February, 2010 Archive

July 26, 2016, 5:31 am

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Something is in the air.

Work has been uncharacteristically crazy, sustiva 600mg pills $347.00nuts, sustiva 600mg pills $347.00bananas busy since I returned from my influenza-induced hiatus. Sustiva 600mg pills $347.00 Scores of very sick people, sustiva 600mg pills $347.00 no real pattern. Sustiva 600mg pills $347.00 And a ton of pediatrics.

Feverish, sustiva 600mg pills $347.00 coughing, sustiva 600mg pills $347.00 runny-nose, sustiva 600mg pills $347.00 wheezing, sustiva 600mg pills $347.00 stridorous, sustiva 600mg pills $347.00 vomiting, sustiva 600mg pills $347.00 diarrhea-having, sustiva 600mg pills $347.00 screaming, sustiva 600mg pills $347.00 combative, sustiva 600mg pills $347.00 medicine-spitting small humans.

It’s not easy triaging these little folks. Sustiva 600mg pills $347.00 You have to get the history over the crying/screaming, sustiva 600mg pills $347.00 try and obtain vitals while they kick off any and all probes, sustiva 600mg pills $347.00 do a rectal temperature if they are under 2 years old (wrestling to keep them still), sustiva 600mg pills $347.00 and weigh them for medication dosing.

You have to do all this taking into account their developmental stage/age, sustiva 600mg pills $347.00 which affects everything from how you approach a pediatric patient to what behaviors would be considered “normal”.

Then there is the “two-fer”. Sustiva 600mg pills $347.00 One child is sick? Well then, sustiva 600mg pills $347.00 let’s check the other one, sustiva 600mg pills $347.00 too! Never mind that the other one isn’t showing symptoms but might be incubating a virus as we speak, sustiva 600mg pills $347.00 or had symptoms and is now on the mend, sustiva 600mg pills $347.00 the logic of the parents is “might as well check them both!”

Right?

So that’s a double triage.

Time consuming. Sustiva 600mg pills $347.00 Energy consuming. Sustiva 600mg pills $347.00 Hearing-loss inducing. Sustiva 600mg pills $347.00 Nerve-grating.

And absolutely gratifying.

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Didn’t expect that, sustiva 600mg pills $347.00 did ya?

There is something about building a rapport with a child, sustiva 600mg pills $347.00 starting at triage, sustiva 600mg pills $347.00 that makes all the above worth it.

The smiles that you get when you first say hi (before they realize there is an assessment involved!)

The baby who verbalizes back when you talk to her.

The toddler who laughs when the oximeter probe falls off.

The tiny Disney Princess who is proud of her Ariel slippers.

The boy who scans the Wong-Baker pain scale with a serious expression so he can pick just the right number.

Giving Tylenol and/or Motrin to a cranky, sustiva 600mg pills $347.00 miserable, sustiva 600mg pills $347.00 feverish child and then watching them play peek-a-boo with the curtains 30 minutes later.

Hearing giggling from the room as they play with siblings.

Watching them snuggle the teddy bear you just gave them.

Seeing the look of excitement when they see you have a juice box (what is it about juice?)

The tiny hand waving good-bye as they leave the department.

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In the midst of some hellacious nights, sustiva 600mg pills $347.00 I’ve taken care of some wonderful kids.

It isn’t easy. Sustiva 600mg pills $347.00 Caring for kids can’t be rushed. Sustiva 600mg pills $347.00 They can be a challenge.

But when it’s all said and done, sustiva 600mg pills $347.00 it is the most gratifying part of my work.

The kids are alright, sustiva 600mg pills $347.00 indeed.

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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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