November, 2009 Archive

August 26, 2016, 12:07 am

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Tadalis 10mg pills $280.00 spit:nursepostcard:zwerdling nursing archivesApparently once you remember that tuberculosis is spread by spitting…

Tadalis 10mg pills $280.00 You are then allowed to spit.

Tadalis 10mg pills $280.00 Reminds me of an incident.

Tadalis 10mg pills $280.00 Elderly lady.

Tadalis 10mg pills $280.00 Elegant, tadalis 10mg pills $280.00 actually.

Tadalis 10mg pills $280.00 Didn’t speak English.

Tadalis 10mg pills $280.00 Smiled at everyone she passed.

Tadalis 10mg pills $280.00 She smiled at me.

Tadalis 10mg pills $280.00 Just before turning her head, tadalis 10mg pills $280.00 clearing her throat and spitting three feet across the hallway.

Tadalis 10mg pills $280.00 Then she smiled and continued down to her husband’s room.

Tadalis 10mg pills $280.00 I didn’t take it personally. Tadalis 10mg pills $280.00 I did, tadalis 10mg pills $280.00 however, tadalis 10mg pills $280.00 feel my jaw hit the floor…

Tadalis 10mg pills $280.00 (Postcard courtesy of Michael Zwerdling, tadalis 10mg pills $280.00 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, tadalis 10mg pills $280.00 I noticed the theme was “Government and Advocacy”. Tadalis 10mg pills $280.00 Came across an article on domestic violence. Tadalis 10mg pills $280.00 It’s a short article, tadalis 10mg pills $280.00 written by Carrie Norman, tadalis 10mg pills $280.00 RN, tadalis 10mg pills $280.00 CEN, tadalis 10mg pills $280.00 member of the Government Affairs Committee. Tadalis 10mg pills $280.00 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. Tadalis 10mg pills $280.00 But no way have I been taking care of victims of domestic abuse – I mean, tadalis 10mg pills $280.00 hello, tadalis 10mg pills $280.00 wouldn’t it be obvious? The hovering, tadalis 10mg pills $280.00 overbearing abuser who answers all the questions for the patient? The bruises that aren’t explained by the story?

You know, tadalis 10mg pills $280.00 the stereotypical, tadalis 10mg pills $280.00 classic scenario?

“The stress of physical/emotional abuse has been linked to many chronic conditions such as: chronic pain, tadalis 10mg pills $280.00 fibromyalgia, tadalis 10mg pills $280.00 frequent migraines and abdominal and gastrointestinal complaints.”

Well, tadalis 10mg pills $280.00 yeah, tadalis 10mg pills $280.00 I knew that.


I screen them, tadalis 10mg pills $280.00 right? It’s part of triage.

Well, tadalis 10mg pills $280.00 actually I check one of two boxes. Tadalis 10mg pills $280.00 Abuse: “Not suspected” or “Yes”.

And unless someone says “He/she hit me”, tadalis 10mg pills $280.00 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, tadalis 10mg pills $280.00 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, tadalis 10mg pills $280.00 didn’t I?

Because I never asked.


“Many women experience some form of violence in their home. Tadalis 10mg pills $280.00 I’m here to listen and I may have some suggestions to help.”

Hopefully, tadalis 10mg pills $280.00 there is something we can do immediately.

Or, tadalis 10mg pills $280.00 the patient may not be ready, tadalis 10mg pills $280.00 may not feel it is a safe time to leave.

But, tadalis 10mg pills $280.00 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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August 26, 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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