50, blood pressure > cardizem 30mg pills (generic) > 120 pills > $156.00000 word novel I wrote in 2006. Blood pressure > cardizem 30mg pills (generic) > 120 pills > $156.00 My ideas. Blood pressure > cardizem 30mg pills (generic) > 120 pills > $156.00 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.

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[Shiver]

Maybe I should back it up on my new iPhone 3G. Blood pressure > cardizem 30mg pills (generic) > 120 pills > $156.00 (Compulsory Grand Rounds Theme inclusion! : D)

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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. Blood pressure > cardizem 30mg pills (generic) > 120 pills > $156.00 The level of anxiety is bordering on neurotic. Blood pressure > cardizem 30mg pills (generic) > 120 pills > $156.00 Signs, blood pressure > cardizem 30mg pills (generic) > 120 pills > $156.00 reminders, blood pressure > cardizem 30mg pills (generic) > 120 pills > $156.00 posters everywhere! Tiny little Joint Commission “encyclopedias” with everything we could possibly need to know. Blood pressure > cardizem 30mg pills (generic) > 120 pills > $156.00 A four hour mandatory class to tell us what we already know from the last fifty thousand surveys we’ve lived through. Blood pressure > cardizem 30mg pills (generic) > 120 pills > $156.00 Faxes coming through to warn us of what THEY want to know, blood pressure > cardizem 30mg pills (generic) > 120 pills > $156.00 what THEY are looking at, blood pressure > cardizem 30mg pills (generic) > 120 pills > $156.00 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?

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Of course, blood pressure > cardizem 30mg pills (generic) > 120 pills > $156.00 when we thought they were amassing forces outside the front gates, blood pressure > cardizem 30mg pills (generic) > 120 pills > $156.00 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. Blood pressure > cardizem 30mg pills (generic) > 120 pills > $156.00 Geeze.

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Now, blood pressure > cardizem 30mg pills (generic) > 120 pills > $156.00 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, blood pressure > cardizem 30mg pills (generic) > 120 pills > $156.00 in case you are not aware of what the JC requires to keep you, blood pressure > cardizem 30mg pills (generic) > 120 pills > $156.00 the patient/client/consumer safer, blood pressure > cardizem 30mg pills (generic) > 120 pills > $156.00 let me give you a few examples of what the JC looks for:

  • IV trays behind locked cupboards. Blood pressure > cardizem 30mg pills (generic) > 120 pills > $156.00 That’s so an errant angiocath won’t accidentally fly into your forearm. Blood pressure > cardizem 30mg pills (generic) > 120 pills > $156.00 That’s so the syringes of normal saline won’t find their way into a highly lucrative street trade in salt water.
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  • Locked clean utility rooms. Blood pressure > cardizem 30mg pills (generic) > 120 pills > $156.00 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. Blood pressure > cardizem 30mg pills (generic) > 120 pills > $156.00 You might mistake the backboard for a surfboard and try to hang ten from the gurney. Blood pressure > cardizem 30mg pills (generic) > 120 pills > $156.00 You see, blood pressure > cardizem 30mg pills (generic) > 120 pills > $156.00 the JC only has your safety in mind.
  • A locked medication room. Blood pressure > cardizem 30mg pills (generic) > 120 pills > $156.00 This will keep you from wandering in to a space the size of a broom closet where you might pick up a vial, blood pressure > cardizem 30mg pills (generic) > 120 pills > $156.00 have it break in your hand only to have it be something you are allergic to. Blood pressure > cardizem 30mg pills (generic) > 120 pills > $156.00 Lots of people try to find the med room, blood pressure > cardizem 30mg pills (generic) > 120 pills > $156.00 but only 2 can fit in at a time and you have to pass a bazillion employees to do it. Blood pressure > cardizem 30mg pills (generic) > 120 pills > $156.00 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!

Blood pressure > cardizem 30mg pills (generic) > 120 pills > $156.00 Are you detecting a pattern here? The Joint Commission is fixated on locks. Blood pressure > cardizem 30mg pills (generic) > 120 pills > $156.00 But that’s not the only thing they’ve mandated to keep you safe, blood pressure > cardizem 30mg pills (generic) > 120 pills > $156.00 here are a few more:

  • No beverages at the nurses station. Blood pressure > cardizem 30mg pills (generic) > 120 pills > $156.00 The JC is dedicated to making life as difficult for nurses as possible. Blood pressure > cardizem 30mg pills (generic) > 120 pills > $156.00 It is their prime directive. Blood pressure > cardizem 30mg pills (generic) > 120 pills > $156.00 Star Fleet has less regulations. Blood pressure > cardizem 30mg pills (generic) > 120 pills > $156.00 Give them a beverage as they sit and chart at the desk and they actually have a moment of enjoyment. Blood pressure > cardizem 30mg pills (generic) > 120 pills > $156.00 Nope, blood pressure > cardizem 30mg pills (generic) > 120 pills > $156.00 not gonna happen! Worse, blood pressure > cardizem 30mg pills (generic) > 120 pills > $156.00 they will demand to pee which will take them out of commission for 30 seconds and you, blood pressure > cardizem 30mg pills (generic) > 120 pills > $156.00 the patient, blood pressure > cardizem 30mg pills (generic) > 120 pills > $156.00 might need something right then!
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Blood pressure > cardizem 30mg pills (generic) > 120 pills > $156.00 That’s just a little taste of what the Joint Commission finds so important.

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Blood pressure > cardizem 30mg pills (generic) > 120 pills > $156.00 And you think I’m joking……..

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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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