New pantry program will aid struggling families with newborns
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INDIANAPOLIS – Many central Indiana families are struggling to weather today’s tough economic climate and find it increasingly difficult when a new baby arrives in the household.

That’s why St. Francis viagra cialis online pharmacy pharmacy & Health Centers has established the Newborn Pantry, a program designed to ensure that families have some of the necessities for their newborn infants.

The program is accepting donations – new and gently used – such as baby blankets, diapers, wipes, bibs, crib sheets and one-piece body suits. The donations will be collected from 11 a.m. until 1 p.m. at kickoff "baby showers" at the following facilities:

Nov. 17: St. Francis Hospital-Mooresville (Swisher Conference Center), 1201 Hadley Road
Nov. 18: St. Francis Hospital-Indianapolis (Classroom II), 8111 S. Emerson Ave.
Nov. 19: St. Francis Hospital-Beech Grove (basemen auditorium), 1600 Albany St.

It’s estimated that 40 percent of babies born at St. Francis hospitals are in families who are struggling financially, have limited resources or receiving charity care.

"St. Francis has always looked for ways to meet the needs of the community," said Sister Marlene Shapley, vice president of mission services. "The Newborn Pantry is a way our staff is reaching out to meet the needs of our newest members."

For more information about donations, contact Mischelle Frank at 317-782-6517.

Revisions to Labels for Cialis
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The FDA has approved labeling changes for erectile dysfunction drugs that includes online pharmacy viagra, Levitra and Viagra. The FDA has approved labeling changes to display more prominently the potential risk of sudden hearing loss.

The FDA plans to require the changes in labeling for the drugs which are under the phosphodiesterase type 5 (PDE5) inhibitor class.

The FDA asked manufacturers of these drugs to revise product labeling after finding a very small number of patients taking the PDE5 inhibitors reported sudden hearing loss.

Patient taking Cialis, Levitra or Viagra who experience sudden hearing loss should immediately stop taking the drug and should consult to ones doctor immediately.

A case report in the April 2007 issue of the Journal of Laryngology & Otology involving sudden hearing loss in a man taking Viagra prompted the FDA to search the FDA’s Adverse Events Reporting System for instances of hearing loss and PDE5 inhibitors. The FDA found a total of 29 post marketing reports of sudden hearing loss.

So it is advise to patient of ED that they should not exceed the dosage of Cialis and should take Cialis once daily to get happy result.

Herbal Viagra: Increase your sex drive
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More Pleasure...Greater Stamina..! Sure Erect..A Naural Cure for Impotence
No doubt Pfizer is behind a current ban on cheap viagra alternatives in China. There, herbal drug companies rushed to offer their own versions of sex-enhancing potions. One called "Weige," or Big Brother, was confidently projected to sell 100 million pills this year before the government banned cheap cialis look-alikes.
Over the past year reports about herbal viagra alternatives have appeared in news. An African version called "Vuka Vuka," or Wake Up, Wake Up, is now the most popular drug in Zimbabwe according to the Zimbabwe Independent newspaper. It is liquid extract made of unspecified herbs that is taken only once a month and is claimed to be better than Viagra.
Herbal Viargra..No Side Effects!! Guaranteed Erection Everytime!!

Nursing Responsibilities in Drug Administration
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Last Dec. 2008, we had our PCI (Practicing Clinical Instructor) exposure, it is a three day exposure at SMC-NLR where we handled 2nd year BSN students. We are given with topics by our Clinical Instructor to be discussed regarding this concept; I am tasked to discuss the different Nursing Responsibilities in Drug Administration. This topic was already been discussed to us back when we were still in 2nd year by one of our CI and my notes regarding this topic was lost and I don't know where did I placed that. I ‘d searched the internet and all but unable to find a copy of this thing. Luckily, I was rescued by the clinical instructors; they let me borrow their acetate film about the assigned topic for me to use during my discussion. I decided to write this entry for you to not experience what I had experience & for those who need this topic, I hope this will help especially to student nurses and as well as nurses, since we are very prone in committing cialis error and observing these responsibilites will promote our patients' safety. So here it is!


NURSING RESPONSIBILITIES IN DRUG ADMINISTRATION


The following are responsibilities which the nurses must be aware of whenever administering drugs. As professional, nurses are dutybound to carry out these responsibilities.

· Medications must be kept in an orderly manner in a place where they are not freely accessible to patients or to the public and where they are protected from air, moisture & light. Only medicines that are properly labeled must be retained. Instructions regarding storage, refrigeration & expiration dates should be carefully observed.

· Controlled substances (narcotics) should be kept under lock and keys and appropriate records should be kept regarding their use.

· No medications should be given without a proper medical order from a physician clearly indication the medication, doe, route and schedule.

· A medication card is filled out for each drug indicating the date, the patients room number, drug name, dose, route schedule, and duration of administration. The nurse who transcribes the order to the medication card would initial it. The identity of the medication should be carefully checked when it is taken from the storage, when it is prepared and when the container is returned to the shelf.

· Medication in the solution or suspension should be shaken well to ensure homogeneity before a quantity is removed from the container in filling a drug order. Care should be taken to wipe the rim of container in taking solutions.

· Know the drug to be given in terms of nature, action, usual dosage, indication and contraindications, mode of action, side effects, physical characteristics and why it is particularly given to the patient.

· Be careful with the same sound. Know abbreviations of the drug.

· Gather all necessary equipment before starting preparation of medication.

· Do not converse with anyone (as much as possible) while preparing the medication. Allow no interruptions.

· Read and check label on medication three times.

a) Before taking from the shelf.

b) Before pouring or measuring.

c) Before returning to the shelf.

· Avoid touching medications especially tablets or pills.

· Do not return excess medicine to the bottle to avoid contamination.

· Always keep medicine card and medicine tray together.

· Arrange prepared medications according to dispensing and other factors.

· Never leave medicine cupboard or shelf unlocked.

· When preparing the medications, do not use the following:

a) Medications from unmarked container with illegible labels.

b) Medications that are cloudy or have changed of color.

c) Medications that have sediment at the bottom unless the medication requires shaking before use.

· Identify the patient carefully using all precautions. Check the bed cards; look at the identification bands, call the patient by name or ask the patient to state his name. Remember the five rights of medications, right dose, right patient, right time, and right route of administration.

· With rare exceptions, patients have the right to know the name and action of the drug they are taking, and they have the right to refuse a medication, medications that are refused must be changed and the reason for refusal must be recorded.

· Provide the correct adjunctive nursing measure.

· Give medications within 30 minutes of the time ordered except for preoperative medications, which must be given exact time ordered or medications that are ordered to be given hourly or every 2 hours (e.g. eye medication, prior to surgery).

· If a patient vomits after taking an oral medication report the fact to the responsible nurse and state the names of all medications. With-hold the medication. Often the physician re-orders the same drug by a different route, for example subcutaneously or intramuscularly.

· Special precautions must be observed for certain drugs. Most agencies requires that two qualified nurse double-check the dosages of anticoagulants, insulin, digitalis preparations and certain IV medications. Check agency policies.

· After medication has been administered, record it on the patient’s chat. The recording should include the time, the name of the drug, the dosage, the method of administration and any related data. Some agencies require that the method of administration be specified if it is other than oral, the oral route is usually not specified in the record.

· Evaluate the effectiveness of a medication of suitable time after its administration. For example, the effectiveness of an intramuscularly injected analgesic can be evaluated 10-20 minutes after administration.

· Medications are usually discontinued before surgery, and the physician writes new orders after the surgery. New orders are generally given drugs to a newly admitted patient, takes at home or when a patient is transferred to another service within an agency. Check agency policies.

· When medications are intentionally omitted; e.g. before surgery or a diagnostic test, record the omission and the reason on the patient’s chart. It may also be necessary to notify the prescriber.

· Medication error sometimes occurs. When an error is made, report it immediately to the responsible person so that corrective measure can be implemented promptly. Errors are usually documented on an unusual incident form that becomes a part of the agency’s file.

The nurse who prepared the medicine should be the one to administer and record. Never allow a patient to carry or bring medicine to another.


Quick and Easy Ten Commandment Tablets
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See also: cialis | 


Mark and Grace are learning about Moses and the Ten Commandments during religion time, so I decided that we needed a visual to hang on one of our "learning walls". (Our "learning wall" has now become just about every wall in the house-therefore, "walls")
Mark posed nicely to show the foam core board that Daddy cut out the night before in the shape of our order cialis. He used an exacto-knife to do this. Anything else would have squished the board.
He then mixed the perfect stone gray color with black and white tempra paint.

Sponging on the paint gave it a nice stone texture.
The kids then helped type the Ten Commandments on Microsoft Word. We enlarged it until it seemed to be the perfect fit.
The finished product, along with two of the books we are using for this unit. The main text we are using in Seton's Third Grade religion.

They also worked as a perfect All-Saint's Day costume accompaniment.


Quick and Easy Ten Commandment Tablets
jicesima
See also: cialis | 


Mark and Grace are learning about Moses and the Ten Commandments during religion time, so I decided that we needed a visual to hang on one of our "learning walls". (Our "learning wall" has now become just about every wall in the house-therefore, "walls")
Mark posed nicely to show the foam core board that Daddy cut out the night before in the shape of our cheap cialis. He used an exacto-knife to do this. Anything else would have squished the board.
He then mixed the perfect stone gray color with black and white tempra paint.

Sponging on the paint gave it a nice stone texture.
The kids then helped type the Ten Commandments on Microsoft Word. We enlarged it until it seemed to be the perfect fit.
The finished product, along with two of the books we are using for this unit. The main text we are using in Seton's Third Grade religion.

They also worked as a perfect All-Saint's Day costume accompaniment.


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