August, 2008 Archive

September 29, 2016, 11:19 am

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Maxolon 10mg pills $138.00 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, maxolon 10mg pills $138.00 either – just three glass bottle water seal drainge!)

Maxolon 10mg pills $138.00 It seems that they practiced make-up application and used hair arranging as a therapeutic intervention.  That patient looks really sick, maxolon 10mg pills $138.00 doesn’t she?

Maxolon 10mg pills $138.00 Heck, maxolon 10mg pills $138.00 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, maxolon 10mg pills $138.00 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, maxolon 10mg pills $138.00 I had a chance to say a word, maxolon 10mg pills $138.00 the clerk swiveled in her chair, maxolon 10mg pills $138.00 put the chart in front of the doctor and asked, maxolon 10mg pills $138.00 “Is it okay if I order these?”.

After I picked my jaw up off the desk, maxolon 10mg pills $138.00 I said jokingly, maxolon 10mg pills $138.00  “Betty, maxolon 10mg pills $138.00 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, maxolon 10mg pills $138.00 in order not to get in trouble, maxolon 10mg pills $138.00 she did that with all the doctors.

WTF?  This is wrong on so many levels.

  • First of all, maxolon 10mg pills $138.00 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, maxolon 10mg pills $138.00 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, maxolon 10mg pills $138.00 to top that off, maxolon 10mg pills $138.00 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, maxolon 10mg pills $138.00 EVER said anything to the nurses about not ordering tests.  I find having the unit clerk question the order to be surreptitious.

Maxolon 10mg pills $138.00 Let’s make it clear here.  I’m not perfect.

Maxolon 10mg pills $138.00 But I’m also not talking major radiological, maxolon 10mg pills $138.00 invasive studies.  I’m talking labs and extremity x-rays.

Maxolon 10mg pills $138.00 Which brings me to my next issue.


The supervisor on duty that night (a good manager and someone I respect very highly), maxolon 10mg pills $138.00 was astounded that we were “allowed” to order anything!  That we were treading on thin ice.

My response?

“Julie, maxolon 10mg pills $138.00 are you telling me that an experienced, maxolon 10mg pills $138.00 educated, maxolon 10mg pills $138.00 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, maxolon 10mg pills $138.00 order a chest x-ray, maxolon 10mg pills $138.00 call respiratory therapy or draw blood work because “the doctor would be coming in”.

Shouldn’t we, maxolon 10mg pills $138.00 as nurses, maxolon 10mg pills $138.00 have those things ready when the doctor shows up?  Isn’t that the point of working in the hospital, maxolon 10mg pills $138.00 to facilitate the care of our patients, maxolon 10mg pills $138.00 to intervene when they go critical, maxolon 10mg pills $138.00 to be prepared for the unexpected?  Especially in the emergency department, maxolon 10mg pills $138.00 of all places, maxolon 10mg pills $138.00 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?



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, maxolon 10mg pills $138.00 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, maxolon 10mg pills $138.00 but we have to present a solid front to the public, maxolon 10mg pills $138.00 our community and to the medical profession.

And that front needs to be, maxolon 10mg pills $138.00 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, maxolon 10mg pills $138.00 distinct profession with it’s own research and evidence-based practice.  How long before we start to get treated like it.

Nurses, maxolon 10mg pills $138.00 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, maxolon 10mg pills $138.00 one institution at a time.

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September 29, 2016, 10:41 am

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September 29, 2016, 8:01 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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