November, 2009 Archive

July 28, 2016, 12:07 am

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Vasotec 20mg pills $70.00 (Postcard courtesy of Michael Zwerdling, vasotec 20mg pills $70.00 RN of the Zwerdling Nursing Archives.)


Emily over at really is CRZE this week! She’s doing Grand Rounds on Tuesday and Change of Shift on Thursday!

Help send her over the edge and get your CoS submissions in! You can send them to me and I’ll forward or send them directly to Emily at “emily at crzegrl dot net”.


Browsing through my October ENA Connection the other day, vasotec 20mg pills $70.00 I noticed the theme was “Government and Advocacy”. Vasotec 20mg pills $70.00 Came across an article on domestic violence. Vasotec 20mg pills $70.00 It’s a short article, vasotec 20mg pills $70.00 written by Carrie Norman, vasotec 20mg pills $70.00 RN, vasotec 20mg pills $70.00 CEN, vasotec 20mg pills $70.00 member of the Government Affairs Committee. Vasotec 20mg pills $70.00 The quotes below are taken from Carrie’s article.

“The CDC estimates that 37 percent of women who sought emergency department care were victims of domestic violence.”

What? 37 out of every 100 women I have triaged?


“Domestic violence victims are more likely to seek treatment for chronic and psychological conditions.”

Okay. Vasotec 20mg pills $70.00 But no way have I been taking care of victims of domestic abuse – I mean, vasotec 20mg pills $70.00 hello, vasotec 20mg pills $70.00 wouldn’t it be obvious? The hovering, vasotec 20mg pills $70.00 overbearing abuser who answers all the questions for the patient? The bruises that aren’t explained by the story?

You know, vasotec 20mg pills $70.00 the stereotypical, vasotec 20mg pills $70.00 classic scenario?

“The stress of physical/emotional abuse has been linked to many chronic conditions such as: chronic pain, vasotec 20mg pills $70.00 fibromyalgia, vasotec 20mg pills $70.00 frequent migraines and abdominal and gastrointestinal complaints.”

Well, vasotec 20mg pills $70.00 yeah, vasotec 20mg pills $70.00 I knew that.


I screen them, vasotec 20mg pills $70.00 right? It’s part of triage.

Well, vasotec 20mg pills $70.00 actually I check one of two boxes. Vasotec 20mg pills $70.00 Abuse: “Not suspected” or “Yes”.

And unless someone says “He/she hit me”, vasotec 20mg pills $70.00 I check “Not suspected.”

What kind of a screening is that? How can you screen for a problem when you don’t even have to ask the question, vasotec 20mg pills $70.00 you just have to “not suspect” it?


How many women have I missed?

When you came in for the fifth time in a month with abdominal pain for which no etiology could be found and for which you never sought follow up…

Did I miss you?

I’ll never know.

I didn’t ask.

When you presented with migraines on such a regular basis for so many years I got to know you like family…

Did I miss you?

I’ll never know.

I never asked.

When you sat in triage inconsolably sobbing over a skinned knee at 3:00 am because you “tripped in the garden”…

I missed you, vasotec 20mg pills $70.00 didn’t I?

Because I never asked.


“Many women experience some form of violence in their home. Vasotec 20mg pills $70.00 I’m here to listen and I may have some suggestions to help.”

Hopefully, vasotec 20mg pills $70.00 there is something we can do immediately.

Or, vasotec 20mg pills $70.00 the patient may not be ready, vasotec 20mg pills $70.00 may not feel it is a safe time to leave.

But, vasotec 20mg pills $70.00 just having someone ask the question and offer resources for when she is ready can let her know she has options.

And give her a sense of empowerment to make the decisions she needs to make.

The bottom line?

Ask the question.

I am.

Should have been doing it all along.

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July 28, 2016, 3:53 pm

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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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