November, 2010 Archive

September 25, 2016, 10:56 am

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Pulmicort 100mcg inhaler $100.00 Welcome to the latest edition of Change of Shift!

Pulmicort 100mcg inhaler $100.00 Good stuff this week, pulmicort 100mcg inhaler $100.00 so let’s get to it!


Pulmicort 100mcg inhaler $100.00 A warm Change of Shift welcome to Erin, pulmicort 100mcg inhaler $100.00 a school nurse who blogs at Tales of a School Zoned Nurse. Pulmicort 100mcg inhaler $100.00 Every single one of Erin’s posts would make a wonderful addition to CoS, pulmicort 100mcg inhaler $100.00 but I was taken by One.

Pulmicort 100mcg inhaler $100.00 How much of yourself should you share with your patients? NPs Save Lives presents Professional Boundaries Between Patients and NPs posted at

Pulmicort 100mcg inhaler $100.00 At Off the Charts, pulmicort 100mcg inhaler $100.00? AJN Clinical Editor Christine Moffa describes a great resource (CE available) on how to work with dysphagia dietary restrictions in A Tough Act to Swallow.


Pulmicort 100mcg inhaler $100.00 Rob Fraser has a great idea for boosting productivity in Nursing Ideas’ Blog | How Nursing Students can Study Better posted at Nursing Ideas.

Pulmicort 100mcg inhaler $100.00 I’m Not Furniture…I’m Glue is the latest Insights in Nursing podcast! This one includes Terri Polick, pulmicort 100mcg inhaler $100.00 Cora Vizcarra, pulmicort 100mcg inhaler $100.00 Lorry Schoenly and myself, pulmicort 100mcg inhaler $100.00 hosted by the ever popular Jamie Davis!

Pulmicort 100mcg inhaler $100.00 Amy at Nursing Influence blogs about a controversial issue spurred by an article in the American Journal of Nursing. Pulmicort 100mcg inhaler $100.00 Namely, pulmicort 100mcg inhaler $100.00 does a patient have a Right to Choose Healthcare Providers Based on Race?


Pulmicort 100mcg inhaler $100.00 Nurse Me gets all up in the face of Grey’s Anatomy creator Shonda Rhimes. Pulmicort 100mcg inhaler $100.00 Get ready to have your adrenaline rush for the day – you may need a hefty dose of lisinopril after you’re done! You GO, pulmicort 100mcg inhaler $100.00 girl!

Pulmicort 100mcg inhaler $100.00 Ah, pulmicort 100mcg inhaler $100.00 it’s all about aesthetics, pulmicort 100mcg inhaler $100.00 as in Poop Brown Walls and a Muddy Colored Floor as described at Madness: Tales of an Emergency Room Nurse.

Pulmicort 100mcg inhaler $100.00 Over at The Doctor Stole My Stethoscope, pulmicort 100mcg inhaler $100.00 RNRaquel is nearby when Dr. Pulmicort 100mcg inhaler $100.00 Handsome Throws a Fit. Pulmicort 100mcg inhaler $100.00 Seriously, pulmicort 100mcg inhaler $100.00 it’s amazing we still witness these infantile outbursts and equally amazing that the doctors still get away with it.


Pulmicort 100mcg inhaler $100.00 Elaine is feeling the first hints of burn-out in Thoughts on Losing Enthusiasm at Miss-Elaine-ious, pulmicort 100mcg inhaler $100.00 RN. Pulmicort 100mcg inhaler $100.00 Oh, pulmicort 100mcg inhaler $100.00 I have so been there! You will get the enthusiasm back.

Pulmicort 100mcg inhaler $100.00 Wireless world – that’s what Not Nurse Ratched is seeing in Texting Toddlers, pulmicort 100mcg inhaler $100.00 Tweeting Nonagenarians.

Pulmicort 100mcg inhaler $100.00 Call lights can be a real pain in the neck, pulmicort 100mcg inhaler $100.00 as Tex at Weird Nursing Tales discovered in Snort, pulmicort 100mcg inhaler $100.00 Snort. Pulmicort 100mcg inhaler $100.00 He’s right, pulmicort 100mcg inhaler $100.00 you can’t make this stuff up!


Many thanks to those who submitted (and those who just realized they did! : D) and many thanks for reading.

Change of Shift will be taking a Thanksgiving Holiday – and will return to Emergiblog on December 9th.


You can submit your posts anytime via Blog Carnival or the contact button at the top of this page!

Keep posting!

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September 25, 2016, 9:47 am

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September 25, 2016, 2:55 pm

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Priligy 60mg pills $83.00 Oh, priligy 60mg pills $83.00 to have my own desk in the ER!

Priligy 60mg pills $83.00 A place to think, priligy 60mg pills $83.00 to write without getting my chair jostled or my elbow knocked or my charts shifted.

Priligy 60mg pills $83.00 Most of my ERs have been short on desk space. Priligy 60mg pills $83.00 Chairs are at a premium. Priligy 60mg pills $83.00 If you are charting and you get up to answer a call light, priligy 60mg pills $83.00 by the time you get back your charts are stacked and shoved to one side with someone else’s derriere warming the seat cushion.

Priligy 60mg pills $83.00 Imagine a U-shaped “nursing” station. Priligy 60mg pills $83.00 The EDMD desk takes up 33%. Priligy 60mg pills $83.00 The unit secretary takes up about 33% This leaves the remaining 34% to divide between 3 – 4 nurses at any given time. Priligy 60mg pills $83.00 And an ER tech. Priligy 60mg pills $83.00 And any primary docs that show up.

Priligy 60mg pills $83.00 It gets pretty cozy in there.

Priligy 60mg pills $83.00 The NP/PA gets to have the little desk around the corner. Priligy 60mg pills $83.00 The one with the computer. Priligy 60mg pills $83.00 Not that I’m jealous.

Priligy 60mg pills $83.00 Or anything.


Medication rooms have become sacred locations.

One is not to speak while engaged in the preparation of medication.

One is not to speak to anyone engaged in the preparation of medication.

It’s for safety. Priligy 60mg pills $83.00 It helps prevent medication errors.

Signs are posted.

Do not disturb.

Silence is golden.


It’s a great policy, priligy 60mg pills $83.00 given the hectic atmosphere of an ER. Priligy 60mg pills $83.00 Having quiet, priligy 60mg pills $83.00 uninterrupted time to focus on medications is a godsend.

In the med room.

So why are they saying we should prepare/draw up the medication at the bedside?

Have you ever heard what goes on at the bedside?

It’s something like this:

“Hello, priligy 60mg pills $83.00 Mrs. Priligy 60mg pills $83.00 Jackson! I have medication here for your pain and something for your nausea.”

“What are you giving her?”

“She wants water.”

“It’s cold in here!”

“Can I have a blanket, priligy 60mg pills $83.00too?”

“Are you calling her primary doctor? Is he coming in? When will he be here? What do you mean he isn’t on the way?”

The patient hasn’t even spoken yet.

“I’ll be giving you some Zofran for nausea and some Dilaudid for pain control. Priligy 60mg pills $83.00 Do you have any allergies?”

“Zofran never works.”

“OMG, priligy 60mg pills $83.00 they are giving you Dilaudid? Grandma had hallucinations on that!”

“Are you sure you aren’t allergic to that? Wasn’t it something with a “d”?”

“She has a high threshold for pain medications, priligy 60mg pills $83.00 she’ll need more.”

The patient informs me that she has no allergies.

“What level is your pain right now?”

“It’s a 10. Priligy 60mg pills $83.00 It’s more than a ten! Tell ’em it’s a 10, priligy 60mg pills $83.00 Betty!”

“Oh Betty, priligy 60mg pills $83.00 tell the truth, priligy 60mg pills $83.00 it’s much more than a four!”

“Be careful, priligy 60mg pills $83.00 Betty, priligy 60mg pills $83.00 you don’t want to get addicted!”

“Grandma hallucinated on that stuff!”

The patient has informed me her pain level is at a 4/10. Priligy 60mg pills $83.00 I turn to draw up the medication.

“How long is she going to be here?”

“What’s wrong with her?”

“Can we use a cell phone in here?”

“Ooops, priligy 60mg pills $83.00 there goes my cell phone!”

“NO BABY, priligy 60mg pills $83.00 I CAN’T TALK NOW, priligy 60mg pills $83.00 MY AUNT BETTY IS IN THE ER AND I HAVE TO BE QUIET, priligy 60mg pills $83.00 COS SHE IS LIKE, priligy 60mg pills $83.00 IN PAIN, priligy 60mg pills $83.00 AND SHIT, priligy 60mg pills $83.00 AND THEY ARE GIVING STUFF THAT WILL MAKE HER HALLUCINATE LIKE GRANDMA! NO…BUT….THAT AIN’T WHAT I SAID….WELL F*** YOU, priligy 60mg pills $83.00 TOO!

“Jolene, priligy 60mg pills $83.00 take that outside right now!”

“Oh man, priligy 60mg pills $83.00 we are going to be here that long? I was hoping to get home before the game starts.”

“Will she be admitted?”

“We can’t take her home.”

And yadda, priligy 60mg pills $83.00 yadda, priligy 60mg pills $83.00 yadda; ad infinitum.


The bedside in an ER is not a place of peace and quiet; ERs can be chaotic places.

It is our duty to maintain patient safety in medication administration in all scenarios.

But if it has been shown that preparing medications in a quiet environment without distractions results in fewer medication errors, priligy 60mg pills $83.00 doesn’t it make sense that the majority of this preparation should be done in the quietest, priligy 60mg pills $83.00 least distracting location?

Like the med room.

Instead of at the bedside?

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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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