June 28, 2016, 3:06 pm

Viagra Alternative

Viagra alternative (Well, viagra alternative I thought I was homeward bound. Viagra alternative Turns out they overbooked my flight from Phoenix to Oakland, viagra alternative and needed volunteers to take a later flight. Viagra alternative What’s in it for me? A bigger jet, viagra alternative dinner and a free round-trip ticket to anywhere US Airways flies in the US. Viagra alternative Hello?

Viagra alternative Heck yeah, viagra alternative I’ll volunteer! I’m exhausted but I’m thinking, viagra alternative “NASCAR, viagra alternative here I come!”. Viagra alternative My husband has it tagged for something else. Viagra alternative Not a chance, viagra alternative Bub – Coca Cola 600, viagra alternative 2009, viagra alternative I’m so there! So I’m blogging in a combo Wolfgang Puck/Pretzel Mania/TCBY/Pizza Hut cubicle. Viagra alternative It’s the only place with a plug!)


Viagra alternative

Viagra alternative Here I am with Mary Tyler Moore on the Nicollet Mall in Minneapolis.

Viagra alternative Or at least her statue.

Viagra alternative I didn’t have a hat to toss, viagra alternative darn it!

Viagra alternative The mall is beautiful, viagra alternative with sidewalk cafes, viagra alternative plants and flowers – and every store you can imagine.

Viagra alternative This photo is somewhat misleading.

Viagra alternative The statue really doesn’t look like Mary.

Viagra alternative And I’m not seven months pregnant.

Viagra alternative In fact, viagra alternative I’m much thinner than this.

Viagra alternative Trust me.


Viagra alternative When I decided to attend the ENA conference, viagra alternative I expected to be inspired and informed

Viagra alternative I didn’t expect Major William White.

Viagra alternative He wasn’t on the agenda.

Viagra alternative He was asked to reprise a statement he had made during the General Assembly for the Opening Keynote.

Viagra alternative Major White is the Director of Trauma Education for the Defense Medical Readiness Training Institute. Viagra alternative He served in Iraq as the nurse manager of the emergency department in the International Zone.

Viagra alternative They cared for everyone: men, viagra alternative women, viagra alternative children, viagra alternative Iraqi, viagra alternative American. Viagra alternative Insurgents.


Viagra alternative Think your ER is busy? Imagine a two minute (maybe) heads up that you are getting fifteen major trauma patients from a bombing. Viagra alternative Horrible injuries. Viagra alternative Multiple amputations. Viagra alternative As you gear up to care for those, viagra alternative more are being pulled from collapsed buildings and being brought in for care and your ER itself is under fire.

Viagra alternative In the middle of all this, viagra alternative a reporter embedded with the unit puts a microphone up to you and asks how you handle all this? How are you able to deal with it?

Viagra alternative Major White had an answer.

Viagra alternative He said, viagra alternative “We are ER nurses, viagra alternative this is what we do. Viagra alternative We manage chaos.”

Viagra alternative That was perfect.


We manage chaos.

Most of us have never had to manage it in an ER in the center of a war zone, viagra alternative but that is exactly what we do as emergency department nurses. Viagra alternative Every department. Viagra alternative Every day. Viagra alternative Every shift.

We manage chaos.

We manage it when the rooms are packed, viagra alternative the hallway becomes an ICU, viagra alternative the waiting area is full of people who should be roomed and two people call in sick for the next shift.

We manage it with a patient who is acting out because their ability to cope is gone.

We manage it when a family hears the news that their loved one is gone.

From the department level down to the individual patient, viagra alternative we make order out of chaos.


Major White’s comments during the Keynote Address were brief, viagra alternative vivid, viagra alternative poignant and inspiring.

I started to lose it when he told us that the staff of the ER had made a pact. Viagra alternative 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. Viagra alternative 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. Viagra alternative 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.

He brought clarity to the role of the emergency nurse in one sentence.


No matter what nursing specialty you work in, viagra alternative stop to think about what you do.

Really stop and think about it.

Not just anyone can do what we do.

We’re nurses.

And we should be proud of our accomplishments.

Every department. Viagra alternative Every day. Viagra alternative 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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