August, 2009 Archive

July 24, 2016, 10:42 am

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Warning: the following is not a “happy-happy-joy-joy” post about nursing.  It is a post born of of fatigue, tetracycline 250mg pills $132.00 frustration and another “F” word I’ll hold back from using. Tetracycline 250mg pills $132.00 Happy Peppy Emergiblog will return in another post.  Just not this one.

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I always try to keep my patients apprised what what is going on the department when it gets busy. Tetracycline 250mg pills $132.00 In a general way, tetracycline 250mg pills $132.00 of course.  I make sure they have any medications they need to be comfortable (yep, tetracycline 250mg pills $132.00 pain medicine is the priority in my book)  and I tell them I will be back to check on them, tetracycline 250mg pills $132.00 when they can expect their test results and, tetracycline 250mg pills $132.00 if they are being admitted, tetracycline 250mg pills $132.00 what needs to happen before they can go up to a room.

This is especially important when it’s the middle of the night and eight patients needing acute work-ups walk in within one hour.

The patients know it is busy even before I get them settled and informed – hell, tetracycline 250mg pills $132.00 they enter the department in groups of three!  They enter the department watching the person next to them vomiting their guts out at the desk.

But it doesn’t matter.

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You know how some hospitals measure their door-to-balloon times for cardiac catheterizations?

Well, tetracycline 250mg pills $132.00 I measured our door-to-pain medication times.

Informally. Tetracycline 250mg pills $132.00 Over three nights.

You know what we average, tetracycline 250mg pills $132.00 at night, tetracycline 250mg pills $132.00 with bare-bones staffing that would send those who monitor nurse-patient staffing ratios into full blown anaphylactic shock?

Thirty minutes.

Door-to-pain medication.

Thirty minutes.

(That’s why patients come all the way from the far reaches of the Bay Area to see us instead of World Famous Medical Center With Attached Medical School Where They Will Wait Hours and Hours.)

And it still isn’t enough.

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I’m a damned good nurse.

I pride myself on my patient care.

I can take more curves thrown at me, tetracycline 250mg pills $132.00 tolerate more patient idiosyncracies and deal with more challenging personalities than anyone I know and do it all with a smile on my face.

I understand that when someone is acutely ill (real or perceived), tetracycline 250mg pills $132.00 they tend to turn inward. Tetracycline 250mg pills $132.00 What is going on around them is not necessarily in their sphere of awareness.

But if they are:

alert and oriented

evaluated and medicated

settled and informed

and their senses are intact…

Tetracycline 250mg pills $132.00 When they can see and hear that the department is full…

Tetracycline 250mg pills $132.00 When they can see and hear that more patients are arriving on foot and by ambulance…

Tetracycline 250mg pills $132.00 When they can see and hear that the nurses are running their asses off…

Tetracycline 250mg pills $132.00 And all I hear is:

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Tetracycline 250mg pills $132.00 ….well, tetracycline 250mg pills $132.00 that is just flat out wrong.

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Tetracycline 250mg pills $132.00 My god, tetracycline 250mg pills $132.00 people, tetracycline 250mg pills $132.00 look around you!

Tetracycline 250mg pills $132.00 Call me a horrible nurse, tetracycline 250mg pills $132.00 a burned-out witch  or accuse me of having no compassion for the sick, tetracycline 250mg pills $132.00

Tetracycline 250mg pills $132.00 It can’t be any worse than what I’ve been dealing with lately.

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Tetracycline 250mg pills $132.00 With a smile on my face, tetracycline 250mg pills $132.00 of course.

Tetracycline 250mg pills $132.00 Always…

Tetracycline 250mg pills $132.00 with a smile on my face.

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July 24, 2016, 6:54 pm

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Endep 10mg pills $51.00 OffwhitelogoWelcome to this edition of Change of Shift, endep 10mg pills $51.00 the blog carnival by, endep 10mg pills $51.00 about and for nurses!

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Nurses continue to discuss health care reform and I wanted to pass on a link to a great BlogHer page that gives you More Tools to Get Your Own Scoop on the Health Care Debate. Endep 10mg pills $51.00 Great resource!

Meet the newest member of the nursing blogosphere! Her blog is Nursing Student Chronicles and See You Next Week is heartbreaking. Endep 10mg pills $51.00 Go say hi…and welcome! : )

Mother Jones uses her Mac to write about health care reform so why on earth should she boycott Apple? She pleads her case in Get Your Hands Off My iPhone Fox News! at Nurse Ratched’s Place.

Head Nurse Jo knows exactly how to stay safe. Endep 10mg pills $51.00 For the record, endep 10mg pills $51.00 I plan to use the technique described in You Gotta Know When to Hold ‘Em beginning with my next shift.

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Oh man, endep 10mg pills $51.00 this is a hoot! Seems Nurse Jackie is channeling Nurse K over at Crass-Pollination. Endep 10mg pills $51.00 It looks like the producers may be getting their material straight from K! It’s here, endep 10mg pills $51.00 in Nurse K Obit Game Makes it into Nurse Jackie. Endep 10mg pills $51.00 Coincidence? I think not!

Endep 10mg pills $51.00 The Nurse Pratitioner’s Place looks at the idea of Nurse Practitioners as Primary Medical Homes. Endep 10mg pills $51.00 Are NPs able to take total care of their patients? Does this have to be a turf war?

Endep 10mg pills $51.00 Barbara at Florence dot com submits a post from her Medscape blog, endep 10mg pills $51.00 On Your Meds discussing what motivates parents to champion advocacy efforts. Endep 10mg pills $51.00 There is also a scholarship opportunity in Hope and the Power of Parents. Endep 10mg pills $51.00 Reading the entire post will require Medscape registration (What? You aren’t registered at Medscape? It’s SO worth it!!!).

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Endep 10mg pills $51.00 Speaking of Medscape, endep 10mg pills $51.00 blogger Beka Serdans from In Own Words: Medscape Nurses looks at staffing levels and retention and wonders Are You Leaving or Staying ? Take the poll; stay for the great discussion in the comments and check out the follow up post !

Endep 10mg pills $51.00 Grab a Kleenex. Endep 10mg pills $51.00 Reality Rounds gives a heartbreaking account of trying to save a life in For They Know Not What They Do. Endep 10mg pills $51.00 Powerful. Endep 10mg pills $51.00 ‘Nuff said.

Endep 10mg pills $51.00 There is a lot of discussion about Britian’s National Health Service these days. Endep 10mg pills $51.00 I’m pretty sure we don’t get the whole story. Endep 10mg pills $51.00 As someone who works in the NHS every day, endep 10mg pills $51.00 Julie from Life in the NHS wonders Is the NHS Such a Bad Thing?

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Have you ever worked with a “Beth”? Are you a “Beth”? Nurse Kathy explains exactly what that means in The Essential Employee her Nursing Dynamics and Clinical Issues blog at NurseConnect.

Also at NurseConnect, endep 10mg pills $51.00 Career Transitions and Other Nurse Topics, endep 10mg pills $51.00 Nurse Laura asks Nurses: How Healthy is Your Work Environment? Does it help you advance in the profession or does it impede your function? How do we make sure we have what we need?

In Comments from the Peanut Gallery, endep 10mg pills $51.00 Elaine at Miss-Elaine-ious, endep 10mg pills $51.00 RN describes how her compressed/accelerated RN program differed from the classic four-year route. Endep 10mg pills $51.00 Great read for those interested in nursing as a second career!

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Sleepy docs – one of the facts of night shift nursing. Endep 10mg pills $51.00 Wanderer at Lost on the Floor deals with a doctor who sometimes needs a refresher course the morning after he’s on call. Endep 10mg pills $51.00 See Sleepy Head.

Whoa! The Angry Nurse has a few choice words for parents of the intoxicated in An ER Brochure I’d Like to See.

Carolyn, endep 10mg pills $51.00 one of the nurse practitioners at Healthy Hearts with Heartstrong presents Carotid Artery Stenting Can Prevent Strokes.

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Here’s a couple of submissions that aren’t from nurses, endep 10mg pills $51.00 but that nurses may find interesting:

Endep 10mg pills $51.00 Cognitive function has huge implications for our patients. Endep 10mg pills $51.00 Alvaro at SharpBrains always has interesting articles, endep 10mg pills $51.00 and he was published in the Frontiers in Neuroscience journal! He shares that article with us in Preparing Society for the Cognitive Age. It’s all about brain fitness.

Endep 10mg pills $51.00 Jimmy from The Web Nurse at Masters in Nursing Online sends a list of 40 Free Open Courseware Classes About the Human Body. Endep 10mg pills $51.00 Need a refresher on anatomy and physiology? You may find it here!

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Thanks for reading this edition of Change of Shift and many thanks to all who submitted this week (and to those who are surprised to find their submissions here ; ) ! The next CoS will be at This Crazy Miracle Called Life on September 3rd.  You can send submission to Amanda via the Blog Carnival button on the right side bar or directly to “agmcgaha at gmail dot com”.

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July 24, 2016, 8:51 am

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Generic elocon 0.1% 10mg tube $72.00 jukeboxHey! My nursing school did not have a jukebox!

Generic elocon 0.1% 10mg tube $72.00 For you young ‘uns who think music has always come out of an iPod, generic elocon 0.1% 10mg tube $72.00 you put your quarter in the machine and chose one or two songs for it to play (via vinyl 45s).

Generic elocon 0.1% 10mg tube $72.00 I looked up the American Top 40 for my nursing school graduation date. Generic elocon 0.1% 10mg tube $72.00 The closest I could find was July 8, generic elocon 0.1% 10mg tube $72.00 1978

Generic elocon 0.1% 10mg tube $72.00 Here were the top five songs: (a) Shadow Dancing by Andy Gibb – oh HELL yeah! (b) Baker Street by Gerry Rafferty – sax to DIE for; (c) Take a Chance on Me by Abba – Zofran required; (d) Use Ta Be My Girl by the O’Jays – uh, generic elocon 0.1% 10mg tube $72.00 no; and (e) Still the Same by Bob Seger – rockin’!

Generic elocon 0.1% 10mg tube $72.00 I wonder what year it was and what these nurses listened to that day?

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Have a post – send it to me! It’s carnival time at Emergiblog!

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Generic elocon 0.1% 10mg tube $72.00 I’m still accepting submissions for the next Change of Shift on Thursday! I know it’s summer and I know it’s nice out but the nursing blogosphere is still hopping (I know, generic elocon 0.1% 10mg tube $72.00 I’m reading your stuff!).

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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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