March, 2009 Archive

September 29, 2016, 9:18 am

Herbolax 10 Strip Box $210.00

Herbolax 10 strip box $210.00 capnoseMuch to the amusement of her classmates, herbolax 10 strip box $210.00 Nurse Jones belatedly discovers she is allergic to her nursing cap.

Herbolax 10 strip box $210.00 If that cap was any larger, herbolax 10 strip box $210.00 she’ d be into “Flying Nun” territory.

Herbolax 10 strip box $210.00 Aw, herbolax 10 strip box $210.00 who am I kidding.  I didn’t have a capping ceremony, herbolax 10 strip box $210.00 but I bawled my eyes out when I put that plain white cap on my head for the first time. Herbolax 10 strip box $210.00 It was my second quarter of nursing school.  I was nineteen, herbolax 10 strip box $210.00 and had coveted that cap for ten years.

Herbolax 10 strip box $210.00 I wore it around the house.

Herbolax 10 strip box $210.00 And how proud I was when I could add the green stripe at the beginning of the second year lay the gold stripe under it my last quarter!

Herbolax 10 strip box $210.00 I have a pristine version of it in my closet right now.  I’d kill to wear it again.  I still get chills when I put it on.

Herbolax 10 strip box $210.00 As it is, herbolax 10 strip box $210.00  I just pull it out for Nurses Week in May.

Herbolax 10 strip box $210.00 My colleagues tease me.

Herbolax 10 strip box $210.00 My patients love it.

Herbolax 10 strip box $210.00 (For the record, herbolax 10 strip box $210.00 that is a photo of Dorothy Bradley, herbolax 10 strip box $210.00 taken in New York in December of 1949 by photographer Martha Holmes for Life Magazine.)

*************************

yearthreelogo

Herbolax 10 strip box $210.00 Don’t forget, herbolax 10 strip box $210.00 Change of Shift will be here at Emergiblog next Thursday!

Herbolax 10 strip box $210.00 I’ve already gotten some wonderful submissions! If you send it, herbolax 10 strip box $210.00 I will post it!

Herbolax 10 strip box $210.00 Unless you are a spammer. Herbolax 10 strip box $210.00 I don’t care how you spin it, herbolax 10 strip box $210.00 I cannot justify the inclusion of poodle grooming, herbolax 10 strip box $210.00 prom dresses or commiserate with you over the “bad rap” dietary fat is given.

Herbolax 10 strip box $210.00 Everybody else? My in-box awaits your submission!

**********

Code blue.

Overhead page.

Dammit.

Why the hell an ER nurse has to respond to these is beyond me. Herbolax 10 strip box $210.00 Fifty thousand staff members all monitor certified and an ER nurse has to go.

Tonight, herbolax 10 strip box $210.00 that’s me.

*****

I grab the intubation bags.

Oh, herbolax 10 strip box $210.00 there is intubation material upstairs but our docs like specific things.

Not a problem, herbolax 10 strip box $210.00 they’re easy to carry.

I’m way too old to be taking these stairs two at a time.

*****

The sole role of the ER nurse?

Monitor person.

That’s it.

The pads are always on by the time we arrive.

I stand at the end of the bed.

Herbolax 10 strip box $210.00 Watch the monitor.

*****

CPR in progress.

Someone is intubating.

Someone is pushing drugs.

On cue, herbolax 10 strip box $210.00 I push a button.

Charging.

Clear.

Shock.

Nothing.

Lather, herbolax 10 strip box $210.00 rinse, herbolax 10 strip box $210.00 repeat.

Nothing.

*****

The code is called.

I wrap the monitor strips into a neat little roll and hand it to the unit nurse.

Grab my (unused) intubation bags and head back to the unit.

This time I take the elevator.

And it hits.

*****

She’s dead.

Someone just died.

Someone’s wife, herbolax 10 strip box $210.00 mom, herbolax 10 strip box $210.00 aunt, herbolax 10 strip box $210.00 granddaughter, herbolax 10 strip box $210.00 grandmother, herbolax 10 strip box $210.00 sister.

Friend.

Phone calls are being made.

Lives are being altered.

Devastated.

Shock. Herbolax 10 strip box $210.00 Grief.

It’s all starts right now.

As my elevator touches the ground floor.

*****

Back to work.

Queen Bee from the wealthy part of town who decided a hang nail was an emergency is miffed by the wait.

Mr. Herbolax 10 strip box $210.00 Intoxication is screaming profanities at me.

(Whore? Hell, herbolax 10 strip box $210.00 I’d probably make more money, herbolax 10 strip box $210.00 but the benefits are terrible.)

The Entitlement family demands antibiotics for all seven kids, herbolax 10 strip box $210.00 right now!

But do we have samples? You see (they say while covering up the mouthpiece on their iPhone(s), herbolax 10 strip box $210.00 they don’t have the money to get the prescriptions filled.

Someone just died! I want to scream.

I don’t.

My god.

They have no clue.

*****

Family members begin to arrive.

In groups of two.

They look numb.

Upstairs, herbolax 10 strip box $210.00 monitors are unhooked

Airways are removed.

The patient is detached.

So was I.

I thought.

Average Rating: 4.8 out of 5 based on 253 user reviews.

Read »

September 29, 2016, 10:44 pm

Zestril 5mg Pills $118.00

yearthreelogo3

Propranolol 10mg pills $174.00 Welcome to the Emergiblog version of Change of Shift!

Propranolol 10mg pills $174.00 It’s been a while since I have hosted, propranolol 10mg pills $174.00 and it’s fun to check out the posts as they arrive! Oh who am I kidding, propranolol 10mg pills $174.00 I wait until almost the last minute!

Propranolol 10mg pills $174.00 Check out the calendar, propranolol 10mg pills $174.00 if you are interested in hosting our esteemed carnival there are openings available.

Propranolol 10mg pills $174.00 Send me a postcard, propranolol 10mg pills $174.00 drop me a line…all together now….and let me know what date you would like to host!

Propranolol 10mg pills $174.00 And stay tuned for some MAJOR news about the medblogger meet-up!  I’m literally on the edge of the diving board and DYING to spill da beans!

Propranolol 10mg pills $174.00 Now, propranolol 10mg pills $174.00 without further ado, propranolol 10mg pills $174.00 I present Change of Shift, propranolol 10mg pills $174.00 Volume 3, propranolol 10mg pills $174.00 Number 19.

****************************

Propranolol 10mg pills $174.00 Oh, propranolol 10mg pills $174.00 man. Propranolol 10mg pills $174.00 When the message is devastating, propranolol 10mg pills $174.00 the recipient isn’t the only one affected. Propranolol 10mg pills $174.00 OncRN presents news posted at oncRN.

Propranolol 10mg pills $174.00 The American Journal of Nursing has a blog! It’s called Off the Charts and this week Editor-in-Chief Diana J. Propranolol 10mg pills $174.00 Mason asks, propranolol 10mg pills $174.00 State Boards of Nursing: Can They Protect the Public From Unsafe Nurses? Find out what she discovered in her interview with Dr. Propranolol 10mg pills $174.00 Marianne Alexander, propranolol 10mg pills $174.00 RN, propranolol 10mg pills $174.00 Chief Officer of Nursing Regulation for the National Council of State Boards of Nursing. Propranolol 10mg pills $174.00 Audio link provided!  Oh, propranolol 10mg pills $174.00 and while you are there, propranolol 10mg pills $174.00 check out the poll Nursing and the Economy!

Propranolol 10mg pills $174.00 We’ve heard of internet identity theft, propranolol 10mg pills $174.00 but did you know that medical identity theft is also a danger? Our colleague at Reality Rounds (a renaissance nurse if there ever was one!) takes on this topic in Realities of Medical Identity Theft, propranolol 10mg pills $174.00 including a link to an article on the same topic in the Chicago Tribune.

*****

Propranolol 10mg pills $174.00 Online Nursing Degrees has a consistently relevant nursing blog.  This post is no exception.  It is also very timely.  Find out why nursing is Unbreakable. And then take every bit of the credit you deserve for making it so.

Propranolol 10mg pills $174.00 Mark from Medicblog999 shares his vision of improved psychiatric services from a U.K. Propranolol 10mg pills $174.00 perspective. Propranolol 10mg pills $174.00 Much of what he proposes would be a great improvement in the U.S., propranolol 10mg pills $174.00 also.  Check out Psych ER.

Propranolol 10mg pills $174.00 Watch out Baltimore! The ER nurses are heading your way for their 2009 Annual Meeting! For those of us who have never been, propranolol 10mg pills $174.00 and for those of us who want to go back, propranolol 10mg pills $174.00 the Maryland Emergency Nurses Association has a fantastic blog with all the inside info on getting there, propranolol 10mg pills $174.00 staying there (and partying there!).  Check out ENA 2009 Annual Meeting in Baltimore!

*****

Propranolol 10mg pills $174.00 Whoa. Propranolol 10mg pills $174.00 Can there be too much trust between a provider and their patient? NPs Save Lives looks at the question from a personal perspective in Trust Is A Huge Responsibilty posted at The Nurse Practitioner’s Place. Propranolol 10mg pills $174.00 And check out her new site at www.npplace.com! Nice digs!

Propranolol 10mg pills $174.00 .38 Special once sang, propranolol 10mg pills $174.00 “A heart needs a second chance”. Propranolol 10mg pills $174.00 Shrtstormtrooper agrees and gives a poignant example in Second Chances posted at New Nurse Insanity: Fundus Chop!.

Propranolol 10mg pills $174.00 Have something you feel like telling your manager, propranolol 10mg pills $174.00 but aren’t quite sure you should do it?  Well, propranolol 10mg pills $174.00 the folks at Advance have a blog where you can tell a nurse manager what you think! Mary Bylone, propranolol 10mg pills $174.00 RN, propranolol 10mg pills $174.00 is a nurse leader and she not only can take what you dish out, propranolol 10mg pills $174.00 she wants to hear it!  Mary asks What Will It Take To Strike Up A Conversation? at Things You Wish You Could Tell Your Nurse Manager. Propranolol 10mg pills $174.00 (Disclosure: I’m on the regional editorial advisory board for Advance.  My job? I give my opinion on stuff! I’m highly qualified to do that!)

*****

Propranolol 10mg pills $174.00 Strong One jumps in this week with some advice for our new colleagues in Your First ‘Code’ as a New Nurse | My Strong Medicine. Propranolol 10mg pills $174.00 Okay, propranolol 10mg pills $174.00 Strong One where were you when I needed you?  Oh. Propranolol 10mg pills $174.00 Probably not born yet. Propranolol 10mg pills $174.00 Never mind. Propranolol 10mg pills $174.00 You can find him at My Strong Medicine.

Propranolol 10mg pills $174.00 Too old to learn anything new? Sorry, propranolol 10mg pills $174.00 that won’t fly! Find out the latest on keeping your brain flexible as Alvaro presents Michael Merzenich: Brain Plasticity offers Hope for Everyone posted at SharpBrains.

Propranolol 10mg pills $174.00 The nurses over at the NurseConnect blog have some great posts this week.  Nurse Kathy gives a get-your-kleenex-lump-in-throat post as she describes her Unforgettable Patients.  Ah, propranolol 10mg pills $174.00 nursing care plans. Propranolol 10mg pills $174.00 Haven’t seen one for a bazillion years (god bless the ER).  But…why do we have them and are they actually useful? Nurse Kathy asks Are We Charting Separate Courses?

*****

Dean from Rebuild Your Back always has interesting tidbits on back health and this week he takes on an interesting question in Sciatica and Food: Is There A Secret Cure? Now that’s a new one for me!

Propranolol 10mg pills $174.00 Ahem.  Somebody is turning fifty! Find out who at Nurse Ratched’s Place! (Now if they would only make that outfit in my size….)

Propranolol 10mg pills $174.00 And now I present the “Oh, propranolol 10mg pills $174.00 why not, propranolol 10mg pills $174.00 Carolyn is nice and the site looks good” post.  Since nurses happen to be in possesion of a heart, propranolol 10mg pills $174.00 you may fnd these of interest!  Anybody out on the road during rush hour traffic?  Watch your ticker! Carolyn at presents Can Rush Hour Traffic Increase Your Risk for a Heart Attack? posted at Healthy Hearts with Heartstrong.  She also presents Heart Healthy National Nutrition Month Tips to help us keep those tickers ticking!

*****

That’s it for this edition.  Looks like I’ll be your hostess-with-the-mostest for next edition too, propranolol 10mg pills $174.00 so email me with all your posts!  That means you! Do it now, propranolol 10mg pills $174.00 so you don’t forget!  : )

Propranolol 10mg pills $174.00 Speaking of don’t forget, propranolol 10mg pills $174.00 Change of Shift now has subscription options; you can follow by email or RSS feed. Propranolol 10mg pills $174.00 An aggregated feed of credible, propranolol 10mg pills $174.00 rotating health and medicine blog carnivals is also available.  Many thanks to Walter Jesson at Highlight Health for setting those feeds up!

Average Rating: 4.5 out of 5 based on 173 user reviews.

Read »

September 29, 2016, 8:26 pm

Isoptin 40mg Pills $249.00

Tetracycline 250mg pills $109.00 ImageChef.comDo you know how much it costs to be a major Nascar sponsor?

Tetracycline 250mg pills $109.00 Around $25 million!

Tetracycline 250mg pills $109.00 No, tetracycline 250mg pills $109.00 I didn’t hit the jackpot in Reno, tetracycline 250mg pills $109.00 but it would be pretty cool to actually sponsor a driver!

Tetracycline 250mg pills $109.00 I could always go half-sies with Budweiser over Kasey Kahne and call it….

Tetracycline 250mg pills $109.00 “EmergiBud”!

Tetracycline 250mg pills $109.00 It’s a Nascar-free weekend; they take a “brake” (get it?) after five weeks.

Tetracycline 250mg pills $109.00 Unfortunately I do not, tetracycline 250mg pills $109.00 and I’m having withdrawls.

******************************

yearthreelogo4

Tetracycline 250mg pills $109.00 Calling all nurses! Don’t forget Change of Shift is here on March 19th! Hit that contact button up top and send in your submission, tetracycline 250mg pills $109.00 the theme is….wait for it….Nursing! I know you have been writing up a storm, tetracycline 250mg pills $109.00 so share it with your colleagues!

******************

You should have been there when I realized I could obtain a PhD in Nursing without getting a Master’s degree first.

I was thrilled.

There is nothing wrong with having an MSN, tetracycline 250mg pills $109.00 it’s just that my personal goal is a doctorate, tetracycline 250mg pills $109.00 specifically a PhD.

Well, tetracycline 250mg pills $109.00 nursing is full of debates and the BSN-to-PhD is apparently one of them.

*****

I came across an editorial from a 2003 edition of the American Journal of Nursing discussing the BSN-to-PhD degree program.

The writer, tetracycline 250mg pills $109.00 Editor-in-Chief Diana J. Tetracycline 250mg pills $109.00 Mason, tetracycline 250mg pills $109.00 PhD, tetracycline 250mg pills $109.00 RN, tetracycline 250mg pills $109.00 FAAN doesn’t think it’s a good idea.

Sigh.

Well, tetracycline 250mg pills $109.00 let’s look at why.

*****

Ms. Tetracycline 250mg pills $109.00 Mason recounts a time in her career when she accepted a position teaching pediatrics.  She had never practiced pediatrics and did not know much about the specialty. Tetracycline 250mg pills $109.00 She notes that, tetracycline 250mg pills $109.00 “I felt like an imposter.”  She vowed to never teach outside her area of expertise and to maintain a nursing practice while teaching.

Sounds good.  Now what has that got to do with BSN-to-PhD programs?

Ms. Tetracycline 250mg pills $109.00 Mason is concerned that utilizing a direct BSN-to-PhD program would produce nurses with minimal clinical experience teaching at the beside and having nursing clinical instructors without clinical background teaching clinical skills is not a good thing.

Agreed.

*****

But here’s where she goes off track.  I quote from the editorial (emphasis mine):

Nursing faculty tend to get an associate’s or bachelor’s degree first and practice for several years before returning to school for a master’s degree. Tetracycline 250mg pills $109.00 They then practice for several years more as advanced practice nurses before completing the doctorate through part-time study—particularly if they have families who need their salaries. Tetracycline 250mg pills $109.00 According to the AACN, tetracycline 250mg pills $109.00 by the time they are ready to enter tenure-track professorships, tetracycline 250mg pills $109.00 they are, tetracycline 250mg pills $109.00 on average, tetracycline 250mg pills $109.00 46.2 years old and have only about two decades in which to teach.

Tetracycline 250mg pills $109.00 Is it me, tetracycline 250mg pills $109.00 or is there a hint of ageism here?

Tetracycline 250mg pills $109.00 What is wrong with teaching for “only” two decades?  What is wrong with not starting the teaching portion of a career until the average age of 46.2?

Tetracycline 250mg pills $109.00 If a clinically competent teaching force is the goal, tetracycline 250mg pills $109.00 what is wrong with this? Am I missing something? You have nurses who have decades of experience on the floors/units with the nursing students. Tetracycline 250mg pills $109.00 Not to mention that not all MSNs practice as nurse practitioners; some of them begin teaching with the Master’s degree.

*****

Let me answer some of Ms. Tetracycline 250mg pills $109.00 Mason’s questions, tetracycline 250mg pills $109.00 from a personal standpoint.

  • “What would nurse educators prepared via the BSN-to-PhD route really know about clinical nursing practice?”

Tetracycline 250mg pills $109.00 Ms. Tetracycline 250mg pills $109.00 Mason assumes that a BSN-to-PhD candidate goes straight through their education with nothing but their basic nursing clinical rotations as experience.  Not all BSN-to-PhD candidates are newbies.  Some of us, tetracycline 250mg pills $109.00 in fact, tetracycline 250mg pills $109.00 will have four decades of clinical experience before we even get to the PhD program.

  • “How could they teach the subtleties of hands-on care that are apparent to an experienced nurse—how to know simply by looking at a patient that his condition is deteriorating? Or how to motivate a postoperative patient to get out of bed for the first time?”

Tetracycline 250mg pills $109.00 By using exactly what Ms. Tetracycline 250mg pills $109.00 Mason is worried they won’t have – hands on experience.  The intuition that allows a nurse to know  patient is deteriorating comes from exactly that, tetracycline 250mg pills $109.00 experience.  You can teach the theory, tetracycline 250mg pills $109.00 you can teach the clinical. Tetracycline 250mg pills $109.00 You cannot teach intuition, tetracycline 250mg pills $109.00 but you can impart what you have learned from your intuition over the years and that is often more practical than anything that comes out of a book.

  • “Would generations of student nurses really benefit from three or four decades of teaching from a nurse who’s not at a proficient or expert level of practice?”

Tetracycline 250mg pills $109.00 No.  But they would certainly benefit from two decades of teaching from a nurse that has four decades of clinical experience.

Tetracycline 250mg pills $109.00 And finally, tetracycline 250mg pills $109.00 a response to this comment in the editorial:

Proponents note that not all faculty must teach clinical courses; instead, tetracycline 250mg pills $109.00 they argue, tetracycline 250mg pills $109.00 some faculty spend much of their time conducting research. Tetracycline 250mg pills $109.00 But researchers who haven’t practiced are unlikely to investigate the concerns that are important to practice.

Tetracycline 250mg pills $109.00 Try telling that to the Nurse Researchers from the Magnet hospitals I met in Reno this week, tetracycline 250mg pills $109.00 who work with the bedside clinical nurses in conducting research that is precisely directed at concerns important to practice.

*****

I have yet to see a BSN-to-PhD program that will accept any nurse who has not made a mark in the profession.  Please correct me if I am wrong, tetracycline 250mg pills $109.00 but anyone can apply with clinical experience, tetracycline 250mg pills $109.00 it is the nurse who can demonstrate something “extra” that gets accepted.

God willing, tetracycline 250mg pills $109.00 I have something “extra” to demonstrate.

*****

Assuming I am accepted into a BSN-to-PhD program in the fall of 2010, tetracycline 250mg pills $109.00 I will be 53 years old when I start and 57 when I finish.  I will have, tetracycline 250mg pills $109.00 by the end of that time, tetracycline 250mg pills $109.00 37 years of clinical experience at the bedside.

I intend to do research, tetracycline 250mg pills $109.00 and I intend to teach.  And I do not intend to retire.  So, tetracycline 250mg pills $109.00 if I put in my “two decades” of teaching/research I’ll be 77.  If I put in three decades I’ll be 87.

Why on earth would an experienced nursing workforce who chooses to use their experience for the good of the up-and-coming generation of nurses, tetracycline 250mg pills $109.00 be considered a detriment because of their age?

The answer to Ms. Tetracycline 250mg pills $109.00 Mason’s dilemma is simple: BSN-to-PhD programs should not accept nurses without at least a decade of hands on experience.  Better to have a nurse educator with experience who only teaches “two decades” as opposed to a nurse educator who can teach “three or four decades” with minimal experience.

Average Rating: 4.9 out of 5 based on 196 user reviews.

Read »

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...

Continue reading »

Find Me On...
Twitter     Technorati

Subscribe to Emergiblog
Office of the National Nurse

Zippy Was Here


Healthcare Blogger Code of Ethics

  • Perspective
  • Confidentiality
  • Disclosure
  • Reliability
  • Courtesy

medbloggercode.com

I Support the Public Library of Science

Dr. Val
Johnson & Johnson
Johnson & Johnson Health Channel
Webicina
Nursing and Web 2.0



Health blogs

Medicine Blogs - Blog Catalog Blog Directory

Alltop. Seriously?! I got in?

Health Blogs - Blog Rankings