March, 2009 Archive

July 31, 2016, 7:03 pm

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Arcoxia 90mg pills $261.00 The title of this post comes from a story told by this man, arcoxia 90mg pills $261.00 Mark Scharenbroich.

Arcoxia 90mg pills $261.00 Mark gave the keynote speech at the ENA Leadership Conference.

Arcoxia 90mg pills $261.00 You can hear the original story right here on Mark’s site  I suggest you listen because it’s hilarious.

Arcoxia 90mg pills $261.00 And profound.

Arcoxia 90mg pills $261.00 My take on it is a little different than what Mark spoke of in his keynote. Arcoxia 90mg pills $261.00 But not much.

Arcoxia 90mg pills $261.00 Oh, arcoxia 90mg pills $261.00 and hey, arcoxia 90mg pills $261.00 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. Arcoxia 90mg pills $261.00 Nada. Arcoxia 90mg pills $261.00 Not gonna do it. Arcoxia 90mg pills $261.00 Don’t wanna do it. Arcoxia 90mg pills $261.00 Never have wanted to do it. Arcoxia 90mg pills $261.00 Never will want to do it. Arcoxia 90mg pills $261.00 Don’t have the personality for it. Arcoxia 90mg pills $261.00 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, arcoxia 90mg pills $261.00 I haven’t always been the easiest staff nurse to deal with. Arcoxia 90mg pills $261.00 What? You thought I was the perfect nurse?

Well, arcoxia 90mg pills $261.00 you just keep on thinking that!

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

It may come as a shock (not), arcoxia 90mg pills $261.00 but I gripe. Arcoxia 90mg pills $261.00 A lot. Arcoxia 90mg pills $261.00 Not necessarily to my manager, arcoxia 90mg pills $261.00 but being rather, arcoxia 90mg pills $261.00 um, arcoxia 90mg pills $261.00 verbal, arcoxia 90mg pills $261.00 the whole world knows exactly how I feel when I feel it and why I’m feeling it.

And griping begets griping. Arcoxia 90mg pills $261.00 Before you know it, arcoxia 90mg pills $261.00 I’m ten times more ticked off than when I started, arcoxia 90mg pills $261.00 my blood pressure is sky high, arcoxia 90mg pills $261.00 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, arcoxia 90mg pills $261.00 brand new box of 8 Crayola crayons and at times it seems all I do is gripe that it doesn’t contain Cyan, arcoxia 90mg pills $261.00 Burnt Sienna, arcoxia 90mg pills $261.00 Magenta or Periwinkle.

If I stopped bemoaning what we don’t have and appreciated the primary colors we are able to provide, arcoxia 90mg pills $261.00 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.

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July 31, 2016, 9:06 pm

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Eriacta 100mg pills $112.00 billThe man never sleeps.

Eriacta 100mg pills $112.00 He says he does; I don’t believe it.

Eriacta 100mg pills $112.00 Meet William (Bill) Briggs, eriacta 100mg pills $112.00RN, eriacta 100mg pills $112.00MSN, eriacta 100mg pills $112.00CEN, eriacta 100mg pills $112.00FAEN, eriacta 100mg pills $112.00 the current President of the Emergency Nurses Association.

Eriacta 100mg pills $112.00 Oh, eriacta 100mg pills $112.00 he is also the Trauma Program Manager at Tufts University (Boston).

Eriacta 100mg pills $112.00 And he is a per diem staff nurse at Lowell General Hospital.

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Eriacta 100mg pills $112.00 And he teaches TNCC and ENPC.

Eriacta 100mg pills $112.00 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, eriacta 100mg pills $112.00 back in the late 70’s, eriacta 100mg pills $112.00 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, eriacta 100mg pills $112.00 detouring to Saudi Arabia where he wound up managing the ER in a brand new, eriacta 100mg pills $112.00 state-of-the-art hospital!

Bill’s been involved with ENA for so long it wasn’t even ENA when he joined, eriacta 100mg pills $112.00 it was the “Emergency Department Nurses Association”.

Eriacta 100mg pills $112.00 Circa 1978.

Now he’s the president, eriacta 100mg pills $112.00 and the professional organization for emergency nurses boasts a national roster of 36, eriacta 100mg pills $112.00 500 members.


There is a standing joke in ENA that if you get up to go to the bathroom during a local meeting, eriacta 100mg pills $112.00 you’ll be appointed state president by the time you come back.

Around 1985, eriacta 100mg pills $112.00 after being back in the states and involved again with his local chapter, eriacta 100mg pills $112.00 Bill “came back from the bathroom” (so-to-speak) as the Massachusetts State TNCC Coordinator.  (Okay, eriacta 100mg pills $112.00 he actually volunteered to do it, eriacta 100mg pills $112.00 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, eriacta 100mg pills $112.00 having much more influence than he could at the bedside.

But, eriacta 100mg pills $112.00 two times a month, eriacta 100mg pills $112.00 Bill dons the scrubs of a staff nurse and walks the talk in his per diem job at Lowell General, eriacta 100mg pills $112.00 keeping himself connected to the patients and the staff nurse perspective.  “It’s just in me, eriacta 100mg pills $112.00” he notes.

And by the end of a Sunday PM shift in triage, eriacta 100mg pills $112.00 he is more than ready to shift back into the leadership role!


This year, eriacta 100mg pills $112.00 the ENA put a call out for committee members.  Eighty positions were available.  Over four hundred applications were received. Eriacta 100mg pills $112.00 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), eriacta 100mg pills $112.00 psychiatric care in the ED and workplace violence, eriacta 100mg pills $112.00 to name just a few.


Emergency nursing requires passion for the work, eriacta 100mg pills $112.00 passion that can become depleted as we get caught up in the day-to-day minutiae of patient care or management obligations, eriacta 100mg pills $112.00 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, eriacta 100mg pills $112.00 we are able to reconnect with that passion.

And Bill Briggs is passionate about emergency nursing.

It’s contagious.  One meeting, eriacta 100mg pills $112.00 and I felt re-energized.  Many, eriacta 100mg pills $112.00 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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July 31, 2016, 9:38 pm

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Cialis 50mg pills $389.00 This was the opening of the ENA Leadership Confererence this morning at the Grand Sierra here in Reno.

Cialis 50mg pills $389.00 That’s Bill Briggs at the podium.  He’s the President of ENA.  Trust me, cialis 50mg pills $389.00 he does not look like an alien in person.  It’s the glare of the lights.  Tony, cialis 50mg pills $389.00 PR dude extraordinaire, cialis 50mg pills $389.00 is going to get me a better photo.

Cialis 50mg pills $389.00 I get to interview Bill tomorrow.

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But I can’t announce it yet.

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

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Cialis 50mg pills $389.00 Now back to ENA…

Cialis 50mg pills $389.00 I spent the day indulging my new interest in nursing research and spent a fair amount of time checking out the poster presentations.

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Cialis 50mg pills $389.00 Thanks for taking the time to talk with me about research, cialis 50mg pills $389.00 Gina!


One of the highlights of these conferences it networking with other nurses, cialis 50mg pills $389.00 and I had a great talk with Steve Stapleton, cialis 50mg pills $389.00  a member of the ENA Institute on Emergency Nursing Research.  Steve is thisclose to having his PhD (University of Chicago, cialis 50mg pills $389.00 Illinois)  and I was able to learn so much from talking to him about his experiences.

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Tomorrow?  Interviews, cialis 50mg pills $389.00 sessions, cialis 50mg pills $389.00 and the Exhibit hall awaits!

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

Yes, cialis 50mg pills $389.00 I’m the only person I know who comes to Reno, cialis 50mg pills $389.00 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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