August, 2008 Archive

July 1, 2016, 11:19 am

Bruising On Cialis

Bruising on cialis

Bruising on cialis Oh, bruising on cialis this is hilarious!

Bruising on cialis It is so obviously not a real hospital room!

Bruising on cialis The solid white backdrop – no oxygen, bruising on cialis no light fixtures, bruising on cialis no code button, bruising on cialis no intercom.

Bruising on cialis Okay, bruising on cialis so maybe they didn’t have those back in the day.

Bruising on cialis It’s hard to see, bruising on cialis but there is a piece of tape on the glass bottle that says “Saline”. Bruising on cialis It looks like the tubing coming from the IV is rubber and about the size of a garden hose.

Bruising on cialis Is there anyone out there who has been in nursing long enough to remember rubber tubing?  I’m embarrassed to say that glass bottles were still in use when I started (and no pleurivacs, bruising on cialis either – just three glass bottle water seal drainge!)

Bruising on cialis It seems that they practiced make-up application and used hair arranging as a therapeutic intervention.  That patient looks really sick, bruising on cialis doesn’t she?

Bruising on cialis Heck, bruising on cialis I don’t look that good and I’m healthy!

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

I have a problem.  With nursing.  WTF have we accomplished in the last 30 years?

Awhile back I handed a chart to our unit clerk.  On the chart, bruising on cialis I had checked the standard blood tests required for a patient presenting with chest pain.  I then turned to tell the doctor about the patient.

Before, bruising on cialis I had a chance to say a word, bruising on cialis the clerk swiveled in her chair, bruising on cialis put the chart in front of the doctor and asked, bruising on cialis “Is it okay if I order these?”.

After I picked my jaw up off the desk, bruising on cialis I said jokingly, bruising on cialis  “Betty, bruising on cialis are you questioning my author-i-tay?”.

Then I heard something even more astounding.  Betty told me that one of the doctors instructed her to run any and all nurse initiated orders by him first.  So, bruising on cialis in order not to get in trouble, bruising on cialis she did that with all the doctors.

WTF?  This is wrong on so many levels.

  • First of all, bruising on cialis every nurse in my department is a seasoned veteran.  Together we have over a millennium of nursing experience.  I’m serious.  We don’t frivolously order labs or x-rays on a whim, bruising on cialis we have the education and experience to know what needs to be ordered when.  Particularly with chest pain patients.  Especially with chest pain patients!
  • Then, bruising on cialis to top that off, bruising on cialis we have a very substantial nursing protocol for us to use on patients presenting with numerous chief complaints that covers us for the very thing I was trying to order.
  • The doctor in question has never, bruising on cialis EVER said anything to the nurses about not ordering tests.  I find having the unit clerk question the order to be surreptitious.

Bruising on cialis Let’s make it clear here.  I’m not perfect.

Bruising on cialis But I’m also not talking major radiological, bruising on cialis invasive studies.  I’m talking labs and extremity x-rays.

Bruising on cialis Which brings me to my next issue.

**********

The supervisor on duty that night (a good manager and someone I respect very highly), bruising on cialis was astounded that we were “allowed” to order anything!  That we were treading on thin ice.

My response?

“Julie, bruising on cialis are you telling me that an experienced, bruising on cialis educated, bruising on cialis professional registered nurse is out of line ordering x-rays for obvious fractures or initiating a cardiac workup when a patient obviously requires it?”

That was exactly what she was telling me.

Oh dear Lord.

That could explain why a very esteemed colleague of mine stood in the very same facility and watched her father die while the telemetry floor nurses would not get an EKG, bruising on cialis order a chest x-ray, bruising on cialis call respiratory therapy or draw blood work because “the doctor would be coming in”.

Shouldn’t we, bruising on cialis as nurses, bruising on cialis have those things ready when the doctor shows up?  Isn’t that the point of working in the hospital, bruising on cialis to facilitate the care of our patients, bruising on cialis to intervene when they go critical, bruising on cialis to be prepared for the unexpected?  Especially in the emergency department, bruising on cialis of all places, bruising on cialis especially in an emergency department that prides itself on door to dilatation times that are so fast they can give you vertigo?

Am I nuts here?

What the hell are we nurses these days?  Chopped liver?

HELL NO!

*****

How can we fight for our professionalism when our own nurse leaders at the grass roots level don’t support it?

How are we really being perceived when doctors pay lip service to us one minute and then have the unit clerks run our basic protocol-driven nursing actions by them before initiation?

What the hell is going on with my profession?

*****

Please excuse the language, bruising on cialis but I am pissed off.

This profession needs to get its you-know-what together if we are ever going to be taken seriously by anybody.  We can differ, bruising on cialis but we have to present a solid front to the public, bruising on cialis our community and to the medical profession.

And that front needs to be, bruising on cialis say it with me….professsional! I don’t care if you spend your shift emptying bedpans or writing national nursing policy.

Nursing is an autonomous, bruising on cialis distinct profession with it’s own research and evidence-based practice.  How long before we start to get treated like it.

Nurses, bruising on cialis we had better take the reigns here because no one else seems to (a) want us to do it or (b) even think we might actually KNOW something.

How the hell do we ever expect it to change if we don’t do it from the grassroots up?

Even if it means taking it one person, bruising on cialis one institution at a time.

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July 1, 2016, 10:41 am

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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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