November, 2011 Archive

September 27, 2016, 9:02 pm

Clarinex 5mg Pills $100.00

Clarinex 5mg pills $100.00 Looks like Mr. Clarinex 5mg pills $100.00 Administrator has some ‘splainin’ to do!

Clarinex 5mg pills $100.00 And I suggest he be straight with my colleagues, clarinex 5mg pills $100.00 because a nurse can sense BS before it is even spoken.

Clarinex 5mg pills $100.00 I am not in management, clarinex 5mg pills $100.00 and I never will be.

Clarinex 5mg pills $100.00 No, clarinex 5mg pills $100.00 I am one of the “rank and file.” And right now, clarinex 5mg pills $100.00 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, clarinex 5mg pills $100.00 entitled Top 5 Challenges Facing Nursing in 2012. The article, clarinex 5mg pills $100.00 written for nursing management, clarinex 5mg pills $100.00 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, clarinex 5mg pills $100.00 find it now. Clarinex 5mg pills $100.00 You know how much reimbursement is at stake, clarinex 5mg pills $100.00 but the rank and file caregivers still don’t get it.

The author goes on to state:

In fact, clarinex 5mg pills $100.00 the nurse-patient relationship has always been about patient experience…Your best nurses instinctively know this. Clarinex 5mg pills $100.00 They already create a good patient experience. Clarinex 5mg pills $100.00 They help patients understand their care, clarinex 5mg pills $100.00 involve families in decision-making, clarinex 5mg pills $100.00 coordinate multidisciplinary care, clarinex 5mg pills $100.00 sit with patients to explain complex diagnoses, clarinex 5mg pills $100.00 and even, clarinex 5mg pills $100.00 occasionally, clarinex 5mg pills $100.00 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.

Clarinex 5mg pills $100.00 I have a revelation for you – we all know it. Clarinex 5mg pills $100.00 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.

Clarinex 5mg pills $100.00 Since “the nurse-patient relationship has always been about patient experience, clarinex 5mg pills $100.00” why is this a “challenge” at all? This is nursing care, clarinex 5mg pills $100.00 and always has been!

Clarinex 5mg pills $100.00 Why are administrations freaking out now that patients will be evaluating their nursing care?

Clarinex 5mg pills $100.00 Suddenly, clarinex 5mg pills $100.00 all these new programs are flying into place. Clarinex 5mg pills $100.00 Educate! Communicate! Medicate! Smile!

Clarinex 5mg pills $100.00 What do you think we, clarinex 5mg pills $100.00 oh, clarinex 5mg pills $100.00 excuse me, clarinex 5mg pills $100.00 the “rank and file caregivers” have been doing all this time?

*****

Clarinex 5mg pills $100.00 Let me tell you what the “rank and file caregivers” have to deal with in terms of the “patient experience”.

Clarinex 5mg pills $100.00 There is a hospital in my area that has switched their meal service into something that looks, clarinex 5mg pills $100.00 and tastes like the old airplane food from the 1970s. Clarinex 5mg pills $100.00 It comes in segmented cardboard trays and is microwaved.

Clarinex 5mg pills $100.00 As you can imagine, clarinex 5mg pills $100.00 these meals are not popular with the patients. Clarinex 5mg pills $100.00 They give the meals poor scores on the satisfaction surveys.

Clarinex 5mg pills $100.00 At a recent meeting, clarinex 5mg pills $100.00 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, clarinex 5mg pills $100.00 laying it out nicely on the table, clarinex 5mg pills $100.00 and describing it with glowing adjectives.

Clarinex 5mg pills $100.00 That’s right, clarinex 5mg pills $100.00 the same “rank and file caregivers” who are managing complex medical problems on multiple patients, clarinex 5mg pills $100.00 coordinating multidisciplinary care, clarinex 5mg pills $100.00 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.

Clarinex 5mg pills $100.00 Who is running the freaking show, clarinex 5mg pills $100.00 Gordon Ramsay?

Clarinex 5mg pills $100.00 No wonder morale is in the toilet.

*****

Well, clarinex 5mg pills $100.00 I’m off to take my blood pressure meds, clarinex 5mg pills $100.00 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. Clarinex 5mg pills $100.00 They can call it “patient experience” or HCAHPS, clarinex 5mg pills $100.00 or give it any project title they want.

I call it good nursing care, clarinex 5mg pills $100.00 and the patients will finally have a say in what that means.

Don’t worry, clarinex 5mg pills $100.00 admins, clarinex 5mg pills $100.00 if your bottom line depends on the nurses, clarinex 5mg pills $100.00 it’s gonna be alright.

Rank and file, clarinex 5mg pills $100.00 RN, clarinex 5mg pills $100.00 signing off.

Average Rating: 4.4 out of 5 based on 199 user reviews.

Read »

September 27, 2016, 8:41 pm

Nolvadex 20mg Pills $68.00

Fluoxetine 20mg pills $253.00 Get in on BlogWorldExpo!Couldn’t make it to BlogWorld Expo in LA this month?

Fluoxetine 20mg pills $253.00 Wish you could have been in the front row of each keynote, fluoxetine 20mg pills $253.00 attended every session, fluoxetine 20mg pills $253.00 had a chance to hear the superstars of the blogosphere?

Fluoxetine 20mg pills $253.00 Me, fluoxetine 20mg pills $253.00 too! There were sessions I missed!

Fluoxetine 20mg pills $253.00 This is year is different – over 100 sessions of Blog World New Media Expo 2011 are available online through the new Blog World Virtual Ticket!

Fluoxetine 20mg pills $253.00 This means you can still “attend” the same conference that was held in LA for a fraction of the cost!

Fluoxetine 20mg pills $253.00 This includes all the Social Health sessions, fluoxetine 20mg pills $253.00 including the HIPAA session I co-presented with Jamie and Terri and the fantastic Whiteboard session.

Fluoxetine 20mg pills $253.00 You can get all the information by clicking on the widget in this post or the link above, fluoxetine 20mg pills $253.00 they will take you to the Blog World Virtual Ticket page.

Fluoxetine 20mg pills $253.00 (I’m a Blog World affiliate gal, fluoxetine 20mg pills $253.00 so if you buy through the link/widget I receive a percentage.

Fluoxetine 20mg pills $253.00 Not enough to make me rich, fluoxetine 20mg pills $253.00 but hey, fluoxetine 20mg pills $253.00 anything will help get me back to Charlotte Motor Speedway for the NASCAR All-Star Race and the Coca-Cola 600 in 2012.

Fluoxetine 20mg pills $253.00 Kasey Kahne tends to win when I’m there.

Fluoxetine 20mg pills $253.00 Just sayin’.)

Average Rating: 4.5 out of 5 based on 217 user reviews.

Read »

September 27, 2016, 8:53 pm

Toradol Inj 10mg Pills $154.00

Naprosyn 500mg pills $154.00 I’m using my favorite ad council promo, naprosyn 500mg pills $154.00 the one that made me realize that I was damn proud to be a nurse.

Naprosyn 500mg pills $154.00 Because right now I don’t feel like posting something funny, naprosyn 500mg pills $154.00 or cute.

Naprosyn 500mg pills $154.00 I need to see this ad again.

Naprosyn 500mg pills $154.00 Having a bit of a burnout/compassion fatigue/why-the-hell-am-I-still-working-in-ER-at-my-age life crises.

Naprosyn 500mg pills $154.00 Been there, naprosyn 500mg pills $154.00 done that a few times.

Naprosyn 500mg pills $154.00 A case manager is in this ER nurse, naprosyn 500mg pills $154.00 why is it invisible on my resume?

Naprosyn 500mg pills $154.00 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…

Naprosyn 500mg pills $154.00 Okay, naprosyn 500mg pills $154.00 he isn’t born yet, naprosyn 500mg pills $154.00 but you get the idea.

**********

Naprosyn 500mg pills $154.00 Reader’s Digest has published an article, naprosyn 500mg pills $154.00 “50 Secrets Nurses Won’t Tell You“. Naprosyn 500mg pills $154.00 The link will take you to the article itself, naprosyn 500mg pills $154.00 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, naprosyn 500mg pills $154.00 and so is Jo from Head Nurse!

**********

I’ll be the first person to tell you that I am not a perfect person, naprosyn 500mg pills $154.00 and not a perfect nurse, naprosyn 500mg pills $154.00 but two of these “secrets” really ticked me off.

Royally.

The first one:

3. Naprosyn 500mg pills $154.00 “Feel free to tell us about your personal life, naprosyn 500mg pills $154.00 but know that we’re here for 12 hours with nothing to talk about. Naprosyn 500mg pills $154.00 So the stuff you tell us will probably get repeated.” A nurse in St. Naprosyn 500mg pills $154.00 Petersburg, naprosyn 500mg pills $154.00 Florida

Naprosyn 500mg pills $154.00 Seriously?

Naprosyn 500mg pills $154.00 I have steam coming out my ears.

Naprosyn 500mg pills $154.00 Maybe my colleague works in a thumb-twiddling clinic, naprosyn 500mg pills $154.00 but we have plenty to talk about in my emergency department. Naprosyn 500mg pills $154.00 We talk with the patients, naprosyn 500mg pills $154.00 not about them, naprosyn 500mg pills $154.00 and we are too busy hauling our derrieres around to gossip. Naprosyn 500mg pills $154.00 When we do, naprosyn 500mg pills $154.00 finally, naprosyn 500mg pills $154.00 have a chance to sit down, naprosyn 500mg pills $154.00 the last thing we think about are the personal lives of patients, naprosyn 500mg pills $154.00 unless it directly affects their care.

Naprosyn 500mg pills $154.00 But thanks, naprosyn 500mg pills $154.00 now everyone who reads this “secret” thinks that nurses are lazy asses who have nothing to do but gossip on their 12-hour shift.

Naprosyn 500mg pills $154.00 Good stuff.

Remind me to stay away from St. Naprosyn 500mg pills $154.00 Petersburg…

4. Naprosyn 500mg pills $154.00 “A lot of my patients are incontinent, naprosyn 500mg pills $154.00 and I’m supposed to just use a wet washcloth to clean them. Naprosyn 500mg pills $154.00 But if it’s a patient who’s been really nice and appreciative, naprosyn 500mg pills $154.00 I’ll go all the way to intensive care to get some of the heated wet wipes, naprosyn 500mg pills $154.00 which are a lot more gentle. Naprosyn 500mg pills $154.00 Somebody who’s constantly yelling at me? I just use the washcloth.” A nurse in St. Naprosyn 500mg pills $154.00 Petersburg, naprosyn 500mg pills $154.00 Florida

Naprosyn 500mg pills $154.00 So… excellent patient care is only given to those who “deserve” it. Naprosyn 500mg pills $154.00 Everyone else gets “good enough.” Got that, naprosyn 500mg pills $154.00 general public?

Naprosyn 500mg pills $154.00 They didn’t teach me that in nursing school, naprosyn 500mg pills $154.00 good thing this “secret” filled me in.

Naprosyn 500mg pills $154.00 For anyone in the general population who is reading this – these are not nursing “secrets”. Naprosyn 500mg pills $154.00 These are descriptions of the personal practices of one nurse. Naprosyn 500mg pills $154.00 I read all 50 secrets and I’ll go with the other 48.

Naprosyn 500mg pills $154.00 Rest assured, naprosyn 500mg pills $154.00 your personal life is not customarily dismantled at the nursing station and your care is not based on your disposition.

Naprosyn 500mg pills $154.00 Nurses are too damn busy to gossip and too damn professional to base your care on how nice you are.

Naprosyn 500mg pills $154.00 I guess 48/50 ain’t bad.

Average Rating: 4.7 out of 5 based on 172 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
nursing scrubs
Petite Scrubs
Petite Scrubs
Scrubs that fit!
Nursing Scrubs
and the rest of your medical uniforms you need from Scrubs Gallery.
Office of the National Nurse

Zippy Was Here


Healthcare Blogger Code of Ethics

  • Perspective
  • Confidentiality
  • Disclosure
  • Reliability
  • Courtesy

medbloggercode.com

I Support the Public Library of Science

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



Health blogs

Medicine Blogs - Blog Catalog Blog Directory

Alltop. Seriously?! I got in?

Health Blogs - Blog Rankings