August, 2008 Archive

July 30, 2016, 4:28 am

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Leukeran 2mg pills $253.00 I was not a good player of “Operation”, leukeran 2mg pills $253.00 either, leukeran 2mg pills $253.00 I always made the nose light up.

Leukeran 2mg pills $253.00 Good thing I didn’t go into surgery, leukeran 2mg pills $253.00 folks would be running around with electric, leukeran 2mg pills $253.00 red noses.

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Leukeran 2mg pills $253.00 Did they increase the fee paid for removing that ankle?

Leukeran 2mg pills $253.00 I bet the “fees” haven’t changed from the original game. Leukeran 2mg pills $253.00 Guess it isn’t so far from real life as I thought.


I am a hollow shell.

How’s that for a dramatic beginning?

It’s how I feel right now, leukeran 2mg pills $253.00 and it hasn’t changed since I last left my unit..

I expended so much mental and emotional energy during my run of night shifts. Leukeran 2mg pills $253.00 And no one was critically sick.


Let’s make things clear from the outset, leukeran 2mg pills $253.00 so you don’t think I’m a burnt out old hag.

The vast majority of patients who present to the emergency department are patients who are anxious about something that is happening to their body. Leukeran 2mg pills $253.00 It may be serious. Leukeran 2mg pills $253.00 It may be nothing.

But they don’t know that.

My job is to validate their feelings, leukeran 2mg pills $253.00 help relieve their symptoms, leukeran 2mg pills $253.00 plan an approach to help them solve the problem and make sure they have the resources to follow up.

This is what I do as a nurse. Leukeran 2mg pills $253.00 I engage my patients. Leukeran 2mg pills $253.00 I am there for them and my physical and emotional energies are directed at helping them get through a stressful time, leukeran 2mg pills $253.00 be it a life-altering event or a minor illness.

It can be exhausting, leukeran 2mg pills $253.00 but it’s a good exhaustion. Leukeran 2mg pills $253.00 A sense of accomplishment. Leukeran 2mg pills $253.00 The feeling that maybe my presence and my nursing care made a scary time easier.


But what are you supposed to do when you are being “played”?

When the BS is so thick the unit needs twenty-five septic tanks just to handle triage.

When you might as well be a waitress at the IHOP because all you are basically doing taking the patient’s order, leukeran 2mg pills $253.00 and the patient knows you will do it because they are, leukeran 2mg pills $253.00 well, leukeran 2mg pills $253.00 the “patient”.

When all you are is a legal conduit for drug administration with a clean needle.

When the story you are being told as “history of present illness” has so many holes in it swiss cheese is a block of marble in comparison.

And they know you know it.

But you have to treat them.

And they know it.


I’m not a perfect nurse by any stretch of the imagination (and I have a unit full of colleagues to confirm it!), leukeran 2mg pills $253.00 but I put my heart and soul into my patients.

And I hate being manipulated. Leukeran 2mg pills $253.00 More specifically, leukeran 2mg pills $253.00 I hate being part of a system that can be manipulated, leukeran 2mg pills $253.00 at will, leukeran 2mg pills $253.00 by anyone who knows the right buzz words.

Trust me, leukeran 2mg pills $253.00 I see right through the act.

Do they see right through mine?


I am acting, leukeran 2mg pills $253.00 you see.

These patients will never, leukeran 2mg pills $253.00 ever see the anger, leukeran 2mg pills $253.00 frustration, leukeran 2mg pills $253.00 and fatigue (emotional and physical) that being manipulated engenders.

They will get a smile, leukeran 2mg pills $253.00 a warm blanket tucked in, leukeran 2mg pills $253.00 their meal delivered, leukeran 2mg pills $253.00 detailed discharge instructions discussed with them.

Because while I may not be a perfect nurse, leukeran 2mg pills $253.00 I am one hell of an actress.

The performances I put on during a recent run of shifts were worthy of Emmys, leukeran 2mg pills $253.00 Tonys, leukeran 2mg pills $253.00 Oscars and Grammys. Leukeran 2mg pills $253.00 (Okay, leukeran 2mg pills $253.00 hold the Grammys, leukeran 2mg pills $253.00 I don’t sing.)

The patients got everything they needed, leukeran 2mg pills $253.00 when they needed it. Leukeran 2mg pills $253.00 They also got everything they demanded, leukeran 2mg pills $253.00 when they demanded it.

My charade really was the event of the season.

And I walked away feeling like my soul was dead.


To paraphrase a famous Prince song: this is what it sounds like, leukeran 2mg pills $253.00 when a nurse dies.

I don’t like that feeling.

Thank God I’ve been in the profession long enough to know it doesn’t last.

But it hurts like hell to be numb.

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July 30, 2016, 7:09 am

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Nitroglycerin 6.4mg (25 capsule bottle) $130.00 Suzanne at :: adventures in daily living :: starts us off with a very comprehensive post on How to Help a Family With a Medical Emergency That Lands Them in I.C.U. There are things here I never even thought of, nitroglycerin 6.4mg (25 capsule bottle) $130.00 and I’ve done the ICU vigil more times than I care to think about!

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Oh geeze, nitroglycerin 6.4mg (25 capsule bottle) $130.00 just when you think you’ve heard everything…Janet at PixelOne, nitroglycerin 6.4mg (25 capsule bottle) $130.00PurlTwo sends a story about a class on communication she was required to attend, nitroglycerin 6.4mg (25 capsule bottle) $130.00 entitled Nurses as Children. Nitroglycerin 6.4mg (25 capsule bottle) $130.00 You have to read this. Nitroglycerin 6.4mg (25 capsule bottle) $130.00 And then reach for the Tums. Nitroglycerin 6.4mg (25 capsule bottle) $130.00 You’ll need them. Nitroglycerin 6.4mg (25 capsule bottle) $130.00 I did.

Keith at Digital Doorway presents his third installment of his ValueCare, nitroglycerin 6.4mg (25 capsule bottle) $130.00 ValueNurses blogging scholarship series with a look at The Aging World. Nitroglycerin 6.4mg (25 capsule bottle) $130.00 As I’m smack in the middle of the Boomer generation, nitroglycerin 6.4mg (25 capsule bottle) $130.00 so I’m not sure whether I’m depressed over the potential for economic hardship or the fact that Keith is younger than me! Over at NurseLinkUp, nitroglycerin 6.4mg (25 capsule bottle) $130.00 Keith discusses new legislation regarding nursing practice in Ohio Nurses Allowed to Administer Botox. Nitroglycerin 6.4mg (25 capsule bottle) $130.00 Look for NurseLinkUp to host Change of Shift in the upcoming months!

I bet we all have some great stories about practical jokes at work. Nitroglycerin 6.4mg (25 capsule bottle) $130.00 Nurse Kathy at NurseConnect tells us a few gems as she discusses the reason we should Lighten Up.


Has nursing changed you? How are you seen by friends and family now that you are a nurse? Nurse Laura, nitroglycerin 6.4mg (25 capsule bottle) $130.00 also from NurseConnect, nitroglycerin 6.4mg (25 capsule bottle) $130.00 ponders these questions in Have You Changed Since Becoming a Nurse? (In answer to one of her questions, nitroglycerin 6.4mg (25 capsule bottle) $130.00 I “veg” out so much on my days off, nitroglycerin 6.4mg (25 capsule bottle) $130.00 I’m growing roots!)

Nitroglycerin 6.4mg (25 capsule bottle) $130.00 ERMurse has been to some meetings and he shares his version of the proceedings in Annoying Consultant Speak posted at ER Murse. Nitroglycerin 6.4mg (25 capsule bottle) $130.00 Been there, nitroglycerin 6.4mg (25 capsule bottle) $130.00 heard that! What a pain.

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Beka over at Medscape Nurses wonders just how much technology is enough in How High Tech Must We Go in ICU Today? She links to an article about an almost unbelievable ICU!

Nitroglycerin 6.4mg (25 capsule bottle) $130.00 Alvaro at SharpBrains weighs in with a post on Neurogenesis and Brain Plasticity in Adult Brains. Nitroglycerin 6.4mg (25 capsule bottle) $130.00 It seems you are never to old to learn and the act of learning is healthy for your brain (and your patients’ brains!)

Nitroglycerin 6.4mg (25 capsule bottle) $130.00 You can find Heather Johnson in many places on the web, nitroglycerin 6.4mg (25 capsule bottle) $130.00 but this time she comes to us from with a quick look at Loan Tips for the New Grad. Nitroglycerin 6.4mg (25 capsule bottle) $130.00 In the same vein, nitroglycerin 6.4mg (25 capsule bottle) $130.00 Sarah Scrafford offers guidance in Understanding Your U.S. Nitroglycerin 6.4mg (25 capsule bottle) $130.00 Federal Financial Aid Options: Perkins and Stafford which can be found at Online I present these for our new grad colleagues and those about ready to embark on their nursing education (including my daughter!)

Nitroglycerin 6.4mg (25 capsule bottle) $130.00 This looks intriguing! Sally Thompson presents 100 Open Courseware Collections in Health and Medicine over at Nursing Colleges & Training Schools.


Thanks for reading this edition of Change of Shift. Nitroglycerin 6.4mg (25 capsule bottle) $130.00 The September 4th edition will be hosted at Nurse Ratched’s Place. Nitroglycerin 6.4mg (25 capsule bottle) $130.00 You can submit via the Blog Carnival button or send your submissions to “motherjonesrn at yahoo dot com”.

See you then!

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July 30, 2016, 10:52 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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