February, 2011 Archive

July 31, 2016, 11:44 pm

Desyrel 25mg Pills $70.00

Desyrel 25mg pills $70.00 Greetings from Latte Land, desyrel 25mg pills $70.00 USA, desyrel 25mg pills $70.00 aka Portland, desyrel 25mg pills $70.00 Oregon!

Desyrel 25mg pills $70.00 Thanks to wonderful colleagues (including one who works miracles with the schedule), desyrel 25mg pills $70.00 I am able to take some time off to regroup, desyrel 25mg pills $70.00 recoup and recharge while visiting my daughters.

Desyrel 25mg pills $70.00 I was also able to attend the 2011 ENA Leadership Conference. Desyrel 25mg pills $70.00 Nothing beats a day spent with hundreds of emergency nurses for re-energizing your perspective. Desyrel 25mg pills $70.00 I could blog daily for a month on what I picked up this weekend.


Portland is cold. Desyrel 25mg pills $70.00 On Friday, desyrel 25mg pills $70.00 it was near freezing, desyrel 25mg pills $70.00 and the current of warmth emanating from the Convention Center felt like aerosolized Ativan.

Desyrel 25mg pills $70.00 Not that I needed it.

Desyrel 25mg pills $70.00 In fact, desyrel 25mg pills $70.00 I was attending the 2011 ENA Leadership Conference praying for an epinephrine-like jolt to my professional eco-system. Desyrel 25mg pills $70.00 Something, desyrel 25mg pills $70.00 anything (!) that would send a few hundred joules through my enervated, desyrel 25mg pills $70.00 inertia-leaden, desyrel 25mg pills $70.00 this-close-to-asystole, desyrel 25mg pills $70.00 ambition-is-having-a-near-death-experience self.

Desyrel 25mg pills $70.00 (I sound like a real attractive nurse, desyrel 25mg pills $70.00 yes?)

Desyrel 25mg pills $70.00 So, desyrel 25mg pills $70.00 I dialed 911 (aka Anthony Phipps, desyrel 25mg pills $70.00 ENA Media Rep/Nice Guy), desyrel 25mg pills $70.00 asked if I could cover the conference for the blog, desyrel 25mg pills $70.00 and he dispatched ACLS (Advanced Career Life Support) in a megadose of Yes!


Desyrel 25mg pills $70.00 AnnMarie Papa is the current President of ENA. Desyrel 25mg pills $70.00 She is funny, desyrel 25mg pills $70.00 articulate, desyrel 25mg pills $70.00 and not afraid to dance onstage.

Desyrel 25mg pills $70.00 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”.

Desyrel 25mg pills $70.00 Inspire a passion for what you do.

Desyrel 25mg pills $70.00 It felt like a little yellow Angry Bird hit me right between the eyes.*


Desyrel 25mg pills $70.00 Think about it.

Desyrel 25mg pills $70.00 Passion is contagious.

Desyrel 25mg pills $70.00 The best nursing leaders are passionate about nursing and that passion – that energy – expands and encompasses those around them. Desyrel 25mg pills $70.00 The best leaders inspire you to do your best. Desyrel 25mg pills $70.00 Because of them, desyrel 25mg pills $70.00 you go the extra mile without a second thought. Desyrel 25mg pills $70.00 They energize you professionally. Desyrel 25mg pills $70.00 Working with them/under them is stimulating. Desyrel 25mg pills $70.00 Easier.

Desyrel 25mg pills $70.00 We all have the potential to be nursing leaders, desyrel 25mg pills $70.00 at the patient bedside, desyrel 25mg pills $70.00 in the exam room, desyrel 25mg pills $70.00 in the community or in the boardroom. Desyrel 25mg pills $70.00 No matter what degree, desyrel 25mg pills $70.00 how much experience or what specialty we choose.

Desyrel 25mg pills $70.00 If we inspire a passion for what we do.

Desyrel 25mg pills $70.00 Do you inspire a passion for what you do?

Desyrel 25mg pills $70.00 If you do, desyrel 25mg pills $70.00 then you are a nursing leader.


AnnMarie Papa never did meet the nurse in the tenth row, desyrel 25mg pills $70.00 stage left who was taking notes in the dim lighting.

But she definitely made an impression.

Desyrel 25mg pills $70.00 A simple exhortation. Desyrel 25mg pills $70.00 The end of one sentence spoken midway through an action-packed General Session of a national nursing conference.

Desyrel 25mg pills $70.00 But it hit me square in the chest.

Desyrel 25mg pills $70.00 Inspire passion for what you do.

Desyrel 25mg pills $70.00 I can’t really describe why that statement took my breath away.

Desyrel 25mg pills $70.00 But perhaps it was because right there, desyrel 25mg pills $70.00 right then, desyrel 25mg pills $70.00 on that Friday morning at the Portland Convention Center, desyrel 25mg pills $70.00 I was in the presence of hundreds of nursing leaders who were all

Desyrel 25mg pills $70.00 …inspiring passion for what they do.

Desyrel 25mg pills $70.00 It was awesome.


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

Desyrel 25mg pills $70.00 *The author of this post would like to clarify that she is not a Green Pig in an army helmet. Desyrel 25mg pills $70.00 She is, desyrel 25mg pills $70.00 however, desyrel 25mg pills $70.00 addicted to Angry Birds. Desyrel 25mg pills $70.00 She blames her coworkers.

Share this:
Share this page via Email Share this page via Stumble Upon Share this page via Digg this Share this page via Facebook Share this page via Twitter

Average Rating: 4.6 out of 5 based on 195 user reviews.

Read »

July 31, 2016, 12:57 pm

Evista 60mg Pills $160.00

Imdur 40mg pills $117.00 Welcome once again to Change of Shift!

Imdur 40mg pills $117.00 This week our themes lean to education and the art of “being there” and we have two new bloggers submitting! Welcome!!

Imdur 40mg pills $117.00 Man, imdur 40mg pills $117.00 that was a fast two weeks!

Imdur 40mg pills $117.00 So….let’s get started!

Imdur 40mg pills $117.00 As a profession, imdur 40mg pills $117.00 nursing has been criticized for not having a standardized entry level into practice. Imdur 40mg pills $117.00 But we nurses seem to spend an inordinate amount of time criticizing each other for the same thing. Imdur 40mg pills $117.00 In this week’s Editor’s Pick, imdur 40mg pills $117.00 Nurse Teeny takes on The Myth of the Second Degree Nurse at The Makings of a Nurse.

Imdur 40mg pills $117.00 If you read nothing else this week, imdur 40mg pills $117.00 please read this post from Suzanne Gordon – she reviews a new book: My Imaginary Illness: A Journey Into Uncertainty and Prejudice in Medical Diagnosis. Imdur 40mg pills $117.00 It looks at the phenomenon of doctors (and nurses) becoming angry and blaming the patient when problems persist and/or diagnoses cannot be made. Imdur 40mg pills $117.00 My copy of the book will be here in two days (thank you, imdur 40mg pills $117.00 Amazon Prime!)


Imdur 40mg pills $117.00 Running Wildly‘s compassionate care encourages a patient to open up about their past in this touching post entitled Helping Hand. Imdur 40mg pills $117.00 I hope her patient was able to get the help she needed. Imdur 40mg pills $117.00 (And here is a submission I missed for the last edition, imdur 40mg pills $117.00 an ode to workin’ the ER on the holiday: Emergency New Years!)

Imdur 40mg pills $117.00 Shrtstormtrooper knows exactly what a patient needs, imdur 40mg pills $117.00 and it isn’t high tech in Reassurance posted at New Nurse Insanity: Fundus Chop!.

Imdur 40mg pills $117.00 The latest Insights in Nursing is up, imdur 40mg pills $117.00 with host Jamie Davis and panelists Terri Pollick and Terri Schmitt taking on health care fraud, imdur 40mg pills $117.00 nurse practitioners/primary care and virtual beds! Check out Virtual Nursing in Tron-land.


Imdur 40mg pills $117.00 Maureen “Shawn” Kennedy, imdur 40mg pills $117.00 editor-in-chief of the AJN, imdur 40mg pills $117.00 reports from the 2011 Clinical Nurse Leader Summit in Florida for AJN’s Off the Charts blog. Imdur 40mg pills $117.00 Does your facility use CNLs?

Imdur 40mg pills $117.00 KMorales discusses why she is Working on my MSN and has gotten me all inspired with her description of her friend/colleague “CB”. Imdur 40mg pills $117.00 I bet you’ll be signing up for school after you read it, imdur 40mg pills $117.00 too! Thanks, imdur 40mg pills $117.00 Katie, imdur 40mg pills $117.00 I needed this! : ) It’s posted at NursesNetwork.

Imdur 40mg pills $117.00 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. Imdur 40mg pills $117.00 You can always depend on an ICU nurse to tell in like it is.


Imdur 40mg pills $117.00 Elle Bieling, imdur 40mg pills $117.00 RN notes that hearing and understanding metaphors used by patients are important when assessing pain in Chronic Pain ~ Why Physical, imdur 40mg pills $117.00 Emotional and Spiritual Pain are Inseparable posted at The Body Window.

Imdur 40mg pills $117.00 Michelle Walter has started NurseNRecovery, imdur 40mg pills $117.00 a website to help nurses struggling with narcotic addiction. Imdur 40mg pills $117.00 Michelle is a recovering addict and shares what she has learned with her readers. Imdur 40mg pills $117.00 Her story is an eye opener about just how insidiously an addiction can take hold.


Many thanks to those who submitted this week and many, imdur 40mg pills $117.00 many thanks for reading and linking each week!

Be sure to send in your submissions for the next edition of Change of Shift, imdur 40mg pills $117.00 here, imdur 40mg pills $117.00 at Emergiblog. Imdur 40mg pills $117.00 Use the Contact button at the top of the page or submit via Blog Carnival!

See you there!

Share this:
Share this page via Email Share this page via Stumble Upon Share this page via Digg this Share this page via Facebook Share this page via Twitter

Average Rating: 4.8 out of 5 based on 290 user reviews.

Read »

July 31, 2016, 11:47 am

ADHD Brahmi 60 Capsules Bottle $284.00

Persantine 100mg pills $256.00 It didn’t take long for Doctor Throwafit to realize he had some ‘splainin’ to do.

Persantine 100mg pills $256.00 You don’t tug on Superman’s cape, persantine 100mg pills $256.00

Persantine 100mg pills $256.00 You don’t spit into the wind…

Persantine 100mg pills $256.00 And you don’t ever, persantine 100mg pills $256.00 EVER mess with the nurses in the emergency department!

Persantine 100mg pills $256.00 Srsly.


Oh my god. Persantine 100mg pills $256.00 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. Persantine 100mg pills $256.00 I got out of my chair to go check the alarm!

Yeah, persantine 100mg pills $256.00 my nerves are on edge. Persantine 100mg pills $256.00 They are playing this finger-snapping Vegas-jazz stuff over the speakers that has me buzzing like my finger is in a socket. Persantine 100mg pills $256.00 Hey, persantine 100mg pills $256.00 guys, persantine 100mg pills $256.00 what does a girl gotta do for a little Motown ’round these parts?


Persantine 100mg pills $256.00 Ah, persantine 100mg pills $256.00 but there is a silver lining on the horizon!

Persantine 100mg pills $256.00 I am looking forward to attending the ENA Leadership Conference in Portland, persantine 100mg pills $256.00 Oregon in just a couple of weeks, persantine 100mg pills $256.00 which I will cover here at Emergiblog. Persantine 100mg pills $256.00 The link will take you to the live blog for the event.

Persantine 100mg pills $256.00 The ENA always puts on stunning programs – literally “attend today, persantine 100mg pills $256.00 use in practice tomorrow” information. Persantine 100mg pills $256.00 You don’t have to be a manager to attend the Leadership Conference, persantine 100mg pills $256.00 either. Persantine 100mg pills $256.00 All nurses are leaders, persantine 100mg pills $256.00 and there is more than enough in this conference for every nurse, persantine 100mg pills $256.00 from newbie to veteran.


The department is chaotic.

Every bed full.

The hallways are impacted.

With patients. Persantine 100mg pills $256.00 Family members. Persantine 100mg pills $256.00 Lab techs. Persantine 100mg pills $256.00 Portable xray machines and those who wield them.

Three ambulances waiting to give report.


What the hell do they want?

Doctors. Persantine 100mg pills $256.00 Hospitalists. Persantine 100mg pills $256.00 Cardiologists. Persantine 100mg pills $256.00 Intensivists. Persantine 100mg pills $256.00 A rare primary physician who admits their own patients.


Who want everything….STAT.

Even though nothing about their patients require STAT.

Somewhere in there is the ER physician. Persantine 100mg pills $256.00 And the PA.

We’re on divert, persantine 100mg pills $256.00 except no one told the three ambulances.


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, persantine 100mg pills $256.00 playing, persantine 100mg pills $256.00 giggling child with otitis media, persantine 100mg pills $256.00 who is with a totally ambulatory, persantine 100mg pills $256.00 fully functional, persantine 100mg pills $256.00 totally-capable-of-going-to-the-pharmacy-and-starting-the-medication-at-home adult parent.

So what, persantine 100mg pills $256.00 you say?

Well, persantine 100mg pills $256.00 this means that instead of being able to discharge this ambulatory, persantine 100mg pills $256.00 capable parent with discharge instructions and a prescription right then and there, persantine 100mg pills $256.00 the RN must now engage in the preparation and administration of a pediatric medication.

Which means:

  • Going to the Pyxis and removing the medications, persantine 100mg pills $256.00 say Tylenol and Zithromax, persantine 100mg pills $256.00 from the machine.
  • Because the Hilton Hospital has no Pharmacy at night, persantine 100mg pills $256.00 the Zithromax must be reconstituted by the RN – yep, persantine 100mg pills $256.00 we measure it, persantine 100mg pills $256.00 we mix it, persantine 100mg pills $256.00 we shake it, persantine 100mg pills $256.00 we pour it.
  • Calculating the appropriate dose based on the child’s weight (yes, persantine 100mg pills $256.00 we have to do that, persantine 100mg pills $256.00 even if the doctor has written a dose).
  • Pour the meds, persantine 100mg pills $256.00 draw them up into a dosing syringe.

Persantine 100mg pills $256.00 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. Persantine 100mg pills $256.00 But it gets better because…

Persantine 100mg pills $256.00 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.

Persantine 100mg pills $256.00 And there you have it! Two nurses taken from much more critical work to make sure ambulatory, persantine 100mg pills $256.00 playing, persantine 100mg pills $256.00 giggling child with otitis media gets their first dose of medication, persantine 100mg pills $256.00 when there is no reason on God’s green earth Mommy and Daddy cannot go get the medication and start it themselves.

Persantine 100mg pills $256.00 And why?

Persantine 100mg pills $256.00 Because it all has to do with patient satisfaction!

If we don’t do this, persantine 100mg pills $256.00 they don’t think we treated their child. Persantine 100mg pills $256.00 And gosh, persantine 100mg pills $256.00 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…..


Seriously, persantine 100mg pills $256.00 people, persantine 100mg pills $256.00 this is the minutiae that we have to deal with.

I want to take good care of my patients, persantine 100mg pills $256.00 I really do. Persantine 100mg pills $256.00 I like my patients, persantine 100mg pills $256.00 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. Persantine 100mg pills $256.00 No. Persantine 100mg pills $256.00 I’m a damn, persantine 100mg pills $256.00 excellent nurse.

But this bullshit is killing me.

Killing me.

Oh, persantine 100mg pills $256.00 and someday, persantine 100mg pills $256.00 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. Persantine 100mg pills $256.00 In fact, persantine 100mg pills $256.00 it was on the same night. Persantine 100mg pills $256.00 She was having a bit of trouble hearing, persantine 100mg pills $256.00 you see. Persantine 100mg pills $256.00 Berated me because I wasn’t doing it fast enough. Persantine 100mg pills $256.00 She didn’t care that hypotension and a cath lab patient trumped ear wax.

Yeah, persantine 100mg pills $256.00 I definitely need a margarita to tell that one…..

Share this:
Share this page via Email Share this page via Stumble Upon Share this page via Digg this Share this page via Facebook Share this page via Twitter

Average Rating: 4.4 out of 5 based on 260 user reviews.

Read »

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...

Continue reading »

Find Me On...
Twitter     Technorati

Subscribe to Emergiblog
Scrub Pants
Scrub Pants
Be Comfortable!
and the rest of your medical apparel needs from ScrubsGallery.com
Office of the National Nurse

Zippy Was Here

Healthcare Blogger Code of Ethics

  • Perspective
  • Confidentiality
  • Disclosure
  • Reliability
  • Courtesy


I Support the Public Library of Science

Dr. Val
Johnson & Johnson
Johnson & Johnson Health Channel
Nursing and Web 2.0

Health blogs

Medicine Blogs - Blog Catalog Blog Directory

Alltop. Seriously?! I got in?

Health Blogs - Blog Rankings