March, 2009 Archive

September 26, 2016, 7:03 pm

Cardizem 60mg Pills $129.00

Cardizem 60mg pills $129.00 reno2I woke up early this morning, cardizem 60mg pills $129.00 having changed my flight.

Cardizem 60mg pills $129.00 With the exception of a few glances out my hotel window, cardizem 60mg pills $129.00 I had been incommunicado with the outside world for four days.

Cardizem 60mg pills $129.00 I had packed my sweatshirt, cardizem 60mg pills $129.00 figuring I’d go from the shuttle to the airport to the plane and wouldn’t need it.

Cardizem 60mg pills $129.00 The casino was quiet. Cardizem 60mg pills $129.00 Not too many people up and about at 0630 on a Monday morning.

Cardizem 60mg pills $129.00 I checked out, cardizem 60mg pills $129.00 headed for the revolving door and this is what awaited me outside!

Cardizem 60mg pills $129.00 A pristine blanket of snow, cardizem 60mg pills $129.00 soft flurries falling sideways and dead silence.

Cardizem 60mg pills $129.00 Whoa.

Cardizem 60mg pills $129.00 I stood outside for as long as I could stand it and let myself get snowed on.

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

mark

Cardizem 60mg pills $129.00 The title of this post comes from a story told by this man, cardizem 60mg pills $129.00 Mark Scharenbroich.

Cardizem 60mg pills $129.00 Mark gave the keynote speech at the ENA Leadership Conference.

Cardizem 60mg pills $129.00 You can hear the original story right here on Mark’s site NiceBike.com.  I suggest you listen because it’s hilarious.

Cardizem 60mg pills $129.00 And profound.

Cardizem 60mg pills $129.00 My take on it is a little different than what Mark spoke of in his keynote. Cardizem 60mg pills $129.00 But not much.

Cardizem 60mg pills $129.00 Oh, cardizem 60mg pills $129.00 and hey, cardizem 60mg pills $129.00 Mark?  Nice bike.  Very nice bike.

*****

My attendance at the ENA Leadership Conference confirmed one thing.

No way in hell am I cut out to be a manager.

Never. Cardizem 60mg pills $129.00 Nada. Cardizem 60mg pills $129.00 Not gonna do it. Cardizem 60mg pills $129.00 Don’t wanna do it. Cardizem 60mg pills $129.00 Never have wanted to do it. Cardizem 60mg pills $129.00 Never will want to do it. Cardizem 60mg pills $129.00 Don’t have the personality for it. Cardizem 60mg pills $129.00 Don’t have the stomach for it.

And I sure as heck don’t have the skills for it.

But thank goodness for the nurses who do.

*****

As far as my managers go, cardizem 60mg pills $129.00 I haven’t always been the easiest staff nurse to deal with. Cardizem 60mg pills $129.00 What? You thought I was the perfect nurse?

Well, cardizem 60mg pills $129.00 you just keep on thinking that!

The reality of it is that sometimes my attitude really sucks.

It may come as a shock (not), cardizem 60mg pills $129.00 but I gripe. Cardizem 60mg pills $129.00 A lot. Cardizem 60mg pills $129.00 Not necessarily to my manager, cardizem 60mg pills $129.00 but being rather, cardizem 60mg pills $129.00 um, cardizem 60mg pills $129.00 verbal, cardizem 60mg pills $129.00 the whole world knows exactly how I feel when I feel it and why I’m feeling it.

And griping begets griping. Cardizem 60mg pills $129.00 Before you know it, cardizem 60mg pills $129.00 I’m ten times more ticked off than when I started, cardizem 60mg pills $129.00 my blood pressure is sky high, cardizem 60mg pills $129.00 I’m ready to quit (again) at 0700 and my co-workers are aren’t exactly uplifted.  Sometimes we feed off each other and have a regular group gripe session that lasts throughout the night.

On those shifts you would think we work in the depths of hell.

*****

The truth is I don’t work in the depths of hell.

Here is where the crayons come in.

My department is like a very nice, cardizem 60mg pills $129.00 brand new box of 8 Crayola crayons and at times it seems all I do is gripe that it doesn’t contain Cyan, cardizem 60mg pills $129.00 Burnt Sienna, cardizem 60mg pills $129.00 Magenta or Periwinkle.

If I stopped bemoaning what we don’t have and appreciated the primary colors we are able to provide, cardizem 60mg pills $129.00 I’d be a lot less frustrated and my patients a lot more happy.

(And my co-workers very relieved!)

You can buck the system without getting anywhere or you can work within the system to accomplish what you want to accomplish.

It’s time to stop counting crayons and start drawing the best pictures I can with the colors at my disposal.

Average Rating: 4.5 out of 5 based on 283 user reviews.

Read »

September 26, 2016, 9:06 pm

Fosamax 70mg Pills $381.00

Glucotrol 5mg pills $140.00 billThe man never sleeps.

Glucotrol 5mg pills $140.00 He says he does; I don’t believe it.

Glucotrol 5mg pills $140.00 Meet William (Bill) Briggs, glucotrol 5mg pills $140.00RN, glucotrol 5mg pills $140.00MSN, glucotrol 5mg pills $140.00CEN, glucotrol 5mg pills $140.00FAEN, glucotrol 5mg pills $140.00 the current President of the Emergency Nurses Association.

Glucotrol 5mg pills $140.00 Oh, glucotrol 5mg pills $140.00 he is also the Trauma Program Manager at Tufts University (Boston).

Glucotrol 5mg pills $140.00 And he is a per diem staff nurse at Lowell General Hospital.

Glucotrol 5mg pills $140.00 And he is a member of the Metro Boston Critical Incident Stress Management Team.

Glucotrol 5mg pills $140.00 And he teaches TNCC and ENPC.

Glucotrol 5mg pills $140.00 Geeze! I gripe when I have to work an extra four hours……

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

Bill was kind enough to sit down with me at the end of a busy Saturday and talk a bit about himself and about emergency nursing.

I had a blast.

*****

Some people are born to be emergency nurses.  Bill was destined for the emergency department.  He wanted to be an EMT so badly that he took classes when he was seventeen so he could jump into the role on his 18th birthday.

He graduated from nursing school ready to hit the code room running!

Unfortunately, glucotrol 5mg pills $140.00 back in the late 70’s, glucotrol 5mg pills $140.00 you just about had to wait for someone to die before there would be an opening in ER.  Bill filled his time with gaining experience in med/surg and critical care, glucotrol 5mg pills $140.00 detouring to Saudi Arabia where he wound up managing the ER in a brand new, glucotrol 5mg pills $140.00 state-of-the-art hospital!

Bill’s been involved with ENA for so long it wasn’t even ENA when he joined, glucotrol 5mg pills $140.00 it was the “Emergency Department Nurses Association”.

Glucotrol 5mg pills $140.00 Circa 1978.

Now he’s the president, glucotrol 5mg pills $140.00 and the professional organization for emergency nurses boasts a national roster of 36, glucotrol 5mg pills $140.00 500 members.

*****

There is a standing joke in ENA that if you get up to go to the bathroom during a local meeting, glucotrol 5mg pills $140.00 you’ll be appointed state president by the time you come back.

Around 1985, glucotrol 5mg pills $140.00 after being back in the states and involved again with his local chapter, glucotrol 5mg pills $140.00 Bill “came back from the bathroom” (so-to-speak) as the Massachusetts State TNCC Coordinator.  (Okay, glucotrol 5mg pills $140.00 he actually volunteered to do it, glucotrol 5mg pills $140.00 but the thought of getting an assignment while you’re in the bathroom was too funny for me to pass up!)

*****

We often think of our managers and leaders as not being “hands on” or not really being involved in patient care.  Bill repeated a theme I heard often this weekend: that as a nurse leader/manager he could affect patient care on a more global scale, glucotrol 5mg pills $140.00 having much more influence than he could at the bedside.

But, glucotrol 5mg pills $140.00 two times a month, glucotrol 5mg pills $140.00 Bill dons the scrubs of a staff nurse and walks the talk in his per diem job at Lowell General, glucotrol 5mg pills $140.00 keeping himself connected to the patients and the staff nurse perspective.  “It’s just in me, glucotrol 5mg pills $140.00” he notes.

And by the end of a Sunday PM shift in triage, glucotrol 5mg pills $140.00 he is more than ready to shift back into the leadership role!

*****

This year, glucotrol 5mg pills $140.00 the ENA put a call out for committee members.  Eighty positions were available.  Over four hundred applications were received. Glucotrol 5mg pills $140.00 It’s an organization record.

Bill believes that the surge in interest comes because the issues being studied are extremely important to ER nurses everywhere: crowding/boarding (the #1 issue for ER nurses), glucotrol 5mg pills $140.00 psychiatric care in the ED and workplace violence, glucotrol 5mg pills $140.00 to name just a few.

*****

Emergency nursing requires passion for the work, glucotrol 5mg pills $140.00 passion that can become depleted as we get caught up in the day-to-day minutiae of patient care or management obligations, glucotrol 5mg pills $140.00 putting us in danger of burn-out.

That’s where the ENA comes in.

By attending local meetings (or national conferences!) and networking with colleagues, glucotrol 5mg pills $140.00 we are able to reconnect with that passion.

And Bill Briggs is passionate about emergency nursing.

It’s contagious.  One meeting, glucotrol 5mg pills $140.00 and I felt re-energized.  Many, glucotrol 5mg pills $140.00 many thanks to Bill for taking the time to sit and talk with me and to Tony Phelps for arranging the interview.

(I still don’t believe he ever sleeps…..)

Average Rating: 4.5 out of 5 based on 296 user reviews.

Read »

September 26, 2016, 9:38 pm

Lamictal 50mg Pills $146.00

Ed trial packs prilligy dapoxetine 60mg + viagra 100mg $340.00 img_0203Yes, ed trial packs prilligy dapoxetine 60mg + viagra 100mg $340.00 that is a plane onstage!

Ed trial packs prilligy dapoxetine 60mg + viagra 100mg $340.00 Is that cool, ed trial packs prilligy dapoxetine 60mg + viagra 100mg $340.00 or what?

Ed trial packs prilligy dapoxetine 60mg + viagra 100mg $340.00 This was the opening of the ENA Leadership Confererence this morning at the Grand Sierra here in Reno.

Ed trial packs prilligy dapoxetine 60mg + viagra 100mg $340.00 That’s Bill Briggs at the podium.  He’s the President of ENA.  Trust me, ed trial packs prilligy dapoxetine 60mg + viagra 100mg $340.00 he does not look like an alien in person.  It’s the glare of the lights.  Tony, ed trial packs prilligy dapoxetine 60mg + viagra 100mg $340.00 PR dude extraordinaire, ed trial packs prilligy dapoxetine 60mg + viagra 100mg $340.00 is going to get me a better photo.

Ed trial packs prilligy dapoxetine 60mg + viagra 100mg $340.00 I get to interview Bill tomorrow.

Ed trial packs prilligy dapoxetine 60mg + viagra 100mg $340.00 This was such a great opening to the conference!  I’m sitting there, ed trial packs prilligy dapoxetine 60mg + viagra 100mg $340.00 minding my own business and trying to answer mail via my iPhone.

Ed trial packs prilligy dapoxetine 60mg + viagra 100mg $340.00 One. Ed trial packs prilligy dapoxetine 60mg + viagra 100mg $340.00 Letter. Ed trial packs prilligy dapoxetine 60mg + viagra 100mg $340.00 At. Ed trial packs prilligy dapoxetine 60mg + viagra 100mg $340.00 A. Ed trial packs prilligy dapoxetine 60mg + viagra 100mg $340.00 Time….

Ed trial packs prilligy dapoxetine 60mg + viagra 100mg $340.00 When all of a sudden, ed trial packs prilligy dapoxetine 60mg + viagra 100mg $340.00 blasting out of a sound system I’d kill to have, ed trial packs prilligy dapoxetine 60mg + viagra 100mg $340.00 comes Steve Miller singing “Jet Airliner”.

Ed trial packs prilligy dapoxetine 60mg + viagra 100mg $340.00 Well, ed trial packs prilligy dapoxetine 60mg + viagra 100mg $340.00 good morning!  You play Steve Miller, ed trial packs prilligy dapoxetine 60mg + viagra 100mg $340.00 you get my attention!

Ed trial packs prilligy dapoxetine 60mg + viagra 100mg $340.00 As the theme for the conference is “Soar!”, ed trial packs prilligy dapoxetine 60mg + viagra 100mg $340.00 the plane is quite apropo!img_0201

Ed trial packs prilligy dapoxetine 60mg + viagra 100mg $340.00 Why am I showing food, ed trial packs prilligy dapoxetine 60mg + viagra 100mg $340.00 you ask?

Ed trial packs prilligy dapoxetine 60mg + viagra 100mg $340.00 This was my breakfast.

Ed trial packs prilligy dapoxetine 60mg + viagra 100mg $340.00 MINE!

Ed trial packs prilligy dapoxetine 60mg + viagra 100mg $340.00 At least until Susan from Shreveport came and joined me!

Ed trial packs prilligy dapoxetine 60mg + viagra 100mg $340.00 There goes my diet. Ed trial packs prilligy dapoxetine 60mg + viagra 100mg $340.00 Forgive me Richard (Simmons) for I have eaten a scone and counted it as a fruit. Ed trial packs prilligy dapoxetine 60mg + viagra 100mg $340.00 My penance? Losing $40 at Caveman Keno. Ed trial packs prilligy dapoxetine 60mg + viagra 100mg $340.00 I’m a high-roller….of nickels.

Ed trial packs prilligy dapoxetine 60mg + viagra 100mg $340.00 The entire theatre was set for tables of six and this was on every table.

Ed trial packs prilligy dapoxetine 60mg + viagra 100mg $340.00 Knowing this is waiting will make it a lot easier for me to get up at 6 am tomorrow, ed trial packs prilligy dapoxetine 60mg + viagra 100mg $340.00 I’ll tell you that!

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

WE HAVE BREAKING NEWS ON THE MEDBLOGGER MEET-UP….

But I can’t announce it yet.

Forget the poll on the sidebar, ed trial packs prilligy dapoxetine 60mg + viagra 100mg $340.00 it’s old news.

Let’s just say the city I can’t announce has a Nascar Cafe and hosts a race every year.

I am chomping at the bit, ed trial packs prilligy dapoxetine 60mg + viagra 100mg $340.00 ripping at the seams, ed trial packs prilligy dapoxetine 60mg + viagra 100mg $340.00 bursting like a bubble…

And I’m out of metaphors.

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

Quick note: Change of Shift is up over at the Nurse Practitioner’s Place so head on over and say hi to Jen.

She hosted during what turned out to be a very difficult period. Ed trial packs prilligy dapoxetine 60mg + viagra 100mg $340.00 You rock, ed trial packs prilligy dapoxetine 60mg + viagra 100mg $340.00 my friend!

The next edition’s host is…let me check…oh, ed trial packs prilligy dapoxetine 60mg + viagra 100mg $340.00 it’s ME!  LOL!

Get those submissions flying into my mailbox!

Don’t MAKE come out there!  : D

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

img_0204

Ed trial packs prilligy dapoxetine 60mg + viagra 100mg $340.00 Now back to ENA…

Ed trial packs prilligy dapoxetine 60mg + viagra 100mg $340.00 I spent the day indulging my new interest in nursing research and spent a fair amount of time checking out the poster presentations.

Ed trial packs prilligy dapoxetine 60mg + viagra 100mg $340.00 This is Gina Harrison, ed trial packs prilligy dapoxetine 60mg + viagra 100mg $340.00 RN, ed trial packs prilligy dapoxetine 60mg + viagra 100mg $340.00 BS, ed trial packs prilligy dapoxetine 60mg + viagra 100mg $340.00 an ER nurse from Inova Loudoun Hospital in Leesburg, ed trial packs prilligy dapoxetine 60mg + viagra 100mg $340.00 Virginia.  Gina was one of the authors of a research study comparing blood specimens drawn by EMS vs. Ed trial packs prilligy dapoxetine 60mg + viagra 100mg $340.00 ER staff.

Ed trial packs prilligy dapoxetine 60mg + viagra 100mg $340.00 A beautifully presented research study and many congrats out to Gina and her co-researchers because their article has been accepted for publication in the Journal of Emergency Nursing!

Ed trial packs prilligy dapoxetine 60mg + viagra 100mg $340.00 I can say I knew it when it was a poster!

Ed trial packs prilligy dapoxetine 60mg + viagra 100mg $340.00 Thanks for taking the time to talk with me about research, ed trial packs prilligy dapoxetine 60mg + viagra 100mg $340.00 Gina!

*****

One of the highlights of these conferences it networking with other nurses, ed trial packs prilligy dapoxetine 60mg + viagra 100mg $340.00 and I had a great talk with Steve Stapleton, ed trial packs prilligy dapoxetine 60mg + viagra 100mg $340.00  a member of the ENA Institute on Emergency Nursing Research.  Steve is thisclose to having his PhD (University of Chicago, ed trial packs prilligy dapoxetine 60mg + viagra 100mg $340.00 Illinois)  and I was able to learn so much from talking to him about his experiences.

So basically, ed trial packs prilligy dapoxetine 60mg + viagra 100mg $340.00 I spent today getting oriented, ed trial packs prilligy dapoxetine 60mg + viagra 100mg $340.00 buying a ton of books, ed trial packs prilligy dapoxetine 60mg + viagra 100mg $340.00 donating to a worthy cause (no, ed trial packs prilligy dapoxetine 60mg + viagra 100mg $340.00 not the slot machines) in the ENA Foundation and feeding my appetite for research.

Tomorrow?  Interviews, ed trial packs prilligy dapoxetine 60mg + viagra 100mg $340.00 sessions, ed trial packs prilligy dapoxetine 60mg + viagra 100mg $340.00 and the Exhibit hall awaits!

Right now.  I’m exhausted from travel and studying.

Yes, ed trial packs prilligy dapoxetine 60mg + viagra 100mg $340.00 I’m the only person I know who comes to Reno, ed trial packs prilligy dapoxetine 60mg + viagra 100mg $340.00 Nevada with textbooks.

Go ahead and say it!  I know you wanna….

It’s true….I am…..a nerd.

But a cool one.

Average Rating: 5 out of 5 based on 288 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
scrubs
Scrub Pants
Scrub Pants
Be Comfortable!
Scrubs
and the rest of your medical apparel needs from ScrubsGallery.com
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