Viagra sale buy Oh, viagra sale buy this is hilarious!
Viagra sale buy It is so obviously not a real hospital room!
Viagra sale buy The solid white backdrop – no oxygen, viagra sale buy no light fixtures, viagra sale buy no code button, viagra sale buy no intercom.
Viagra sale buy Okay, viagra sale buy so maybe they didn’t have those back in the day.
Viagra sale buy It’s hard to see, viagra sale buy but there is a piece of tape on the glass bottle that says “Saline”. Viagra sale buy It looks like the tubing coming from the IV is rubber and about the size of a garden hose.
Viagra sale buy 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, viagra sale buy either – just three glass bottle water seal drainge!)
Viagra sale buy It seems that they practiced make-up application and used hair arranging as a therapeutic intervention. That patient looks really sick, viagra sale buy doesn’t she?
Viagra sale buy Heck, viagra sale buy 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, viagra sale buy 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, viagra sale buy I had a chance to say a word, viagra sale buy the clerk swiveled in her chair, viagra sale buy put the chart in front of the doctor and asked, viagra sale buy “Is it okay if I order these?”.
After I picked my jaw up off the desk, viagra sale buy I said jokingly, viagra sale buy “Betty, viagra sale buy 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, viagra sale buy in order not to get in trouble, viagra sale buy she did that with all the doctors.
WTF? This is wrong on so many levels.
- First of all, viagra sale buy 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, viagra sale buy 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, viagra sale buy to top that off, viagra sale buy 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, viagra sale buy EVER said anything to the nurses about not ordering tests. I find having the unit clerk question the order to be surreptitious.
Viagra sale buy Let’s make it clear here. I’m not perfect.
Viagra sale buy But I’m also not talking major radiological, viagra sale buy invasive studies. I’m talking labs and extremity x-rays.
Viagra sale buy Which brings me to my next issue.
The supervisor on duty that night (a good manager and someone I respect very highly), viagra sale buy was astounded that we were “allowed” to order anything! That we were treading on thin ice.
“Julie, viagra sale buy are you telling me that an experienced, viagra sale buy educated, viagra sale buy 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, viagra sale buy order a chest x-ray, viagra sale buy call respiratory therapy or draw blood work because “the doctor would be coming in”.
Shouldn’t we, viagra sale buy as nurses, viagra sale buy have those things ready when the doctor shows up? Isn’t that the point of working in the hospital, viagra sale buy to facilitate the care of our patients, viagra sale buy to intervene when they go critical, viagra sale buy to be prepared for the unexpected? Especially in the emergency department, viagra sale buy of all places, viagra sale buy 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, viagra sale buy 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, viagra sale buy but we have to present a solid front to the public, viagra sale buy our community and to the medical profession.
And that front needs to be, viagra sale buy 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, viagra sale buy distinct profession with it’s own research and evidence-based practice. How long before we start to get treated like it.
Nurses, viagra sale buy 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, viagra sale buy one institution at a time.