November, 2010 Archive

June 28, 2016, 10:56 am

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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.

But…

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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June 28, 2016, 9:47 am

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June 28, 2016, 2:55 pm

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Blood pressure olmesartan 10mg pills (generic) $83.00 Oh, blood pressure olmesartan 10mg pills (generic) $83.00 to have my own desk in the ER!

Blood pressure olmesartan 10mg pills (generic) $83.00 A place to think, blood pressure olmesartan 10mg pills (generic) $83.00 to write without getting my chair jostled or my elbow knocked or my charts shifted.

Blood pressure olmesartan 10mg pills (generic) $83.00 Most of my ERs have been short on desk space. Blood pressure olmesartan 10mg pills (generic) $83.00 Chairs are at a premium. Blood pressure olmesartan 10mg pills (generic) $83.00 If you are charting and you get up to answer a call light, blood pressure olmesartan 10mg pills (generic) $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.

Blood pressure olmesartan 10mg pills (generic) $83.00 Imagine a U-shaped “nursing” station. Blood pressure olmesartan 10mg pills (generic) $83.00 The EDMD desk takes up 33%. Blood pressure olmesartan 10mg pills (generic) $83.00 The unit secretary takes up about 33% This leaves the remaining 34% to divide between 3 – 4 nurses at any given time. Blood pressure olmesartan 10mg pills (generic) $83.00 And an ER tech. Blood pressure olmesartan 10mg pills (generic) $83.00 And any primary docs that show up.

Blood pressure olmesartan 10mg pills (generic) $83.00 It gets pretty cozy in there.

Blood pressure olmesartan 10mg pills (generic) $83.00 The NP/PA gets to have the little desk around the corner. Blood pressure olmesartan 10mg pills (generic) $83.00 The one with the computer. Blood pressure olmesartan 10mg pills (generic) $83.00 Not that I’m jealous.

Blood pressure olmesartan 10mg pills (generic) $83.00 Or anything.

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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. Blood pressure olmesartan 10mg pills (generic) $83.00 It helps prevent medication errors.

Signs are posted.

Do not disturb.

Silence is golden.

*****

It’s a great policy, blood pressure olmesartan 10mg pills (generic) $83.00 given the hectic atmosphere of an ER. Blood pressure olmesartan 10mg pills (generic) $83.00 Having quiet, blood pressure olmesartan 10mg pills (generic) $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, blood pressure olmesartan 10mg pills (generic) $83.00 Mrs. Blood pressure olmesartan 10mg pills (generic) $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, blood pressure olmesartan 10mg pills (generic) $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. Blood pressure olmesartan 10mg pills (generic) $83.00 Do you have any allergies?”

“Zofran never works.”

“OMG, blood pressure olmesartan 10mg pills (generic) $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, blood pressure olmesartan 10mg pills (generic) $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. Blood pressure olmesartan 10mg pills (generic) $83.00 It’s more than a ten! Tell ’em it’s a 10, blood pressure olmesartan 10mg pills (generic) $83.00 Betty!”

“Oh Betty, blood pressure olmesartan 10mg pills (generic) $83.00 tell the truth, blood pressure olmesartan 10mg pills (generic) $83.00 it’s much more than a four!”

“Be careful, blood pressure olmesartan 10mg pills (generic) $83.00 Betty, blood pressure olmesartan 10mg pills (generic) $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. Blood pressure olmesartan 10mg pills (generic) $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, blood pressure olmesartan 10mg pills (generic) $83.00 there goes my cell phone!”

“NO BABY, blood pressure olmesartan 10mg pills (generic) $83.00 I CAN’T TALK NOW, blood pressure olmesartan 10mg pills (generic) $83.00 MY AUNT BETTY IS IN THE ER AND I HAVE TO BE QUIET, blood pressure olmesartan 10mg pills (generic) $83.00 COS SHE IS LIKE, blood pressure olmesartan 10mg pills (generic) $83.00 IN PAIN, blood pressure olmesartan 10mg pills (generic) $83.00 AND SHIT, blood pressure olmesartan 10mg pills (generic) $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, blood pressure olmesartan 10mg pills (generic) $83.00 TOO!

“Jolene, blood pressure olmesartan 10mg pills (generic) $83.00 take that outside right now!”

“Oh man, blood pressure olmesartan 10mg pills (generic) $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, blood pressure olmesartan 10mg pills (generic) $83.00 yadda, blood pressure olmesartan 10mg pills (generic) $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, blood pressure olmesartan 10mg pills (generic) $83.00 doesn’t it make sense that the majority of this preparation should be done in the quietest, blood pressure olmesartan 10mg pills (generic) $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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