March, 2009 Archive

August 27, 2016, 7:03 pm

Homemade Viagra

Homemade viagra reno2I woke up early this morning, homemade viagra having changed my flight.

Homemade viagra With the exception of a few glances out my hotel window, homemade viagra I had been incommunicado with the outside world for four days.

Homemade viagra I had packed my sweatshirt, homemade viagra figuring I’d go from the shuttle to the airport to the plane and wouldn’t need it.

Homemade viagra The casino was quiet. Homemade viagra Not too many people up and about at 0630 on a Monday morning.

Homemade viagra I checked out, homemade viagra headed for the revolving door and this is what awaited me outside!

Homemade viagra A pristine blanket of snow, homemade viagra soft flurries falling sideways and dead silence.

Homemade viagra Whoa.

Homemade viagra I stood outside for as long as I could stand it and let myself get snowed on.



Homemade viagra The title of this post comes from a story told by this man, homemade viagra Mark Scharenbroich.

Homemade viagra Mark gave the keynote speech at the ENA Leadership Conference.

Homemade viagra You can hear the original story right here on Mark’s site  I suggest you listen because it’s hilarious.

Homemade viagra And profound.

Homemade viagra My take on it is a little different than what Mark spoke of in his keynote. Homemade viagra But not much.

Homemade viagra Oh, homemade viagra and hey, homemade viagra 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. Homemade viagra Nada. Homemade viagra Not gonna do it. Homemade viagra Don’t wanna do it. Homemade viagra Never have wanted to do it. Homemade viagra Never will want to do it. Homemade viagra Don’t have the personality for it. Homemade viagra 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, homemade viagra I haven’t always been the easiest staff nurse to deal with. Homemade viagra What? You thought I was the perfect nurse?

Well, homemade viagra you just keep on thinking that!

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

It may come as a shock (not), homemade viagra but I gripe. Homemade viagra A lot. Homemade viagra Not necessarily to my manager, homemade viagra but being rather, homemade viagra um, homemade viagra verbal, homemade viagra the whole world knows exactly how I feel when I feel it and why I’m feeling it.

And griping begets griping. Homemade viagra Before you know it, homemade viagra I’m ten times more ticked off than when I started, homemade viagra my blood pressure is sky high, homemade viagra 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, homemade viagra brand new box of 8 Crayola crayons and at times it seems all I do is gripe that it doesn’t contain Cyan, homemade viagra Burnt Sienna, homemade viagra Magenta or Periwinkle.

If I stopped bemoaning what we don’t have and appreciated the primary colors we are able to provide, homemade viagra 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.

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August 27, 2016, 9:06 pm

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Cozaar 100mg pills $262.00 billThe man never sleeps.

Cozaar 100mg pills $262.00 He says he does; I don’t believe it.

Cozaar 100mg pills $262.00 Meet William (Bill) Briggs, cozaar 100mg pills $262.00RN, cozaar 100mg pills $262.00MSN, cozaar 100mg pills $262.00CEN, cozaar 100mg pills $262.00FAEN, cozaar 100mg pills $262.00 the current President of the Emergency Nurses Association.

Cozaar 100mg pills $262.00 Oh, cozaar 100mg pills $262.00 he is also the Trauma Program Manager at Tufts University (Boston).

Cozaar 100mg pills $262.00 And he is a per diem staff nurse at Lowell General Hospital.

Cozaar 100mg pills $262.00 And he is a member of the Metro Boston Critical Incident Stress Management Team.

Cozaar 100mg pills $262.00 And he teaches TNCC and ENPC.

Cozaar 100mg pills $262.00 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, cozaar 100mg pills $262.00 back in the late 70’s, cozaar 100mg pills $262.00 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, cozaar 100mg pills $262.00 detouring to Saudi Arabia where he wound up managing the ER in a brand new, cozaar 100mg pills $262.00 state-of-the-art hospital!

Bill’s been involved with ENA for so long it wasn’t even ENA when he joined, cozaar 100mg pills $262.00 it was the “Emergency Department Nurses Association”.

Cozaar 100mg pills $262.00 Circa 1978.

Now he’s the president, cozaar 100mg pills $262.00 and the professional organization for emergency nurses boasts a national roster of 36, cozaar 100mg pills $262.00 500 members.


There is a standing joke in ENA that if you get up to go to the bathroom during a local meeting, cozaar 100mg pills $262.00 you’ll be appointed state president by the time you come back.

Around 1985, cozaar 100mg pills $262.00 after being back in the states and involved again with his local chapter, cozaar 100mg pills $262.00 Bill “came back from the bathroom” (so-to-speak) as the Massachusetts State TNCC Coordinator.  (Okay, cozaar 100mg pills $262.00 he actually volunteered to do it, cozaar 100mg pills $262.00 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, cozaar 100mg pills $262.00 having much more influence than he could at the bedside.

But, cozaar 100mg pills $262.00 two times a month, cozaar 100mg pills $262.00 Bill dons the scrubs of a staff nurse and walks the talk in his per diem job at Lowell General, cozaar 100mg pills $262.00 keeping himself connected to the patients and the staff nurse perspective.  “It’s just in me, cozaar 100mg pills $262.00” he notes.

And by the end of a Sunday PM shift in triage, cozaar 100mg pills $262.00 he is more than ready to shift back into the leadership role!


This year, cozaar 100mg pills $262.00 the ENA put a call out for committee members.  Eighty positions were available.  Over four hundred applications were received. Cozaar 100mg pills $262.00 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), cozaar 100mg pills $262.00 psychiatric care in the ED and workplace violence, cozaar 100mg pills $262.00 to name just a few.


Emergency nursing requires passion for the work, cozaar 100mg pills $262.00 passion that can become depleted as we get caught up in the day-to-day minutiae of patient care or management obligations, cozaar 100mg pills $262.00 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, cozaar 100mg pills $262.00 we are able to reconnect with that passion.

And Bill Briggs is passionate about emergency nursing.

It’s contagious.  One meeting, cozaar 100mg pills $262.00 and I felt re-energized.  Many, cozaar 100mg pills $262.00 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…..)

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August 27, 2016, 9:38 pm

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Metformin 1000mg pills $395.00 Is that cool, metformin 1000mg pills $395.00 or what?

Metformin 1000mg pills $395.00 This was the opening of the ENA Leadership Confererence this morning at the Grand Sierra here in Reno.

Metformin 1000mg pills $395.00 That’s Bill Briggs at the podium.  He’s the President of ENA.  Trust me, metformin 1000mg pills $395.00 he does not look like an alien in person.  It’s the glare of the lights.  Tony, metformin 1000mg pills $395.00 PR dude extraordinaire, metformin 1000mg pills $395.00 is going to get me a better photo.

Metformin 1000mg pills $395.00 I get to interview Bill tomorrow.

Metformin 1000mg pills $395.00 This was such a great opening to the conference!  I’m sitting there, metformin 1000mg pills $395.00 minding my own business and trying to answer mail via my iPhone.

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Metformin 1000mg pills $395.00 Well, metformin 1000mg pills $395.00 good morning!  You play Steve Miller, metformin 1000mg pills $395.00 you get my attention!

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Metformin 1000mg pills $395.00 At least until Susan from Shreveport came and joined me!

Metformin 1000mg pills $395.00 There goes my diet. Metformin 1000mg pills $395.00 Forgive me Richard (Simmons) for I have eaten a scone and counted it as a fruit. Metformin 1000mg pills $395.00 My penance? Losing $40 at Caveman Keno. Metformin 1000mg pills $395.00 I’m a high-roller….of nickels.

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Metformin 1000mg pills $395.00 Knowing this is waiting will make it a lot easier for me to get up at 6 am tomorrow, metformin 1000mg pills $395.00 I’ll tell you that!



But I can’t announce it yet.

Forget the poll on the sidebar, metformin 1000mg pills $395.00 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, metformin 1000mg pills $395.00 ripping at the seams, metformin 1000mg pills $395.00 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. Metformin 1000mg pills $395.00 You rock, metformin 1000mg pills $395.00 my friend!

The next edition’s host is…let me check…oh, metformin 1000mg pills $395.00 it’s ME!  LOL!

Get those submissions flying into my mailbox!

Don’t MAKE come out there!  : D



Metformin 1000mg pills $395.00 Now back to ENA…

Metformin 1000mg pills $395.00 I spent the day indulging my new interest in nursing research and spent a fair amount of time checking out the poster presentations.

Metformin 1000mg pills $395.00 This is Gina Harrison, metformin 1000mg pills $395.00 RN, metformin 1000mg pills $395.00 BS, metformin 1000mg pills $395.00 an ER nurse from Inova Loudoun Hospital in Leesburg, metformin 1000mg pills $395.00 Virginia.  Gina was one of the authors of a research study comparing blood specimens drawn by EMS vs. Metformin 1000mg pills $395.00 ER staff.

Metformin 1000mg pills $395.00 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!

Metformin 1000mg pills $395.00 I can say I knew it when it was a poster!

Metformin 1000mg pills $395.00 Thanks for taking the time to talk with me about research, metformin 1000mg pills $395.00 Gina!


One of the highlights of these conferences it networking with other nurses, metformin 1000mg pills $395.00 and I had a great talk with Steve Stapleton, metformin 1000mg pills $395.00  a member of the ENA Institute on Emergency Nursing Research.  Steve is thisclose to having his PhD (University of Chicago, metformin 1000mg pills $395.00 Illinois)  and I was able to learn so much from talking to him about his experiences.

So basically, metformin 1000mg pills $395.00 I spent today getting oriented, metformin 1000mg pills $395.00 buying a ton of books, metformin 1000mg pills $395.00 donating to a worthy cause (no, metformin 1000mg pills $395.00 not the slot machines) in the ENA Foundation and feeding my appetite for research.

Tomorrow?  Interviews, metformin 1000mg pills $395.00 sessions, metformin 1000mg pills $395.00 and the Exhibit hall awaits!

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

Yes, metformin 1000mg pills $395.00 I’m the only person I know who comes to Reno, metformin 1000mg pills $395.00 Nevada with textbooks.

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

It’s true….I am…..a nerd.

But a cool one.

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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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