February, 2011 Archive

September 29, 2016, 11:44 pm

Viagra Chinese Medicine

Viagra chinese medicine Greetings from Latte Land, viagra chinese medicine USA, viagra chinese medicine aka Portland, viagra chinese medicine Oregon!

Viagra chinese medicine Thanks to wonderful colleagues (including one who works miracles with the schedule), viagra chinese medicine I am able to take some time off to regroup, viagra chinese medicine recoup and recharge while visiting my daughters.

Viagra chinese medicine I was also able to attend the 2011 ENA Leadership Conference. Viagra chinese medicine Nothing beats a day spent with hundreds of emergency nurses for re-energizing your perspective. Viagra chinese medicine I could blog daily for a month on what I picked up this weekend.

**********

Portland is cold. Viagra chinese medicine On Friday, viagra chinese medicine it was near freezing, viagra chinese medicine and the current of warmth emanating from the Convention Center felt like aerosolized Ativan.

Viagra chinese medicine Not that I needed it.

Viagra chinese medicine In fact, viagra chinese medicine I was attending the 2011 ENA Leadership Conference praying for an epinephrine-like jolt to my professional eco-system. Viagra chinese medicine Something, viagra chinese medicine anything (!) that would send a few hundred joules through my enervated, viagra chinese medicine inertia-leaden, viagra chinese medicine this-close-to-asystole, viagra chinese medicine ambition-is-having-a-near-death-experience self.

Viagra chinese medicine (I sound like a real attractive nurse, viagra chinese medicine yes?)

Viagra chinese medicine So, viagra chinese medicine I dialed 911 (aka Anthony Phipps, viagra chinese medicine ENA Media Rep/Nice Guy), viagra chinese medicine asked if I could cover the conference for the blog, viagra chinese medicine and he dispatched ACLS (Advanced Career Life Support) in a megadose of Yes!

*****

Viagra chinese medicine AnnMarie Papa is the current President of ENA. Viagra chinese medicine She is funny, viagra chinese medicine articulate, viagra chinese medicine and not afraid to dance onstage.

Viagra chinese medicine She also gave a wonderful description of leadership when she told the group at the general session to go out and “inspire a passion for what you do”.

Viagra chinese medicine Inspire a passion for what you do.

Viagra chinese medicine It felt like a little yellow Angry Bird hit me right between the eyes.*

*****

Viagra chinese medicine Think about it.

Viagra chinese medicine Passion is contagious.

Viagra chinese medicine The best nursing leaders are passionate about nursing and that passion – that energy – expands and encompasses those around them. Viagra chinese medicine The best leaders inspire you to do your best. Viagra chinese medicine Because of them, viagra chinese medicine you go the extra mile without a second thought. Viagra chinese medicine They energize you professionally. Viagra chinese medicine Working with them/under them is stimulating. Viagra chinese medicine Easier.

Viagra chinese medicine We all have the potential to be nursing leaders, viagra chinese medicine at the patient bedside, viagra chinese medicine in the exam room, viagra chinese medicine in the community or in the boardroom. Viagra chinese medicine No matter what degree, viagra chinese medicine how much experience or what specialty we choose.

Viagra chinese medicine If we inspire a passion for what we do.

Viagra chinese medicine Do you inspire a passion for what you do?

Viagra chinese medicine If you do, viagra chinese medicine then you are a nursing leader.

*****

AnnMarie Papa never did meet the nurse in the tenth row, viagra chinese medicine stage left who was taking notes in the dim lighting.

But she definitely made an impression.

Viagra chinese medicine A simple exhortation. Viagra chinese medicine The end of one sentence spoken midway through an action-packed General Session of a national nursing conference.

Viagra chinese medicine But it hit me square in the chest.

Viagra chinese medicine Inspire passion for what you do.

Viagra chinese medicine I can’t really describe why that statement took my breath away.

Viagra chinese medicine But perhaps it was because right there, viagra chinese medicine right then, viagra chinese medicine on that Friday morning at the Portland Convention Center, viagra chinese medicine I was in the presence of hundreds of nursing leaders who were all

Viagra chinese medicine …inspiring passion for what they do.

Viagra chinese medicine It was awesome.

***************************************

The absolutely stunning photo of “Downtown Portland Snow” was found in the Flickr Photostream of 321 Photography.

Viagra chinese medicine *The author of this post would like to clarify that she is not a Green Pig in an army helmet. Viagra chinese medicine She is, viagra chinese medicine however, viagra chinese medicine addicted to Angry Birds. Viagra chinese medicine She blames her coworkers.

Average Rating: 4.8 out of 5 based on 189 user reviews.

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September 29, 2016, 12:57 pm

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Tadalafil 10mg pills $66.00 Running Wildly‘s compassionate care encourages a patient to open up about their past in this touching post entitled Helping Hand. Tadalafil 10mg pills $66.00 I hope her patient was able to get the help she needed. Tadalafil 10mg pills $66.00 (And here is a submission I missed for the last edition, tadalafil 10mg pills $66.00 an ode to workin’ the ER on the holiday: Emergency New Years!)

Tadalafil 10mg pills $66.00 Shrtstormtrooper knows exactly what a patient needs, tadalafil 10mg pills $66.00 and it isn’t high tech in Reassurance posted at New Nurse Insanity: Fundus Chop!.

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Tadalafil 10mg pills $66.00 Maureen “Shawn” Kennedy, tadalafil 10mg pills $66.00 editor-in-chief of the AJN, tadalafil 10mg pills $66.00 reports from the 2011 Clinical Nurse Leader Summit in Florida for AJN’s Off the Charts blog. Tadalafil 10mg pills $66.00 Does your facility use CNLs?

Tadalafil 10mg pills $66.00 KMorales discusses why she is Working on my MSN and has gotten me all inspired with her description of her friend/colleague “CB”. Tadalafil 10mg pills $66.00 I bet you’ll be signing up for school after you read it, tadalafil 10mg pills $66.00 too! Thanks, tadalafil 10mg pills $66.00 Katie, tadalafil 10mg pills $66.00 I needed this! : ) It’s posted at NursesNetwork.

Tadalafil 10mg pills $66.00 Lisa Ordway discusses end of life care (or lack of same) in the ICU in Palliative Care – Devil of Defeat or Humane Patient Care? posted at Experiences of an ICU Nurse. Tadalafil 10mg pills $66.00 You can always depend on an ICU nurse to tell in like it is.

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Tadalafil 10mg pills $66.00 Elle Bieling, tadalafil 10mg pills $66.00 RN notes that hearing and understanding metaphors used by patients are important when assessing pain in Chronic Pain ~ Why Physical, tadalafil 10mg pills $66.00 Emotional and Spiritual Pain are Inseparable posted at The Body Window.

Tadalafil 10mg pills $66.00 Michelle Walter has started NurseNRecovery, tadalafil 10mg pills $66.00 a website to help nurses struggling with narcotic addiction. Tadalafil 10mg pills $66.00 Michelle is a recovering addict and shares what she has learned with her readers. Tadalafil 10mg pills $66.00 Her story is an eye opener about just how insidiously an addiction can take hold.

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Many thanks to those who submitted this week and many, tadalafil 10mg pills $66.00 many thanks for reading and linking each week!

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September 29, 2016, 11:47 am

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Lamisil 10mg cream $32.00 And you don’t ever, lamisil 10mg cream $32.00 EVER mess with the nurses in the emergency department!

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*****

Oh my god. Lamisil 10mg cream $32.00 I need a long vacation.

I am sitting here in Starbucks for the first time in months – I can’t even remember the last time I blogged over coffee – and their microwave kept alarming. Lamisil 10mg cream $32.00 I got out of my chair to go check the alarm!

Yeah, lamisil 10mg cream $32.00 my nerves are on edge. Lamisil 10mg cream $32.00 They are playing this finger-snapping Vegas-jazz stuff over the speakers that has me buzzing like my finger is in a socket. Lamisil 10mg cream $32.00 Hey, lamisil 10mg cream $32.00 guys, lamisil 10mg cream $32.00 what does a girl gotta do for a little Motown ’round these parts?

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Lamisil 10mg cream $32.00 Ah, lamisil 10mg cream $32.00 but there is a silver lining on the horizon!

Lamisil 10mg cream $32.00 I am looking forward to attending the ENA Leadership Conference in Portland, lamisil 10mg cream $32.00 Oregon in just a couple of weeks, lamisil 10mg cream $32.00 which I will cover here at Emergiblog. Lamisil 10mg cream $32.00 The link will take you to the live blog for the event.

Lamisil 10mg cream $32.00 The ENA always puts on stunning programs – literally “attend today, lamisil 10mg cream $32.00 use in practice tomorrow” information. Lamisil 10mg cream $32.00 You don’t have to be a manager to attend the Leadership Conference, lamisil 10mg cream $32.00 either. Lamisil 10mg cream $32.00 All nurses are leaders, lamisil 10mg cream $32.00 and there is more than enough in this conference for every nurse, lamisil 10mg cream $32.00 from newbie to veteran.

*****

The department is chaotic.

Every bed full.

The hallways are impacted.

With patients. Lamisil 10mg cream $32.00 Family members. Lamisil 10mg cream $32.00 Lab techs. Lamisil 10mg cream $32.00 Portable xray machines and those who wield them.

Three ambulances waiting to give report.

Administrators.

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Doctors. Lamisil 10mg cream $32.00 Hospitalists. Lamisil 10mg cream $32.00 Cardiologists. Lamisil 10mg cream $32.00 Intensivists. Lamisil 10mg cream $32.00 A rare primary physician who admits their own patients.

Surgeons.

Who want everything….STAT.

Even though nothing about their patients require STAT.

Somewhere in there is the ER physician. Lamisil 10mg cream $32.00 And the PA.

We’re on divert, lamisil 10mg cream $32.00 except no one told the three ambulances.

Waiting.

No place to sit.

No place to chart.

No place to stand.

*****

And in the middle of all this…

In the middle of this bedlam.

Comes the order.

To give the first dose all the prescribed medications to the ambulatory, lamisil 10mg cream $32.00 playing, lamisil 10mg cream $32.00 giggling child with otitis media, lamisil 10mg cream $32.00 who is with a totally ambulatory, lamisil 10mg cream $32.00 fully functional, lamisil 10mg cream $32.00 totally-capable-of-going-to-the-pharmacy-and-starting-the-medication-at-home adult parent.

So what, lamisil 10mg cream $32.00 you say?

Well, lamisil 10mg cream $32.00 this means that instead of being able to discharge this ambulatory, lamisil 10mg cream $32.00 capable parent with discharge instructions and a prescription right then and there, lamisil 10mg cream $32.00 the RN must now engage in the preparation and administration of a pediatric medication.

Which means:

  • Going to the Pyxis and removing the medications, lamisil 10mg cream $32.00 say Tylenol and Zithromax, lamisil 10mg cream $32.00 from the machine.
  • Because the Hilton Hospital has no Pharmacy at night, lamisil 10mg cream $32.00 the Zithromax must be reconstituted by the RN – yep, lamisil 10mg cream $32.00 we measure it, lamisil 10mg cream $32.00 we mix it, lamisil 10mg cream $32.00 we shake it, lamisil 10mg cream $32.00 we pour it.
  • Calculating the appropriate dose based on the child’s weight (yes, lamisil 10mg cream $32.00 we have to do that, lamisil 10mg cream $32.00 even if the doctor has written a dose).
  • Pour the meds, lamisil 10mg cream $32.00 draw them up into a dosing syringe.

Lamisil 10mg cream $32.00 No biggie so far? Remember all the hell going on in the rest of the department? One nurse is tied up doing this totally unnecessary function. Lamisil 10mg cream $32.00 But it gets better because…

Lamisil 10mg cream $32.00 They have decided that decades of nursing experience is not enough to ensure appropriate safeguards in pediatric medication administration so…

  • A second nurse has to calculate and double check everything the first nurse has done and sign off on the calculations before the medication is given.

Lamisil 10mg cream $32.00 And there you have it! Two nurses taken from much more critical work to make sure ambulatory, lamisil 10mg cream $32.00 playing, lamisil 10mg cream $32.00 giggling child with otitis media gets their first dose of medication, lamisil 10mg cream $32.00 when there is no reason on God’s green earth Mommy and Daddy cannot go get the medication and start it themselves.

Lamisil 10mg cream $32.00 And why?

Lamisil 10mg cream $32.00 Because it all has to do with patient satisfaction!

If we don’t do this, lamisil 10mg cream $32.00 they don’t think we treated their child. Lamisil 10mg cream $32.00 And gosh, lamisil 10mg cream $32.00 it’s the middle of the night and who wants to wait with a tired kid at the pharmacy and what if the pharmacist is on break and what if they don’t have the cash and what if the ATM machine is broken and…..

EEEEEEEEEEEENOUGH!!!!!!!!

Seriously, lamisil 10mg cream $32.00 people, lamisil 10mg cream $32.00 this is the minutiae that we have to deal with.

I want to take good care of my patients, lamisil 10mg cream $32.00 I really do. Lamisil 10mg cream $32.00 I like my patients, lamisil 10mg cream $32.00 I want to make their stay in the ER easier and more comfortable and as pain free as I can possibly make it.

I’m a good nurse. Lamisil 10mg cream $32.00 No. Lamisil 10mg cream $32.00 I’m a damn, lamisil 10mg cream $32.00 excellent nurse.

But this bullshit is killing me.

Killing me.

Oh, lamisil 10mg cream $32.00 and someday, lamisil 10mg cream $32.00 let’s go out and have a drink and I’ll tell you about the time I got the order to irrigate my patient’s ears. Lamisil 10mg cream $32.00 In fact, lamisil 10mg cream $32.00 it was on the same night. Lamisil 10mg cream $32.00 She was having a bit of trouble hearing, lamisil 10mg cream $32.00 you see. Lamisil 10mg cream $32.00 Berated me because I wasn’t doing it fast enough. Lamisil 10mg cream $32.00 She didn’t care that hypotension and a cath lab patient trumped ear wax.

Yeah, lamisil 10mg cream $32.00 I definitely need a margarita to tell that one…..

Average Rating: 4.4 out of 5 based on 150 user reviews.

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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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