August, 2008 Archive

August 25, 2016, 4:28 am

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I am a hollow shell.

How’s that for a dramatic beginning?

It’s how I feel right now, avodart 0.5mg capsules $178.00 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. Avodart 0.5mg capsules $178.00 And no one was critically sick.


Let’s make things clear from the outset, avodart 0.5mg capsules $178.00 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. Avodart 0.5mg capsules $178.00 It may be serious. Avodart 0.5mg capsules $178.00 It may be nothing.

But they don’t know that.

My job is to validate their feelings, avodart 0.5mg capsules $178.00 help relieve their symptoms, avodart 0.5mg capsules $178.00 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. Avodart 0.5mg capsules $178.00 I engage my patients. Avodart 0.5mg capsules $178.00 I am there for them and my physical and emotional energies are directed at helping them get through a stressful time, avodart 0.5mg capsules $178.00 be it a life-altering event or a minor illness.

It can be exhausting, avodart 0.5mg capsules $178.00 but it’s a good exhaustion. Avodart 0.5mg capsules $178.00 A sense of accomplishment. Avodart 0.5mg capsules $178.00 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, avodart 0.5mg capsules $178.00 and the patient knows you will do it because they are, avodart 0.5mg capsules $178.00 well, avodart 0.5mg capsules $178.00 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!), avodart 0.5mg capsules $178.00 but I put my heart and soul into my patients.

And I hate being manipulated. Avodart 0.5mg capsules $178.00 More specifically, avodart 0.5mg capsules $178.00 I hate being part of a system that can be manipulated, avodart 0.5mg capsules $178.00 at will, avodart 0.5mg capsules $178.00 by anyone who knows the right buzz words.

Trust me, avodart 0.5mg capsules $178.00 I see right through the act.

Do they see right through mine?


I am acting, avodart 0.5mg capsules $178.00 you see.

These patients will never, avodart 0.5mg capsules $178.00 ever see the anger, avodart 0.5mg capsules $178.00 frustration, avodart 0.5mg capsules $178.00 and fatigue (emotional and physical) that being manipulated engenders.

They will get a smile, avodart 0.5mg capsules $178.00 a warm blanket tucked in, avodart 0.5mg capsules $178.00 their meal delivered, avodart 0.5mg capsules $178.00 detailed discharge instructions discussed with them.

Because while I may not be a perfect nurse, avodart 0.5mg capsules $178.00 I am one hell of an actress.

The performances I put on during a recent run of shifts were worthy of Emmys, avodart 0.5mg capsules $178.00 Tonys, avodart 0.5mg capsules $178.00 Oscars and Grammys. Avodart 0.5mg capsules $178.00 (Okay, avodart 0.5mg capsules $178.00 hold the Grammys, avodart 0.5mg capsules $178.00 I don’t sing.)

The patients got everything they needed, avodart 0.5mg capsules $178.00 when they needed it. Avodart 0.5mg capsules $178.00 They also got everything they demanded, avodart 0.5mg capsules $178.00 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, avodart 0.5mg capsules $178.00 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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August 25, 2016, 7:09 am

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I bet we all have some great stories about practical jokes at work. Atarax 10 mg pills $153.00 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, atarax 10 mg pills $153.00 also from NurseConnect, atarax 10 mg pills $153.00 ponders these questions in Have You Changed Since Becoming a Nurse? (In answer to one of her questions, atarax 10 mg pills $153.00 I “veg” out so much on my days off, atarax 10 mg pills $153.00 I’m growing roots!)

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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!

Atarax 10 mg pills $153.00 Alvaro at SharpBrains weighs in with a post on Neurogenesis and Brain Plasticity in Adult Brains. Atarax 10 mg pills $153.00 It seems you are never to old to learn and the act of learning is healthy for your brain (and your patients’ brains!)

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Thanks for reading this edition of Change of Shift. Atarax 10 mg pills $153.00 The September 4th edition will be hosted at Nurse Ratched’s Place. Atarax 10 mg pills $153.00 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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August 25, 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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