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Nortriptyline 25mg pills $253.00 He was asked to reprise a statement he had made during the General Assembly for the Opening Keynote.

Nortriptyline 25mg pills $253.00 Major White is the Director of Trauma Education for the Defense Medical Readiness Training Institute. Nortriptyline 25mg pills $253.00 He served in Iraq as the nurse manager of the emergency department in the International Zone.

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Nortriptyline 25mg pills $253.00 Major White had an answer.

Nortriptyline 25mg pills $253.00 He said, nortriptyline 25mg pills $253.00 “We are ER nurses, nortriptyline 25mg pills $253.00 this is what we do. Nortriptyline 25mg pills $253.00 We manage chaos.”

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We manage chaos.

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Major White’s comments during the Keynote Address were brief, nortriptyline 25mg pills $253.00 vivid, nortriptyline 25mg pills $253.00 poignant and inspiring.

I started to lose it when he told us that the staff of the ER had made a pact. Nortriptyline 25mg pills $253.00 A staff member would always be with a patient if they were terminally injured; no one in that ER in the middle of Iraq would ever die without someone at the bedside. Nortriptyline 25mg pills $253.00 No one would die alone.

And it didn’t matter who you were.


This post doesn’t even begin to convey how proud I felt to be an ER nurse that day.

I’ll never see one-millionth of what Major White has seen. Nortriptyline 25mg pills $253.00 I’ll never have that level of awesome responsibility.

But I’ll hold my head up a little higher when I realize I am in a profession that allows me to call someone like Major White a professional colleague.

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No matter what nursing specialty you work in, nortriptyline 25mg pills $253.00 stop to think about what you do.

Really stop and think about it.

Not just anyone can do what we do.

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Every department. Nortriptyline 25mg pills $253.00 Every day. Nortriptyline 25mg pills $253.00 Every shift.

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  • Dan Weberg
    Dan Weberg

    September 28, 2008 at 3:51 pm

    I love your post but think that “MANAGE CHAOS” is the wrong word. From the description you gave, the ED nurses are thriving in chaos. No one can manage chaos as that would be telling the chaos what to do. What ED nurses do is use the chaos to their advantage. They self-organize around problems, and innovation in problem solving thrives. This phenomena is called Complexity theory or Complex Adaptive Systems. We as ED nurses are thriving on the energy of chaos swirling around us. Take a step back and watch as the nurses swarm, like bees, from problem to problem solving it and quickly adapting and moving on. 2 sick calls, allows the bond to become stronger among the workers, creating energy that is used to save lives, deal with change, and overcome adversity. ED nurses don’t manage chaos, ED nurses do not survive without it. The power is unleashed in the worst of times.

    Dan Weberg
    I am a PhD student in Nursing and Healthcare Innovation at Arizona State University. I am also a Certified Emergency Nurse and Trauma Nurse.

  • runningwildly

    September 28, 2008 at 4:07 pm

    What an awesome post. I have goosebumps!
    I worked in emerg this past summer, fell in love only to go back in just a matter of months. I will be a critically care educated RN next year and I simply can’t wait. Your post put into words exactly what we feel as we run around on the ER floor. Brilliantly put.

  • NPs Save Lives
    NPs Save Lives

    September 28, 2008 at 6:36 pm

    You are so right. I also have to agree with what Dan Weberg said about not managing chaos because we just hang on for the ride and try to make the best of a bad situation. ER nurses are Pros at that.

  • Dr. Cason
    Dr. Cason

    September 29, 2008 at 2:49 am

    You all are heroes!

    I felt nauseous after my ER shifts. I readily admit that I couldn’t handle the stress of not knowing what might come in.

    I’d hear the charts start coming in and I would groan. God bless you all for loving that job! Someone has to do it. 🙂

  • Strong One
    Strong One

    September 29, 2008 at 3:27 am

    HOORAH Kim.
    Thanks for that healthy dose of reality.
    I like to call it ‘controlled’ chaos. *wink*wink*

  • Healthcare Today
    Healthcare Today

    September 29, 2008 at 4:31 am

    “We Manage Chaos” // Emergiblog…

    Kim’s big adventure continues at the ENA conference. Mary Tyler Moore would be proud! Read her post!…

  • Candy

    September 29, 2008 at 8:11 am

    Well put (now I have to find different words!). I’m NOT an ER nurse, but I felt proud to be surrounded by them (and next to you) at the conference listening to Major White. You guys rock!

  • Anthony Phipps
    Anthony Phipps

    September 29, 2008 at 4:21 pm


    It was a joy having you at the conference and reading your posts. Keep up the great work, you are a wonderfully vibrant voice for ED nurses, a voice that needs to be heard as often as possible.


  • Up To No Good
    Up To No Good

    October 4, 2008 at 5:04 am

    This totally gave me chills.

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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