November, 2009 Archive

September 29, 2016, 12:07 am

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Viagra generic canada spit:nursepostcard:zwerdling nursing archivesApparently once you remember that tuberculosis is spread by spitting…

Viagra generic canada You are then allowed to spit.

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Viagra generic canada Elegant, viagra generic canada actually.

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Viagra generic canada (Postcard courtesy of Michael Zwerdling, viagra generic canada 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, viagra generic canada I noticed the theme was “Government and Advocacy”. Viagra generic canada Came across an article on domestic violence. Viagra generic canada It’s a short article, viagra generic canada written by Carrie Norman, viagra generic canada RN, viagra generic canada CEN, viagra generic canada member of the Government Affairs Committee. Viagra generic canada 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. Viagra generic canada But no way have I been taking care of victims of domestic abuse – I mean, viagra generic canada hello, viagra generic canada wouldn’t it be obvious? The hovering, viagra generic canada overbearing abuser who answers all the questions for the patient? The bruises that aren’t explained by the story?

You know, viagra generic canada the stereotypical, viagra generic canada classic scenario?

“The stress of physical/emotional abuse has been linked to many chronic conditions such as: chronic pain, viagra generic canada fibromyalgia, viagra generic canada frequent migraines and abdominal and gastrointestinal complaints.”

Well, viagra generic canada yeah, viagra generic canada I knew that.


I screen them, viagra generic canada right? It’s part of triage.

Well, viagra generic canada actually I check one of two boxes. Viagra generic canada Abuse: “Not suspected” or “Yes”.

And unless someone says “He/she hit me”, viagra generic canada 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, viagra generic canada 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, viagra generic canada didn’t I?

Because I never asked.


“Many women experience some form of violence in their home. Viagra generic canada I’m here to listen and I may have some suggestions to help.”

Hopefully, viagra generic canada there is something we can do immediately.

Or, viagra generic canada the patient may not be ready, viagra generic canada may not feel it is a safe time to leave.

But, viagra generic canada 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.

Average Rating: 4.7 out of 5 based on 294 user reviews.

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September 29, 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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