November, 2011 Archive

June 29, 2016, 9:02 pm

Generic Viagra Made In India

Generic viagra made in india Looks like Mr. Generic viagra made in india Administrator has some ‘splainin’ to do!

Generic viagra made in india And I suggest he be straight with my colleagues, generic viagra made in india because a nurse can sense BS before it is even spoken.

Generic viagra made in india I am not in management, generic viagra made in india and I never will be.

Generic viagra made in india No, generic viagra made in india I am one of the “rank and file.” And right now, generic viagra made in india this member of the “rank and file” is hotter than hell.

**********

What set me off?

A comment in a post on the Health Leaders Media website, generic viagra made in india entitled Top 5 Challenges Facing Nursing in 2012. The article, generic viagra made in india written for nursing management, generic viagra made in india refers to nurses as “rank and file caregivers” and disparages their understanding of the importance of the “patient experience” to reimbursement:

If you haven’t found a way to drive home the importance of patient experience to direct-care nurses, generic viagra made in india find it now. Generic viagra made in india You know how much reimbursement is at stake, generic viagra made in india but the rank and file caregivers still don’t get it.

The author goes on to state:

In fact, generic viagra made in india the nurse-patient relationship has always been about patient experience…Your best nurses instinctively know this. Generic viagra made in india They already create a good patient experience. Generic viagra made in india They help patients understand their care, generic viagra made in india involve families in decision-making, generic viagra made in india coordinate multidisciplinary care, generic viagra made in india sit with patients to explain complex diagnoses, generic viagra made in india and even, generic viagra made in india occasionally, generic viagra made in india have time to offer a quick hug or hand to hold.

What? This is like punching someone in the face and then offering a compliment.

Generic viagra made in india I have a revelation for you – we all know it. Generic viagra made in india We understand what the requirements are for a “good” patient experience and it is what we have been doing as nurses since the dawn of time.

Generic viagra made in india Since “the nurse-patient relationship has always been about patient experience, generic viagra made in india” why is this a “challenge” at all? This is nursing care, generic viagra made in india and always has been!

Generic viagra made in india Why are administrations freaking out now that patients will be evaluating their nursing care?

Generic viagra made in india Suddenly, generic viagra made in india all these new programs are flying into place. Generic viagra made in india Educate! Communicate! Medicate! Smile!

Generic viagra made in india What do you think we, generic viagra made in india oh, generic viagra made in india excuse me, generic viagra made in india the “rank and file caregivers” have been doing all this time?

*****

Generic viagra made in india Let me tell you what the “rank and file caregivers” have to deal with in terms of the “patient experience”.

Generic viagra made in india There is a hospital in my area that has switched their meal service into something that looks, generic viagra made in india and tastes like the old airplane food from the 1970s. Generic viagra made in india It comes in segmented cardboard trays and is microwaved.

Generic viagra made in india As you can imagine, generic viagra made in india these meals are not popular with the patients. Generic viagra made in india They give the meals poor scores on the satisfaction surveys.

Generic viagra made in india At a recent meeting, generic viagra made in india the “rank and file caregivers” were lectured by the food service department that these low scores were the fault of the caregivers for not presenting the food in a pleasing manner, generic viagra made in india laying it out nicely on the table, generic viagra made in india and describing it with glowing adjectives.

Generic viagra made in india That’s right, generic viagra made in india the same “rank and file caregivers” who are managing complex medical problems on multiple patients, generic viagra made in india coordinating multidisciplinary care, generic viagra made in india educating patients and family on medication side effects and complex diagnoses and documenting until their fingers are numb were lectured for their lack of culinary presentation skills.

Generic viagra made in india Who is running the freaking show, generic viagra made in india Gordon Ramsay?

Generic viagra made in india No wonder morale is in the toilet.

*****

Well, generic viagra made in india I’m off to take my blood pressure meds, generic viagra made in india and maybe some Ativan.

All I can say is this “rank and file caregiver” is going to keep on doing what she has been doing for over 30 years. Generic viagra made in india They can call it “patient experience” or HCAHPS, generic viagra made in india or give it any project title they want.

I call it good nursing care, generic viagra made in india and the patients will finally have a say in what that means.

Don’t worry, generic viagra made in india admins, generic viagra made in india if your bottom line depends on the nurses, generic viagra made in india it’s gonna be alright.

Rank and file, generic viagra made in india RN, generic viagra made in india signing off.

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June 29, 2016, 8:41 pm

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June 29, 2016, 8:53 pm

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Blood pressure coreg 25mg pills (generic) $182.00 I’m using my favorite ad council promo, blood pressure coreg 25mg pills (generic) $182.00 the one that made me realize that I was damn proud to be a nurse.

Blood pressure coreg 25mg pills (generic) $182.00 Because right now I don’t feel like posting something funny, blood pressure coreg 25mg pills (generic) $182.00 or cute.

Blood pressure coreg 25mg pills (generic) $182.00 I need to see this ad again.

Blood pressure coreg 25mg pills (generic) $182.00 Having a bit of a burnout/compassion fatigue/why-the-hell-am-I-still-working-in-ER-at-my-age life crises.

Blood pressure coreg 25mg pills (generic) $182.00 Been there, blood pressure coreg 25mg pills (generic) $182.00 done that a few times.

Blood pressure coreg 25mg pills (generic) $182.00 A case manager is in this ER nurse, blood pressure coreg 25mg pills (generic) $182.00 why is it invisible on my resume?

Blood pressure coreg 25mg pills (generic) $182.00 Feel like chucking it all and moving to Portland and being a totally cool full-time grandmother who takes her grandson to all the NASCAR races…

Blood pressure coreg 25mg pills (generic) $182.00 Okay, blood pressure coreg 25mg pills (generic) $182.00 he isn’t born yet, blood pressure coreg 25mg pills (generic) $182.00 but you get the idea.

**********

Blood pressure coreg 25mg pills (generic) $182.00 Reader’s Digest has published an article, blood pressure coreg 25mg pills (generic) $182.00 “50 Secrets Nurses Won’t Tell You“. Blood pressure coreg 25mg pills (generic) $182.00 The link will take you to the article itself, blood pressure coreg 25mg pills (generic) $182.00 and Sandy Summers has written a review of the article at The Truth About Nursing.

There are some interesting “secrets” here – and you’ll recognize a few of the names!

Gina from Code Blog is in there, blood pressure coreg 25mg pills (generic) $182.00 and so is Jo from Head Nurse!

**********

I’ll be the first person to tell you that I am not a perfect person, blood pressure coreg 25mg pills (generic) $182.00 and not a perfect nurse, blood pressure coreg 25mg pills (generic) $182.00 but two of these “secrets” really ticked me off.

Royally.

The first one:

3. Blood pressure coreg 25mg pills (generic) $182.00 “Feel free to tell us about your personal life, blood pressure coreg 25mg pills (generic) $182.00 but know that we’re here for 12 hours with nothing to talk about. Blood pressure coreg 25mg pills (generic) $182.00 So the stuff you tell us will probably get repeated.” A nurse in St. Blood pressure coreg 25mg pills (generic) $182.00 Petersburg, blood pressure coreg 25mg pills (generic) $182.00 Florida

Blood pressure coreg 25mg pills (generic) $182.00 Seriously?

Blood pressure coreg 25mg pills (generic) $182.00 I have steam coming out my ears.

Blood pressure coreg 25mg pills (generic) $182.00 Maybe my colleague works in a thumb-twiddling clinic, blood pressure coreg 25mg pills (generic) $182.00 but we have plenty to talk about in my emergency department. Blood pressure coreg 25mg pills (generic) $182.00 We talk with the patients, blood pressure coreg 25mg pills (generic) $182.00 not about them, blood pressure coreg 25mg pills (generic) $182.00 and we are too busy hauling our derrieres around to gossip. Blood pressure coreg 25mg pills (generic) $182.00 When we do, blood pressure coreg 25mg pills (generic) $182.00 finally, blood pressure coreg 25mg pills (generic) $182.00 have a chance to sit down, blood pressure coreg 25mg pills (generic) $182.00 the last thing we think about are the personal lives of patients, blood pressure coreg 25mg pills (generic) $182.00 unless it directly affects their care.

Blood pressure coreg 25mg pills (generic) $182.00 But thanks, blood pressure coreg 25mg pills (generic) $182.00 now everyone who reads this “secret” thinks that nurses are lazy asses who have nothing to do but gossip on their 12-hour shift.

Blood pressure coreg 25mg pills (generic) $182.00 Good stuff.

Remind me to stay away from St. Blood pressure coreg 25mg pills (generic) $182.00 Petersburg…

4. Blood pressure coreg 25mg pills (generic) $182.00 “A lot of my patients are incontinent, blood pressure coreg 25mg pills (generic) $182.00 and I’m supposed to just use a wet washcloth to clean them. Blood pressure coreg 25mg pills (generic) $182.00 But if it’s a patient who’s been really nice and appreciative, blood pressure coreg 25mg pills (generic) $182.00 I’ll go all the way to intensive care to get some of the heated wet wipes, blood pressure coreg 25mg pills (generic) $182.00 which are a lot more gentle. Blood pressure coreg 25mg pills (generic) $182.00 Somebody who’s constantly yelling at me? I just use the washcloth.” A nurse in St. Blood pressure coreg 25mg pills (generic) $182.00 Petersburg, blood pressure coreg 25mg pills (generic) $182.00 Florida

Blood pressure coreg 25mg pills (generic) $182.00 So… excellent patient care is only given to those who “deserve” it. Blood pressure coreg 25mg pills (generic) $182.00 Everyone else gets “good enough.” Got that, blood pressure coreg 25mg pills (generic) $182.00 general public?

Blood pressure coreg 25mg pills (generic) $182.00 They didn’t teach me that in nursing school, blood pressure coreg 25mg pills (generic) $182.00 good thing this “secret” filled me in.

Blood pressure coreg 25mg pills (generic) $182.00 For anyone in the general population who is reading this – these are not nursing “secrets”. Blood pressure coreg 25mg pills (generic) $182.00 These are descriptions of the personal practices of one nurse. Blood pressure coreg 25mg pills (generic) $182.00 I read all 50 secrets and I’ll go with the other 48.

Blood pressure coreg 25mg pills (generic) $182.00 Rest assured, blood pressure coreg 25mg pills (generic) $182.00 your personal life is not customarily dismantled at the nursing station and your care is not based on your disposition.

Blood pressure coreg 25mg pills (generic) $182.00 Nurses are too damn busy to gossip and too damn professional to base your care on how nice you are.

Blood pressure coreg 25mg pills (generic) $182.00 I guess 48/50 ain’t bad.

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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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