August, 2008 Archive

August 27, 2016, 11:19 am

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Luvox 100mg pills $113.00 Oh, luvox 100mg pills $113.00 this is hilarious!

Luvox 100mg pills $113.00 It is so obviously not a real hospital room!

Luvox 100mg pills $113.00 The solid white backdrop – no oxygen, luvox 100mg pills $113.00 no light fixtures, luvox 100mg pills $113.00 no code button, luvox 100mg pills $113.00 no intercom.

Luvox 100mg pills $113.00 Okay, luvox 100mg pills $113.00 so maybe they didn’t have those back in the day.

Luvox 100mg pills $113.00 It’s hard to see, luvox 100mg pills $113.00 but there is a piece of tape on the glass bottle that says “Saline”. Luvox 100mg pills $113.00 It looks like the tubing coming from the IV is rubber and about the size of a garden hose.

Luvox 100mg pills $113.00 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, luvox 100mg pills $113.00 either – just three glass bottle water seal drainge!)

Luvox 100mg pills $113.00 It seems that they practiced make-up application and used hair arranging as a therapeutic intervention.  That patient looks really sick, luvox 100mg pills $113.00 doesn’t she?

Luvox 100mg pills $113.00 Heck, luvox 100mg pills $113.00 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, luvox 100mg pills $113.00 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, luvox 100mg pills $113.00 I had a chance to say a word, luvox 100mg pills $113.00 the clerk swiveled in her chair, luvox 100mg pills $113.00 put the chart in front of the doctor and asked, luvox 100mg pills $113.00 “Is it okay if I order these?”.

After I picked my jaw up off the desk, luvox 100mg pills $113.00 I said jokingly, luvox 100mg pills $113.00  “Betty, luvox 100mg pills $113.00 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, luvox 100mg pills $113.00 in order not to get in trouble, luvox 100mg pills $113.00 she did that with all the doctors.

WTF?  This is wrong on so many levels.

  • First of all, luvox 100mg pills $113.00 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, luvox 100mg pills $113.00 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, luvox 100mg pills $113.00 to top that off, luvox 100mg pills $113.00 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, luvox 100mg pills $113.00 EVER said anything to the nurses about not ordering tests.  I find having the unit clerk question the order to be surreptitious.

Luvox 100mg pills $113.00 Let’s make it clear here.  I’m not perfect.

Luvox 100mg pills $113.00 But I’m also not talking major radiological, luvox 100mg pills $113.00 invasive studies.  I’m talking labs and extremity x-rays.

Luvox 100mg pills $113.00 Which brings me to my next issue.

**********

The supervisor on duty that night (a good manager and someone I respect very highly), luvox 100mg pills $113.00 was astounded that we were “allowed” to order anything!  That we were treading on thin ice.

My response?

“Julie, luvox 100mg pills $113.00 are you telling me that an experienced, luvox 100mg pills $113.00 educated, luvox 100mg pills $113.00 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, luvox 100mg pills $113.00 order a chest x-ray, luvox 100mg pills $113.00 call respiratory therapy or draw blood work because “the doctor would be coming in”.

Shouldn’t we, luvox 100mg pills $113.00 as nurses, luvox 100mg pills $113.00 have those things ready when the doctor shows up?  Isn’t that the point of working in the hospital, luvox 100mg pills $113.00 to facilitate the care of our patients, luvox 100mg pills $113.00 to intervene when they go critical, luvox 100mg pills $113.00 to be prepared for the unexpected?  Especially in the emergency department, luvox 100mg pills $113.00 of all places, luvox 100mg pills $113.00 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, luvox 100mg pills $113.00 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, luvox 100mg pills $113.00 but we have to present a solid front to the public, luvox 100mg pills $113.00 our community and to the medical profession.

And that front needs to be, luvox 100mg pills $113.00 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, luvox 100mg pills $113.00 distinct profession with it’s own research and evidence-based practice.  How long before we start to get treated like it.

Nurses, luvox 100mg pills $113.00 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, luvox 100mg pills $113.00 one institution at a time.

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August 27, 2016, 10:41 am

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Teach health ed to pre-school age kids living in disadvantaged homes while parents and/or grandparents are present to also learn in a non-threatening setting. Requip 0.5mg pills 360 pills $566.00 Kids hear the information early and all generations can work together to make healthy choices. Requip 0.5mg pills 360 pills $566.00 Use a digital web based approach to “Teach the Teacher” what to say and how to say it.

Right now, requip 0.5mg pills 360 pills $566.00 Rima is around #27 and needs to make the top 25.

She can do it if we go to the site and nominate the project. Requip 0.5mg pills 360 pills $566.00 I have put in my nomination. Requip 0.5mg pills 360 pills $566.00 It costs nothing and takes a few keystrokes to accomplish. Requip 0.5mg pills 360 pills $566.00 You do not have to have an AmEx card to vote.

Preliminary votes must be in by September 1st.

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August 27, 2016, 8:01 am

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Emugel 50gm tube $117.00 UPDATE: I HAVE JUST LEARNED VIA EMAIL (8/27/08) THAT THE CLINIC WILL BE CLOSING AT THE END OF THE MONTH SO THEY CANNOT ACCEPT ANY MORE DONATIONS. Emugel 50gm tube $117.00 HAVE NO INFO ON WHY THE CLINIC IS CLOSING, emugel 50gm tube $117.00 BUT WILL KEEP YOU POSTED IF I LEARN MORE.

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Emugel 50gm tube $117.00 The 73rd Calvary in Iraq working in a convoy support center are running a burn unit!

Emugel 50gm tube $117.00 These are non-medical guys, emugel 50gm tube $117.00 they work on trucks, emugel 50gm tube $117.00 but they are seeing/treating about 40 kids a day with burn injuries.

Emugel 50gm tube $117.00 Why?

Emugel 50gm tube $117.00 They volunteered. Emugel 50gm tube $117.00 The Iraqis built a primitive but effective triage center and our guys are working to help these kids heal.

Emugel 50gm tube $117.00 These are not war-related burns – there is a high incidence of domestic burns secondary to boiling water and oil from cooking.

Emugel 50gm tube $117.00 Because they are not war-related, emugel 50gm tube $117.00 the guys of the 73rd cannot use Army supplies to treat the burns (a rules-of-engagement thing).

Emugel 50gm tube $117.00 They need donations of physical supplies (not money or checks).

Emugel 50gm tube $117.00 Lots of them.

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Emugel 50gm tube $117.00 Read the post.

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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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