February, 2011 Archive

August 30, 2016, 11:44 pm

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Portland is cold. Phenergan 25mg pills $56.00 On Friday, phenergan 25mg pills $56.00 it was near freezing, phenergan 25mg pills $56.00 and the current of warmth emanating from the Convention Center felt like aerosolized Ativan.

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Phenergan 25mg pills $56.00 So, phenergan 25mg pills $56.00 I dialed 911 (aka Anthony Phipps, phenergan 25mg pills $56.00 ENA Media Rep/Nice Guy), phenergan 25mg pills $56.00 asked if I could cover the conference for the blog, phenergan 25mg pills $56.00 and he dispatched ACLS (Advanced Career Life Support) in a megadose of Yes!

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Phenergan 25mg pills $56.00 AnnMarie Papa is the current President of ENA. Phenergan 25mg pills $56.00 She is funny, phenergan 25mg pills $56.00 articulate, phenergan 25mg pills $56.00 and not afraid to dance onstage.

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AnnMarie Papa never did meet the nurse in the tenth row, phenergan 25mg pills $56.00 stage left who was taking notes in the dim lighting.

But she definitely made an impression.

Phenergan 25mg pills $56.00 A simple exhortation. Phenergan 25mg pills $56.00 The end of one sentence spoken midway through an action-packed General Session of a national nursing conference.

Phenergan 25mg pills $56.00 But it hit me square in the chest.

Phenergan 25mg pills $56.00 Inspire passion for what you do.

Phenergan 25mg pills $56.00 I can’t really describe why that statement took my breath away.

Phenergan 25mg pills $56.00 But perhaps it was because right there, phenergan 25mg pills $56.00 right then, phenergan 25mg pills $56.00 on that Friday morning at the Portland Convention Center, phenergan 25mg pills $56.00 I was in the presence of hundreds of nursing leaders who were all

Phenergan 25mg pills $56.00 …inspiring passion for what they do.

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

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

Phenergan 25mg pills $56.00 *The author of this post would like to clarify that she is not a Green Pig in an army helmet. Phenergan 25mg pills $56.00 She is, phenergan 25mg pills $56.00 however, phenergan 25mg pills $56.00 addicted to Angry Birds. Phenergan 25mg pills $56.00 She blames her coworkers.

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August 30, 2016, 12:57 pm

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Ponstel 500mg pills $184.00 Running Wildly‘s compassionate care encourages a patient to open up about their past in this touching post entitled Helping Hand. Ponstel 500mg pills $184.00 I hope her patient was able to get the help she needed. Ponstel 500mg pills $184.00 (And here is a submission I missed for the last edition, ponstel 500mg pills $184.00 an ode to workin’ the ER on the holiday: Emergency New Years!)

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Ponstel 500mg pills $184.00 Maureen “Shawn” Kennedy, ponstel 500mg pills $184.00 editor-in-chief of the AJN, ponstel 500mg pills $184.00 reports from the 2011 Clinical Nurse Leader Summit in Florida for AJN’s Off the Charts blog. Ponstel 500mg pills $184.00 Does your facility use CNLs?

Ponstel 500mg pills $184.00 KMorales discusses why she is Working on my MSN and has gotten me all inspired with her description of her friend/colleague “CB”. Ponstel 500mg pills $184.00 I bet you’ll be signing up for school after you read it, ponstel 500mg pills $184.00 too! Thanks, ponstel 500mg pills $184.00 Katie, ponstel 500mg pills $184.00 I needed this! : ) It’s posted at NursesNetwork.

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Ponstel 500mg pills $184.00 Elle Bieling, ponstel 500mg pills $184.00 RN notes that hearing and understanding metaphors used by patients are important when assessing pain in Chronic Pain ~ Why Physical, ponstel 500mg pills $184.00 Emotional and Spiritual Pain are Inseparable posted at The Body Window.

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Many thanks to those who submitted this week and many, ponstel 500mg pills $184.00 many thanks for reading and linking each week!

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See you there!

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August 30, 2016, 11:47 am

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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. Adhd strattera 40mg pills $152.00 I got out of my chair to go check the alarm!

Yeah, adhd strattera 40mg pills $152.00 my nerves are on edge. Adhd strattera 40mg pills $152.00 They are playing this finger-snapping Vegas-jazz stuff over the speakers that has me buzzing like my finger is in a socket. Adhd strattera 40mg pills $152.00 Hey, adhd strattera 40mg pills $152.00 guys, adhd strattera 40mg pills $152.00 what does a girl gotta do for a little Motown ’round these parts?

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Adhd strattera 40mg pills $152.00 Ah, adhd strattera 40mg pills $152.00 but there is a silver lining on the horizon!

Adhd strattera 40mg pills $152.00 I am looking forward to attending the ENA Leadership Conference in Portland, adhd strattera 40mg pills $152.00 Oregon in just a couple of weeks, adhd strattera 40mg pills $152.00 which I will cover here at Emergiblog. Adhd strattera 40mg pills $152.00 The link will take you to the live blog for the event.

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The department is chaotic.

Every bed full.

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And in the middle of all this…

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Comes the order.

To give the first dose all the prescribed medications to the ambulatory, adhd strattera 40mg pills $152.00 playing, adhd strattera 40mg pills $152.00 giggling child with otitis media, adhd strattera 40mg pills $152.00 who is with a totally ambulatory, adhd strattera 40mg pills $152.00 fully functional, adhd strattera 40mg pills $152.00 totally-capable-of-going-to-the-pharmacy-and-starting-the-medication-at-home adult parent.

So what, adhd strattera 40mg pills $152.00 you say?

Well, adhd strattera 40mg pills $152.00 this means that instead of being able to discharge this ambulatory, adhd strattera 40mg pills $152.00 capable parent with discharge instructions and a prescription right then and there, adhd strattera 40mg pills $152.00 the RN must now engage in the preparation and administration of a pediatric medication.

Which means:

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  • Because the Hilton Hospital has no Pharmacy at night, adhd strattera 40mg pills $152.00 the Zithromax must be reconstituted by the RN – yep, adhd strattera 40mg pills $152.00 we measure it, adhd strattera 40mg pills $152.00 we mix it, adhd strattera 40mg pills $152.00 we shake it, adhd strattera 40mg pills $152.00 we pour it.
  • Calculating the appropriate dose based on the child’s weight (yes, adhd strattera 40mg pills $152.00 we have to do that, adhd strattera 40mg pills $152.00 even if the doctor has written a dose).
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Adhd strattera 40mg pills $152.00 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.

Adhd strattera 40mg pills $152.00 And there you have it! Two nurses taken from much more critical work to make sure ambulatory, adhd strattera 40mg pills $152.00 playing, adhd strattera 40mg pills $152.00 giggling child with otitis media gets their first dose of medication, adhd strattera 40mg pills $152.00 when there is no reason on God’s green earth Mommy and Daddy cannot go get the medication and start it themselves.

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But this bullshit is killing me.

Killing me.

Oh, adhd strattera 40mg pills $152.00 and someday, adhd strattera 40mg pills $152.00 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. Adhd strattera 40mg pills $152.00 In fact, adhd strattera 40mg pills $152.00 it was on the same night. Adhd strattera 40mg pills $152.00 She was having a bit of trouble hearing, adhd strattera 40mg pills $152.00 you see. Adhd strattera 40mg pills $152.00 Berated me because I wasn’t doing it fast enough. Adhd strattera 40mg pills $152.00 She didn’t care that hypotension and a cath lab patient trumped ear wax.

Yeah, adhd strattera 40mg pills $152.00 I definitely need a margarita to tell that one…..

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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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