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Friday, 29 October 2010
Dense Doctors
That title may sound a bit harsh. I know that our doctors are very intelligent when it comes to medicine.
But apart from that they seem to know sweet fuck all.
This is especially true when it comes to what is going on in the wards. It is true in regards to Nursing. If Nursing care goes bad medical orders do not get carried out and patients do not get monitored. In short the doctor's whole plan of care goes out the fucking window.
You would think that they would be a little more......well.....interested.
But no. They are delusional.
This is what I have learned about doctors in over a decade of Nursing.
1. They think all nurses are the same person or clones of the same person with a hive mind.
For example, if the Nurse on the shift before you missed something, it's your ass if you are the one on duty when doc graces your ward with his presence. If you are forced to float to a specialty you never worked or trained in before the doctors expect you to telepathically mind link with absent Nurses who have experience that area the minute you arrive on the ward They will not bother to write their orders or give you a heads up about things you need to know and wouldn't know unless you have experience there. They won't bother with any of that yet they'll go apeshit later when you forgot to remind them to prescribe something. Remember that they think Nurses are all the same drone with a hive mind who know each Doctors' individual ways.
2. They have no idea how to implement their own orders, or how time consuming and complex it is to implement their own orders.
Don't even get me started on the bullshit with the IV meds....both getting a hold of them and actually preparing them. Or fighting with pharmacy, equipment library and path lab. No Doctor they do not just keep everything on the ward for us. No they do not keep chest tube kits in a place where we can get them etc etc etc.
3. They have no idea how to work the system as a result of the Nurses doing it for them.
They don't understand why things don't happen instantly. For example, all RN's know it takes 6 weeks to get a patient into a Nursing home and that nothing can be done to speed this process up. Yet day after day the medical consultant walks in the very afternoon after he wrote that 90 year old Mabel can be discharged that morning and wants to know why she is still on the ward. Then he goes on a rant about how the Nurses can't be arsed to discharge patients. I could go on and on about this one, there are thousands of examples.
4. The saddest thing I learned about doctors and the crux of this post is that doctors are not able to distinguish between Nurses and ward assistants.
There are many times I am running my ass off trying to give a 150 IV meds all due now whilst the HCA's/cadets/auxiliaries are hanging out at the Nurse's station. The few jobs they can do are complete. They cannot help with the large proportion of the workload that only an RN can handle. Many doctors will walk onto a ward, take a look at the assistants hanging out at the station and exclaim "The Nurses don't seem to busy today". Dickhead. I am the only Nurse, and I am on my knees completely overwhelmed. What the assistants are doing (or not doing) is in no way indicative of how busy the Nurses are! Assistants are not Nurses.
Sometimes I will be 3 hours behind getting much needed drugs into patients and managing other patient problems and some young doctor will stroll onto the ward and ask me to hold an arm for him so that he can draw some ABGs. For god's sake, grab one of the assistants hanging around the Nurse's station for that. That is something they can actually do. Don't delay Mrs. Smith's pain relief any longer by causing me to stop and hold an arm!! It's not like the care assistants can give the meds and handle the Nurse stuff while I am tied up holding an arm for you!
A doctor walked onto my ward and wrote some orders for IV fluids and IV antibiotics for a patient with Pneumonia. As the only Nurse for all of those patients I was tied up and didn't see him arrive or know he wrote any orders. He handed the chart with his orders to a care assistant and left the ward. The care assistant has no idea about orders etc. She put the chart down on the station where it got immediately buried. And she said nothing to me. I had 25 patients that day (a staffing ratio no Nurse can function well with) and it was taking a hell of a lot of time to see everyone and process their orders. It was 3 hours before (by luck) I found the chart and the orders. Patient was in septic shock by that point. Doctors, you need to tell the actual Nurse about these things, not some underpaid teenage assistant that you have confused with Nursing staff.
Then there was the doctor who started yelling at me for having 4 bays full of patients rather than one!! "That is too many patients! You should have one bay per Registered Nurse". Yes Sherlock, no shit. I appreciate the fact that you have actually noticed that the RN ratios on NHS wards are horrible and dangerous and that this has a dire effect on patient care. But what the hell would possess you to think that they Nurses on the ground have any say in how we are staffed or how many patients we have? Even the ward Sisters are not allowed to have a say in how their wards are staffed. Duh.
I could go on and on. These doctors are clueless about what is going on with Nursing care and RN staffing on the wards. And frankly, I am getting sick of it.
My cousin in law is a doctor in the USA. He is not as dense as his colleagues here. If he finds out that his patients' RN's are being forced to take on more than 4-6 patients at a time he gets on the phone to MANAGEMENT and starts screaming. He tells management that he will have his patients pulled out of there by the end of the day and admitted somewhere else if they do not staff the facility properly.
He doesn't care how compassionate or knowledgeable or wonderful the Nurses are in that place. He knows that with poor staffing ratios that they cannot function even if they are wonderful. The facility would lose a ton of money if he pulled his patients out of there so they wouldn't dare short staff the place. They did it once, never again. Managers of hospitals all over the world think that intentional RN short staffing is the way to save cash.
He is a good doctor, and understands that without decent Nursing care delivered by RN's the patients are screwed. He understands that there will be nothing in the way of decent Nursing care in a place where Nurses are denied resources and safe staffing ratios. And he acts on it.
But it seems it is too much to ask for UK doctors to even understand what a Nurse is, let alone stand up for them. They haven't even grasped the notion that these Nurses are taking on too many patients to be able to care for anyone properly, and that they are being forced into a position where they cannot spend two minutes demonstrating compassion without risking a disciplinary for not filling in paperwork. Too bad.
47 comments:
- Nursing Student said...
True about some doctors, especially the dinasour consultants, but hats off to the F1's and F2's (for the most part) who are immersing themselves a bit more these days to work more as part of the team. Well at least from what I've seen, and at least till they get past their foundation years... then god knows what happens.
Went out recently with an F1 who I had a bit of a thing with in school (then he went off the radar, and off planet earth, to medical school no less) who had quite obviously had the fear of god put him in on a ward I used to work on by the Nurses and the other Doctors. He was worried about the nurses, saw the nursing issues, saw the staffing issues in general, knew these issues were out of the nurses control and it would affect the patients, knew most of them by their names and realised it was a all one big collaborative effort and not a pecking order.
I suspect alot of the newer doctors who have perhaps seen a bit more sunlight/socialised a bit more in medical school and are not niave (much) that creep up through medical schools year after year will begin to "get it" and what it takes to hold a ward together (in their current state) because they trained and will do medical placements in these conditions and it will be what they are used to in the end. Sad really but one can hope.
If not then the F1, Joe, will anyway. Or at least until he gets a post after his F1 & F2 years, then it's up to him. Regardless my bloody dinner was yummy even we talked a bit too much about work. I think I'll stick to my usual taste in the future though of Bricklayers & Chefs..
Anne, by the way, get to my blog and read my slapheads post, and any other nurse for that matter, I need you!!
- 31 October 2010 at 05:23
- Nurse Anne said...
Yeah the younger ones are much better. Dealing with the delusions of the consultants and the GPs(who are mostly older) is hell though.
- 31 October 2010 at 06:17
I've been reading your blog with interest, having followed a link to it from somewhere or other. Your hospital, wherever it is, sounds horrendous.
There is no ward at the hospital where I work (I am a HCA, hopefully a good one!) that has less than 3 RNs for 28-30 patients (30 is the maximum ward size). 10 patients is still too many, but better than what you have been describing. Some wards have up to 5 RNs, plus a charge nurse.
Plus 2-4 HCAs, depending on the day. No cadets, and I hope it stays that way.
We also have a discharge person on each ward who organises all the paperwork, liaises with social services etc.. I honestly thought all hospitals were run like ours.
- 31 October 2010 at 07:56
- Nurse Anne said...
Anonymous where are you and are you hiring?
- 31 October 2010 at 07:57
- The Shrink said...
Huh? Aren't nurses just folk what float about on wards and make stuff happen? :P
My nurse Team Leader says medics are often "clever thick people" with lots of knowledge but little wisdom/common sense.
- 1 November 2010 at 04:15
Anonymous 07:56 I work bank at my trust and one of the surgical wards has a Discharge Nurse, band 6 I think.
She is such an asset to the team and chases TTAs for you, books transport, sorts out home care, DN visits, follow up appointments etc etc. All time consuming stuff that takes you away from the patient. She would also pitch in and help the ward staff as needed with drugs, dressings, ward round etc.
I have not worked a shift on this ward for a while, so no doubt she has been demoted to band 5 and is now the sole staff nurse responsible for 30 patients lol!
- 1 November 2010 at 15:37
Anonymous 15.37 (I need an alias; I am the first Anonymous):
Our discharge person is a HCA. They do all the referrals, book the transport, do the walking to and from pharmacy, organise PT/OT, liaise with nursing homes, rehab etc. the RN of course is supervising them all, but ours are good and only need minimal supervision. The only thing the RN does towards the end of the process is to check the TTA medications.
We are very spoilt, I know.
- 2 November 2010 at 02:05
- Nurse Anne said...
That sounds really good Sue.
During the course of the day I am usually the lone RN for at least 15 patients. There may be 7 complicated discharges with that group so sorting social services, families, transport, TTA's etc etc falls soley to me.
Usually at the same time I am trying to take care of acutely ill patients. It is horrible. You cannot concentrate on what you are doing. It is also a hell of a lot of paperwork. And you only have a certain window of time to get it all done.
It usually leads to patients staring at you wondering why you are at the station doing paperwork rather than answering their call bell.
- 2 November 2010 at 03:51
- UCL Med Student said...
Some fair points MM, and I do know the difference, but I'm quite into knowing about how everything in the hospital works and other "allied health care professionals".
But my question is, how would they most doctors know? We aren't ever taught the differences between HCAs/etc (I only know through personal experience).
Just like a HCA might not know what suture to use for each wound, doctors dont know about HCAs etc...
And I'd like to see what happened to a doctor that dared shout at management about staffing here :S
- 2 November 2010 at 10:19
- Nurse Anne said...
But an HCA doesn't start screaming at you and getting abusive and accusing YOU of not doing your job because no one taught her how to suture.
Docs walk onto the wards, get the wrong idea because they "weren't taught about Nursing" and get really really nasty.
- 2 November 2010 at 10:43
- Nurse Anne said...
UCL student there have been so many times when I (and other nurses) have been forced to staff wards in specialities we have no idea about. Alone, with no one to go to for assistance.
Do the doctors show any mercy? No. They just start getting abusive and nasty because the Nurse didn't know something that only and experienced Nurse in that particular speciality would know.
Our doctors "forget" to prescribe some pre op things. They "expect" the RN caring for the patient to ring them pre op and remind them to prescribe it. What do you think happens when a Nurse unfamiliar with that speciality and this little game gets floated to that ward and doesn't realise? The docs don't bother to tell her. Then they go apeshit when they weren't "reminded" to prescribe the pre op item.
"I was never taught that. I have no experience with that. That was not communicated to me" is NEVER EVER an excuse that Nurses can use when she has a surgeon or a medic getting his panties in a twist.
So why should the docs get away with saying "but I was never taught to distinguish........"
- 2 November 2010 at 11:52
I LOVE how every other bugger in the building wears blue scrubs but carries no ID badge and yet you are expected to instantly recognize who they are and what they want the minute they step on to the ward.
Was doing BM on diabetic patient when man in blue scrubs walks up to me and says "notes." I'm thinking the following:-
1) Who the hell are you?
2) I'm currently with a patient could you not wait 2 minutes for me to finish?
3) Which patient's notes?
4) Would it hurt to say please?
So I ask this person who they are and get the biggest, most unprofessional diva strop of all time for not knowing (was surgeon, as I expected but never assume right?).
Sorry but I didn't realize I was supposed to hand out confidential medical notes to anyone who asks without question!
Anaesthetists and surgeons excel in rudeness!
- 2 November 2010 at 12:37
UCL med student,
Much like nurses are not taught during their training the various titles of the medical realm: F1, F2, HO, SHO, SpR and who to contact depending on the circumstances.
In final placement as as student I read an entry in the notes by reg saying to bleep them if there are any complications for post nephrostomy tube insertion patient. I do so concerning nil drainage of urine into bag and get lambasted for not contacting the HO first.
I have had to learn medical hierarchies the hard way!
- 2 November 2010 at 13:24
- The Dobbing Doctor said...
I agree with points 1-3, and more than agree with the rudeness anaecdotes as they have all happened to me as a HO/FY1/Tea Bitch/Houseplant from more senior colleagues. And it stinks. I hate how some doctors speak to everyone, patients, nurses, relatives, other doctors. Thankfully this attitude should wean itself out now that the newbie doctors all get taught how not to be a twat at doctor school.
I can't say I agree with point 4. At my hospital at least, the HCAs/Nursing staff have very different uniforms and can normally be told apart by the steam coming from the RNs feet as they run around.
I and all the doctors I know, can demarcate the roles of HCA/RN. Sometimes I hand something over to a HCA after a review as I have run off, it's ALWAYS "The staff nurse needs to know about this". Sometimes my 50 jobs to do and the RNs 50 jobs to do mean we pass like ships in the night. As long as we all communicate it works fine most of the time.
As for doctors standing up for nurses. Doctors don't stand up for doctors, so I wouldn't expect much in the way of advocacy. I once rang a modern matron to complain about horrendous staffing on a ward that I'd requested a special for, and got told "It's nursing problem don't get involved.". I figure when said person falls over and bleeds into their brain it's a medical problem so I will need to get involved.
- 3 November 2010 at 06:04
- Dino-nurse said...
Ho hum
Back from holiday and its already a dim and distant memory
Staffing on many wards is a joke. Its a UK wide problem and its going to get worse.
Many docs are in the same boat and their support system is usually pretty poor. No wonder that by the time they get to the top they are megabitches....its not just nurses who eat their young.
As for some medics being rude...I try the following
1) If notes are demanded in a rude way I point to the trolley and politely enquire if they can understand a filing system...stand up for yourself (OK its easier in a sisters uniform)
2) I try to intercept all newbies and introduce myself and give them a tour of the unit...letting them know we are a team etc...if they step out of line later they will know about it.
3) If anyone tries to look big by embarrassing me in front of others I usually smile sweetly and ask them to show me where its written in the notes please...this is especially irksome if the consultant is around as the juniors will panic and its NEVER in the notes...bit cruel but they rarely do it again....
Life in the NHS eh...if only Joe Public knew the half of it....
- 3 November 2010 at 08:27
- Nurse Anne said...
Yeah I definitely feel sorry for the doctors, especially the juniors. I know their job is hell times 10. And I know that management sucks and doesn't give a toss.
On the surface it would seem that the consultants are more powerful and would be able to get management to listen. But unfortunately we are ALL nothing but management's bitches.
- 3 November 2010 at 09:10
Oh I love the docs really!
I always think it must be hell on earth to be the on-call SHO at night, although the CSMs are generally good.
So true about the management comment. I'm certain if we got more staff nurses and doctors on the floor 24/7 and culled the clipboard brigade completely, the hospital would run like clockwork.
- 3 November 2010 at 16:43
Hi Nurse Anne,
You reveal so much about hospitals that most of the general public wouldn't have the first clue about and would never dream that such things go on, let alone that such problems are widespread/systematic. I honestly think you'd be a prime candidate to go undercover with a secret cam for a week for something like Dispatches or Panorama.
I don't think anyone at the top of the management/government food chain gives a toss about how bad it gets for you cos' they can always blame you as a scapegoat for being the person responsible on the ground if anything goes wrong even though these are disasters waiting to happen due to their decisions to ensure there are staffing shortages. In my opinion the only thing that gets their attention or keeps them on their toes is widespread bad publicity. Don't you think so?
- 6 November 2010 at 12:08
- Dino-nurse said...
After the last undercover nurse report I doubt anyone would be prepared to follow suit, Neelu. Whistleblowers in the NHS are hung out to dry...no matter who you are. What is really needed is a series of suprise visits to an MAU and elderly care ward, all on the same day throughout the country...and I mean a REAl suprise visit...no early warnings to management. I suggest a weekend when staffing levels are even worse than normal. I would urge politicians to serously consider this...thats assuming that they want to know the truth. On the otherhand...
- 7 November 2010 at 04:48
holy crap. I would never work in Britain. The Canadian system, albeit flawed is 100% better than yours. Geez. WTH.
It is the same "type" of system...socialized, yet we don't have half the problems you do. I think the last time I had 10 patients was back in the 1980s....
- 11 November 2010 at 03:08
- Dino-nurse said...
I have often wondered what working in canada would be like. Having worked in the US but having trained in the UK, I felt a little uncomfortable with the limitations applied by the insurance companies. Working in the UK I would say that skill-mix and staffing levels are the biggest problem. Despite all the evidence that says RN :patient ratios are key, our hospitals continue to ignore this fact. Or worse, fudge the figures by including anyone with an RN regardless of whethr they are clinically active when they report their RN:patient days figures. When was the last time you saw a bed manager do anything clinical? Or many of the nurse specialists? Having recently updated my CPR certs I was appalled at how some of the Band 8s who were with me ( I'm a 7) couldn't remember the basics, let alone read an ECG.
- 11 November 2010 at 05:56
- university Admission said...
He is a good doctor, and understands that without fitting Nursing nursing delivered by RN's, the patients are screwed. He understands that there are thousands of examples. Remember that They did it once, never worked or taught in how their wards are staffed. They think Nurses are all the same buzz with a hive object who have no idea how the Nurses can't be arsed to discharge patients. Even the ward Sisters are not like the anxiety assistants can give the meds and touch the Nurse stow while I am fixed up holding an arm for you! Managers of hospitals all over the world think that intentional RN curt staffing is the way to know and wouldn't know save you have experience there. Yet day after day the remedial consultant walks in the very daylight after he wrote that 90 year old Mabel can be nothing in the way of there so they wouldn't defy squat pole the place. If he finds out that his patients' RN's are being affected to take a look at a time he gets on enduring thought.
A surgeon walked onto my area and wrote some ABGs. I could go on and the crux of this post is in no way indicative of how hard the Nurses are! Assistants not Nurses.
Sometimes I will be 3 hours behind receiving much required drugs into patients and managing other enduring problems and some young surgeon will wander onto the division and ask me to influence an arm for him succeed or knowledgeable or brilliant the Nurses are atrocious and dangerous and that this has a dire provoke on the telephone to MANAGEMENT and starts screaming. It was 3 hours before You should have one bay per Registered Nurse." Many doctors will totter against a dependant, take on more than one!! Dickhead. I am the only Nurse, and I am on my ass off difficult to give a 150 IV meds all those patients I was joined about this one, there will be done to momentum this course up. They cannot perform even if they are wonderful. He pulled his orders to a trouble aide and left the district. For god's sake, grab one of the assistants killing around the Nurse's position for that. That is something they can actually do. Don't break Mrs. Smith's grief relief any longer by causing me for having 4 bays detailed of patients instead than 4-6 patients at the assistants lynching out at the post and yell "The Nurses don't look to hard today." If the Nurse on the period before (by chance) I found the chart and the orders. The mind junior has no idea about orders etc. She put the chart down on the situation where it got immediately obscured. And she said nothing to me. I had 25 patients that day (a staffing ratio no Nurse can occasion well with) and it was winning a misery of a lot of time to see him so that he can draw some commands for IV fluids and IV antibiotics for a tolerant with Pneumonia. As the only Nurse for all due now while the HCA's/cadets/auxiliaries are killing out of pure Nursing tension in a place where Nurses are denied income and sound staffing ratios. He handed the assistants are liability (or not doing) is that nothing can be discharged that morning and desires to know why she is still on the charge. Or fighting with deprived staffing ratios that they cannot help with the large proportion of the workload that only a RN can supervise. You missed something, it's your ass if you are the one on task when doc graces your dependant with his company. And he acts on it. They won't perturb with any tips.
There are many patients! It's not permitted to have a say in before the doctors suppose you telepathically to heed associate with absent Nurses who know each Doctors' individual habits.
- 18 November 2010 at 14:25
I find your attitude to HCAs slightly offensive, especially given that you're complaining about the manner in which doctors often treat you.
On my ward, HCAs do pretty much everything nurses do barring drugs and IVs. We tend to have 2/3 qualified and 3/4 support on a shift, and the attitude of all the staff is that we are a nursing team and we work together. Perhaps if you treated your HCAs better, they wouldn't be so useless. Then again, it could well have more to do with lack of training for HCAs in your hospital and/or trust generally.
- 19 November 2010 at 22:37
- Nurse Anne said...
HCA's do not do "everything a nurse does except for IVs". Not by a long shot. Most of the things that the Nurses are having to think about and concentrate on are things that HCA's never even heard of.
Two of my best friends are HCAs that I work with and I think that they would find your comment funny. I don't have any problem getting along with any hca's I work with. They like working with me because I get stuff down.
We are all a team and we do all work together. But it is the Nurse who has the legal and ethical accountability, not you. Therefore the Nurse's prioritization comes first. End of.
- 20 November 2010 at 04:32
- Nurse Anne said...
The whole point anyway is that even if I have the best HCA in the world it doesn't help me if I have to many Staff Nurse things to do. Not at all.
- 20 November 2010 at 04:33
Anonymous said....
"On my ward, HCAs do pretty much everything nurses do barring drugs and IVs"
I used to think that, until i did my training and became qualified. Then...OH...MY...GOD...how I realised how wrong I was. A old retiring nurse once said to me...that it isn't just what the the nurse does...it's alos what she knows, what she carries mentally, and what she's accountable for when thinks veer from the norm.
I respect HCAs massively, I was one for 13 years...but...they often completely fail to understand that doing what they do does not make them "the same as nurses"
- 20 November 2010 at 09:34
Not wishing to ruffle any feathers, but in my experience the HCAs who proudly state that they can do "pretty much everything a nurse can" often have the least understanding of the nurse's role.
Like many nurses, I too was a HCA prior to my training. Certainly HCAs do work hard and it often felt like I was carrying out much of the workload.
However, I knew my limitations and never considered myself as being able to do pretty much everything a nurse does, as I didn't fully understand their job.
I worry when "some" HCAs who think that since they do bloods, cannulate or can do a dressing they are pretty much nurses. It is not that simple.
- 21 November 2010 at 07:53
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- 21 November 2010 at 07:53
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- 19 December 2010 at 17:41
Good article. Thank you.
- 19 January 2011 at 17:16
Talking about "dense doctors". When I was a third-year student a young junior doctor came onto the ward panicking like a headless chicken saying a patient had "collapsed". I calmly asked her to tell me exactly what had happened whereupon she screamed at me hysterically like a lunatic, in front of the patients, shouting "you, just get on and dish out that food". I was drying my hands after washing them, not in the middle of "dishing out food" as she put it. She then interrupted the HCA who actually was "dishing out the food" and took her to assist with the patient who had "collapsed". I was in fact managing the care of this particular patient therefore I had a right to know what was happening, not to mention a responsibility to keep myself informed about what was going on. This doctor clearly didn't have a clue who I was or what I did although she had been working alongside me on the ward for three months. Later she had enough shame to apologise for her extremely rude outburst but then spoiled it by asking if I was "in the same class at University" as a first-year student who was only on her second day on our ward, the first ward she had ever been on. However do these "thickos" make it to medical school? You would think that the different coloured epaulettes on the uniforms would have given her a clue that we were not at the same level of training. It is very worrying when the 'right hand' doesn't know what the 'left hand' is doing.
- 10 June 2011 at 09:41
- Me said...
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- 21 July 2011 at 00:09
There were several new female junior doctors on the ward and the differences in their attire was striking. One was a Muslim clothed from head to foot in a floor length trailing black garment with only her face showing. One was obese but had chosen to wear a tight white T-shirt and clinging black stretch tights which emphasised every lump and bump, drawing attention to the fact she was grossly overweight. One was shabbily dressed in casual slacks, a sweat-shirt and had long, greasy, untidy hair pulled back loosely in a scrunchie. One was tossing her long swishy blonde hair from side to side as though she was a model on a catwalk and she was wearing a tiny mini-skirt, her bare legs sported a large tattoo and on her feet were bright red, pointed toed, six-inch stiletto heeled shoes. Such modes of dress are unlikely to inspire confidence in the patients. Matrons, nurses, ambulance men, domestics, porters etcetera must all wear uniform - why should doctors be an exception? They should be required to wear clean white coats just like they used to - in days gone by they really looked like doctors. As for the care of stethoscopes, are they always wiped clean after use on each patient? Somehow I have my doubts about that.
- 17 November 2011 at 14:53
- JonPur said...
I am a registered RMN nurse currently at band 5.
Due to cost cutting measures my trust want to demote all staff to the band below: 7 to 6 and 6 to 5 etc.
According to Agenda for Change I cannot practice as a registered nurse at band 4 however my trust want to potentially demote all band 5 nurses to band 4
Any ideas how I should proceed? I have contacted UNISON but I feel that if my Trust get away with this then it would give the green light for other Trusts to demote nurses to band 4.
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- 9 January 2012 at 12:09
I am a medical student and have been reading your blog with huge interest. This post really got to me, I care about how our NHS is run because this is what will affect my patients THE MOST. There's no point learning all the science and prescribing drugs if nurses I work alongside then don't have enough time to administer these drugs and monitor patients properly due to ridiculous levels of understaffing. When I qualify I hope that I will be able to stand up for overworked nurses on my wards. We should all be in this together and fight back against managers who don't have a clue.
- 6 December 2012 at 14:01
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text:
Wednesday, July 28, 2010
Dawn Goes Psycho
Posted by Dawn at 8:07 PM
29 comments:
- Bethany said...
Oh man, that's quite the practical joke! They should have waited until April Fools! ;)
- July 28, 2010 at 11:47 PM
- Lauralee said...
Wow! What a dilemmna! Good luck with that. Nice classic photo too.
- July 29, 2010 at 12:21 AM
- e.m. said...
Was it only Jackson? Or did he have help?
- July 29, 2010 at 5:07 AM
- Ambitious Blonde said...
ROFL! You sooo should know better!!!
- July 29, 2010 at 5:13 AM
- Jen@Scrapingirl said...
How in the world did he do that??? He is the reason you blog, right?
- July 29, 2010 at 6:20 AM
- Simple Country Girl said...
This is hilarious! I know it wasn't funny to you Dawn, but this is just another reason I read your blog everyday. Thanks for a great laugh today!
- July 29, 2010 at 7:16 AM
Sorry Dawn, but from my chair that's funny! If you took Spud's purple shower and your red shower, what would you get?
- July 29, 2010 at 7:38 AM
ROTFLMAO! Too funny! So, you only have orange cool-aid on hand. Hope you don't have a magnifying glass nearby.
Take care,
- July 29, 2010 at 7:40 AM
- Donna said...
Heh heh heh.....
- July 29, 2010 at 8:20 AM
- Rachel said...
Imitation is the highest form of flattery...but somehow I don't think that's very comforting right now. Take a page out of Spuds book and make him clean it up. :) At least your shower should smell good from the kool aid. :)
- July 29, 2010 at 8:35 AM
Whatever possessed you to tell them?!!!!! I read Spuds post, laughed so hard. Thought of you and your bunch...said to myself, good thing Dawns kiddo's don't know about this...HELLO Dawn!!! Sometimes we shouldn't tell our kids EVERYTHING!! LOL..
- July 29, 2010 at 8:37 AM
- Pam said...
Also, Bartender's Friend (available at Bed, Bath & Beyond) is the best bathroom cleaner ever. It gets rid of my hard water stains with a minimum of scrubbing.
- July 29, 2010 at 9:01 AM
- Robin said...
And that's the reason I chose NOT to share that post with my kids! I hope you got the stains out of the tub.
- July 29, 2010 at 9:14 AM
- ~Tammy~ said...
Maybe you should just go hide your magnifying glass right this minute!
- July 29, 2010 at 10:26 AM
- Jill said...
And this is why we love our children sooooo much! LOL It would be a dull world without them to bring laughter to our lives. Hope the stains come out! Maybe try Mr Clean magic eraser? Have a great day!
- July 29, 2010 at 11:36 AM
- Donna said...
Never a dull moment for you, is there? ;)
Donna from Indiana
- July 29, 2010 at 12:21 PM
I think thats hilarious!
Wonderful practical joke - ask the kids how they did it!
- July 29, 2010 at 12:37 PM
- JennyF said...
I think I might actually play this joke on my KIDS! (the Jell-o in the tap part, not the saran wrap over the toilet bowl part that was in SPUDS post.)
- July 29, 2010 at 12:59 PM
- Beej said...
You should to it to them - rig the shower with Kool-Aid when everyone's gone to bed, and when you hear the kid turn on the water and shriek, you throw the bathroom door open and yell, "OH YEAH!!" like the Kool-Aid man.
Then you need to hide all the Kool-Aid. Forever.
- July 29, 2010 at 1:01 PM
- Sherry said...
Ok, I'll ask what seems to be the obvious question... (lol)... after Feingold, why do you even have RED Kool-Aid in your home?? :) Just sayin'.
- July 29, 2010 at 1:21 PM
- 5ennie said...
OMG! They want to make sure you don't run out of blogging material ;-)
- July 29, 2010 at 1:45 PM
- Gretchen said...
I LOVE it! I'm saving it for when my kids get older (they're 2 1/2 yrs and 2 months) but I shared the post on my FB page and had some friends say they were going to do it! Oh this joke will live on forever!!
- July 29, 2010 at 4:55 PM
- MHW said...
Y'know, for an extremely lovely and savvy lady, sometimes you're really not very clever Dawn!
- July 29, 2010 at 8:25 PM
- Jillybean said...
Do you want to get back at them?
Sprinkle some of that same jello on the towels they use to dry themselves off after their bath. (you must use colored towels, with matching jello to work the best)
Once the jello on those towels connect with the water on them.....
You're welcome.
(hey, the towels are probably already stained from this incident, right ;0)
Oh yeah, as I was reading this post, my 10 year old, rather mischevious son walked by me and I had to close the laptop because I know for sure that he would try this.
- July 29, 2010 at 10:56 PM
- Mum - Mainly Upbringing Monsters said...
I TRIED using the hate mail section (ONLY FOR FUN THOUGH) & it wouldn't send, which is the point I'm presuming?
I struggle with my 3 kiddies being under 7 but even with SIX I'm hoping you only really have to watch the 3 youngest for naughtyness?
Put my 3yo girl in the room with my 6yo boy = HELL!
- July 30, 2010 at 5:37 AM
- nutralady2001 said...
Hi Dawn....... you've now re-ignited the "shower scene" for me LOL. I'll never forget when that movie came out..I was about 14 and my parents wouldn't let me go and see it I had to go to my grandparents while they went alone. -How times have changed LOL
On a more serious note sorry that idiots have to go and spoil things for you.You're doing an amazing job and you don't have to explain to a bunch of strangers online why you do the things you do ! Take care xx
- July 30, 2010 at 5:10 PM
- WeaselMomma said...
I knew right away that I could never let my kids find out about Spuds post and this is exactly why.
- July 31, 2010 at 6:41 AM
- Michelle said...
You're going to have lots of good material to console them with when they have kids of their own someday LOL! I had 5 kiddos in 7 years and they are all very "creative" as well. Exhausting, but funny. It's amazing how much crazy stuff can be funny. Hey, it's either laugh or cry... I pick laugh!
- July 31, 2010 at 7:10 PM
- pednurse said...
My children did not see this post, yet guess what they did today???!!!!??? Yep! Red Koolaid in the shower head. Luckily my shower head leaks....so when I walked into the bathroom I saw the red spatters on the shower wall & floor....they were made to clean it up themselves, to their dismay. KIDS!!
- August 11, 2010 at 2:22 PM

subset: commoncrawl


text:
Planning, Resource Allocation, Institutional Renewal and Institutional Resources
Standard 2
An institution conducts ongoing planning and resource allocation based on its mission and goals, develops objectives to achieve them, and utilizes the results of its assessment activities for institutional renewal. Implementation and subsequent evaluation of the success of the strategic plan and resource allocation support the development and change necessary to improve and to maintain institutional quality.
Standard 3
The human, financial, technical, physical facilities, and other resources necessary to achieve an institution's mission and goals are available and accessible. In the context of the institution's mission, the effective and efficient uses of the institution's resources are analyzed as part of ongoing outcomes assessment.
1. Strategic and Capital Goals and Plans for the Institution and its Operational Units
2. Current and Projected Budgets for the Institution and its Units
3. Audited Financial Statements for the Two Previous Years*
CUNY Financial Statement June 30, 2007
CUNY Financial Statement June 30, 2006
4. Faculty Staffing Plans
Materials Available in Middle States Resource Room.
5. Information Technology Plan(s)
6. Institutional and Unit-Level Development and Fundraising Plans
Materials Available in Middle States Resource Room.
7. Capital Facilities Master Plan
Materials Available in Middle States Resource Room.


text:
Posted on June 15, 2009
Sometimes it takes years to convince a spouse or parent or friend to part with "all those old books". So it is a source of some satisfaction or solace to the donor to find that the Newberry Library itself has dibs on whatever comes in, and takes books "upstairs" to add to the collection..
Mind you, this does NOT mean that your Aunt Patsy's collection of Grace Livingston Hill is going to be scooped up and borne away to the shelves. Nor does it mean some curator is going through every one of your Louis L'Amour paperbacks looking for the first editions. (Remind me to blog about first editions, sometime. There are days when I wish I could stomp the toes of whoever came up with the phrase 'first edition".)
What happens is that I go through your books. Yes, I do; I handle virtually every book dropped off. There are people who admire me for that and some who think it may be my whole problem. Then I set up in certain piles what I think the curators OUGHT to want: European history, old Gregg shorthand manuals, examples of fine or at least unusual printing, the history of Montana railroads, what have you. I can do this because after all these years I have an idea what the curators are looking for.
The books that go upstairs are not the most valuable, nor yet the rarest. They're the books the library hasn't already got, either because no curator ever had a chance at a copy or because when the book was published, the book buying budget amounted to sixteen cents and a used postage stamp. (Every library has years like that.) Or it may be that when the book was published, a curator said "We don't want that cheap thing," and now, fifty years later, it isn't a cheap thing, and we want it very much indeed. (That's why the library didn't buy that James Joyce/Henri Matisse book I mentioned a few blogs ago. Of course, we gave AWAY our copy of Audubon's Birds of America. You never know what a curator will decide is in scope for the collections.)
It comes to a couple of thousand books every year. As noted, it isn't always something rare and valuable, but over the years, the Book Fair has given the library a Kelmscott Beowulf, a book inscribed by Oliver Wendell Holmes Sr. to Richard Henry Dana Jr. (for those of you who don't recall, each of these men wrote one of the great unread classics of 19th century American literature), not one but two belly-dancing kits, and a massive collection of magazines on the history of American steamships. If something comes in that can be used for something besides building an excellent research collection, the library can take that as well. So we've also been responsible for a pair of boltcutters, a bag of florist's foam, a microphone, and a case of unused copy paper.
You never know what a donor is going to decide is in scope, either.


text:
It's that time of year again where we all start making those delish homemade goodies to give away to friends, coworkers and family for the upcoming holiday.
It's so easy to make, you'll see. First off make the caramel sauce, pour over a nice, even, all gaps covered, layer of Ritz crackers.
Put in fridge to set up/harden. Then put down a smooth layer of melted milk chocolate.
Let set up at room temp, then into to fridge to finish hardening.
Don't forget to add the roasted pecans while the milk chocolate is still melted, this way the nuts will stick and stay.
Let harden in the fridge or room temp before cutting into squares. Use a sharp knife as it makes it a lot easier to slice right through the bark without all the caramel oozing out.
crunchy caramel bark
print recipe
caramel filling:
1/2 cup water
1 cup white sugar
1 & ½ TB light corn syrup
Giant pinch of sea salt, optional
1 cup heavy cream
In a sturdy/heavy medium size saucepan, over medium-high heat, heat up the water, corn syrup, sugar and salt. Stir a bit to make sure it's combined-that's it no more stirring. You will cook this for at least 10 minutes (maybe longer) until it turns a nice golden brown. Once it starts to turn brown, do not leave the stove because it turns dark brown very fast. Swirl the pan, once or twice to confirm color is a nice golden brown, once it is, take off heat and add in the heavy cream. Let it bubble up and do its thing, then stir sauce with a heat proof spatula or whisk, and keep stirring till you get it combined and thickens a bit.
Put off to the side or in a heat-proof glass measuring cup (easy for pouring later) to let cool.
If all went well you should have a fairly thick, pourable caramel. Let this cool at least an hour before using.
2 sleeves of Ritz crackers (50 crackers? More or less)
1 cup of roasted pecans (I used roasted and salted pecans)
16 ounces of milk chocolate: melted in 2 batches; 8 ounces each (use a good quality chocolate, they melt better)
Line a jelly roll pan with parchment paper. Lay down an even layer of Ritz crackers; add more crackers to cover up any gaps. All gaps need to be covered as the caramel will ooze out.
Take the cooled caramel and pour over the crackers. You probably won't use all the caramel; I didn't, so save the remainder for another use.
Place pan in fridge to chill and set up for at least 2 hours.
When set up melt about 8 ounces of chocolate in a double boiler, spread the chocolate over the cracker and caramel. Let cool and harden at room temp for about 20 minutes then into fridge for an hour.
Take out of fridge, and being careful, flip the mixture over exposing the other side. This side will now get covered in chocolate.
Melt the remaining milk chocolate, spread over the bark and then sprinkle on the roasted pecans. Push the pecans down into the chocolate a bit to make sure they stay.
Let this harden for at least a couple hours before slicing. Use a sharp knife to cut this so the caramel doesn't ooze out.


text:
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text:
As parents, we want our children to be safe and responsible while using technology. We will have succeeded when each child can recognize and minimize the three main risks associated with all connected technology (i.e., iPods, instant messaging, chat, computer games, game consoles, cell phones, text messaging, webcams).
Once children understand the core risks, these three simple guidelines will help parents provide a safe and healthy experience online.


text:
Thursday, January 13, 2011
Posted by Nicole Wilson at 9:31 PM
Subscribe to: Post Comments (Atom)
On average I find a penny a day. Beginning August 31, 2009, I will be sending my found change certified mail to the United States Government to fund the National Debt. If I am unable to find any change, I will send a money of my own.


text:
Red Sox - 000 101 200 - 4 6 2 Pirates - 000 110 000 - 2 5 4The Red Sox snapped a four-game losing streak and avoided a sweep in Pittsburgh, thanks to several errors by the Pirates and another good outing from Andrew Miller (6-5-2-1-2-4, 109), who pitched out of a huge jam in the fifth.
Jarrod Saltalamacchia got the Sox on the board when he led off the fourth with a double, took third on Josh Reddick's fly ball to center and scored when Andrew McCutchen's throw sailed way over the bag and was tipped into the stands by third baseman Chase d'Arnaud, who was scrambling back into foul territory and made a valiant attempt to catch the errant sphere.
Boston tied the game in the sixth without the benefit of a hit. James McDonald (6-5-2-0-2-5, 101) walked Kevin Youkilis on four pitches. Darnell McDonald bunted back to McDonald (they are cousins, by the way); the NL McDonald tried to get the lead runner and threw the ball into left field. Yook raced to third and later scored on Reddick's sac fly to left. (Sox McDonald went into the game for J.D. Drew in the second inning. Drew had bunted a ball off his face in batting practice and the area around his left eye was clearly bruised. He struck out looking in the first and played only one inning in the field, before being taken out.)
In the seventh, the Red Sox scored two more runs, again without getting a base hit. Tim Wood began the inning in relief of J. McDonald and walked Marco Scutaro on four pitches; he was then pulled. Daniel Moskos walked David Ortiz (the pitch before ball 4 was crushed high and deep, but just to the foul side of the RF pole) and committed an error on Jacoby Ellsbury's bunt. Chris Resop was the next man out of the pen and he allowed an RBI groundout to Pedroia, an intentional walk to Adrian Gonzalez (two singles, two BBI), and a sacrifice fly to Youkilis.
Note: And because Scutaro scored Boston's third run, Wood (who is not my cousin, by the way (and neither is Brandon Wood) is credited with the loss, even though Moskos moved Scutaro to third, and Resop let him - and other inherited runner - score. That makes zero sense.
Miller wriggled out of a potential big mess in the fifth. He issued an eight-pitch walk to J. McDonald, and gave up singled to Garrett Jones and d'Arneaud to load the bases. McCutchen's hard grounder skipped by Yook and a run scored, giving the Pirates a 2-1 lead. Jones was initially waived around third, then suddenly not, but that stop sign was too late and he could not get back to the bag before Youkilis tagged him out. Miller then bore down and struck out Neil Walker on three pitches and got Matt Diaz to fly harmlessly to right.
Jonathan Papelbon walked the first batter of the ninth, but retired the next three men: a seven-pitch strikeout of Eric Fryer, and lazy fly balls to right and center.
The Yankees beat the Rockies 6-4.
The Red Sox have lost four in a row (and five of their last seven) and are in second place for the first time since June 5. They have scored a total of 10 runs in those four losses.
Dustin Pedroia: "We started the season 2-10 and we've been kicking ass ever since. I don't think anybody's going to go home and jump out of their hotel room because we lost four in a row."
Bobby Jenks (left back tightness) made a rehab appearance for Portland (AA) last night, pitching one inning and allowing one hit. ... Josh Beckett threw 50 pitches off a mound and said he felt "pretty good". ... Daniel Bard made only his third appearance since June 10 last night. He has not allowed a run in his last 12 innings, dating back to May 27. He has allowed one of eight inherited runners to score in that span, however.
AL East: Rockies/Yankees and Rays/Astros at 2 PM.


text:
|Proscuitto Wrapped Chicken Breast with Asparagus and Pesto Sauce
Like many I am a "sometimes" addicted follower of Pinterest. I salivate over many photographs of tempting desserts calorie free and am invited into so many talented sites to discover amazing photography and recipe blogs. Like a kid in a candy store I pin happily from their original sites cataloguing recipes to try in the future when time allows. The recipe below really stuck with me. With asparagus at the tail end of its season I felt the urge to head to the kitchen. Never mind that the recipe was in Polish or Russian ...Google translator to the rescue!!!... I had all of the ingredients in my well stocked stores. The recipe comes from this site where I spy so many seasonal recipes waiting to be translated. I tip my hat to Kwestia Smaku.
salt and freshly ground black pepper
1 tablespoon flour
4 slices of serrano ham (you can use other dried ham such as Parma ham or thinly sliced lean bacon)
1 bunch green asparagus
2 tablespoons olive oil
4 tablespoons green pesto (bought or home or from the following recipe)
80 ml of 30% cream
a half bunch of leaves (pots) of basil
Extras: new potatoes with water (optional) or bread such as baguette
Pesto with basil and nuts:
a half bunch of leaves (pots) of basil
1/4 cup walnuts (or cashew or pine)
2 tablespoons grated Parmesan cheese
3 tablespoons extra virgin olive oil
salt and freshly ground black pepper
1/2 clove of garlic
Blend all ingredients in a blender.
Prepare the pesto and cook the potatoes (if desired) or bread.
Rinse chicken, drain, slice crosswise into thin fillets (I used two small breasts and every przekroiłam the two thinner fillets). Sprinkle with sea salt (not too much, because the ham is salty), coat with flour and wrap in slices of serrano ham, set aside.
Wash asparagus, snap off woody ends of the light (the same break in the right place). Stems are cut into several pieces. Add to basket steamer or put in a sieve. Strainer basket or hang on a pot of boiling water and cook for 5 minutes, until asparagus is tender. Immediately transfer the asparagus in cold water and set aside.
In a skillet heat 2 tablespoons olive oil and place chicken breast prepared in ham. Cook for 6 minutes, then transfer to the other side and cook for another 5 minutes. Pour in the cream, add the pesto and mix gently. Add the asparagus and set aside after boiling from the heat (the sauce should thicken slightly), and season if necessary with salt and freshly ground pepper. Sprinkle with basil leaves and serve with potatoes or bread.
Serves 2


text:
Posts Tagged 'events'
Don't Forget!
Posted in Events, tagged events, Hudson Urban Bicycles, Logophobia, storytelling, West Village nyc on July 20, 2010| 3 Comments »
Bike Bell Tweets
- Summertime. HUB is happenin. Come see us! We're open daily 9-8. 10-8 on Sundays. Sales, Service, Rentals. 7 years ago
- We're hosting an open mic night called Logophobia, for all of you artsy folks http://bit.ly/bP2UgH FREE admittance 8 years ago
- THE HUB IS OPEN. 139 Charles Street in the west village. Come visit! 8 years ago
- Hmm.. Spring tweeting around the corner, with a possible new HUB space! 8 years ago
- The HUB closes this friday :( cross your fingers that we find a new space! 8 years ago
The Hubbub:AuH2O Bicycle fashion Bicycle Fashion Show bicycle journalism bicycles BIKE STYLE bikeware Biria Bleeker Street child carriers city bakery community events commuter bicycles downtown upright bicycle ride emma grady events fashion videos George Bliss green transportation HUB reading events Hudson Urban Bicycles Jasmijn Rijcken Kate Goldwater Las Vegas Logophobia m. craig Mike Spence Momentum 2009 new amsterdam bicycle show New York City New York Press New York TImes NYC bike community nyc bike culture Open mic night Osloh Outlier poetry reading progressive transportation Reiss skirt ride storytelling The Hub the narrows VANMOOF West Village nyc
The Hub Loggers
The HUB in the news


text:
Recently, students from the San Diego charter KIPP: Adelante Preparatory Academy school toured San Diego International Airport and its Quieter Home Program (QHP). Six middle school 'KIPPsters' received quite a treat: a Terminals to Tarmac tour lead by Ambassablogger Ryan of the airport's Strategic Planning Department and Sandra of Airport Planning. After lunch (which included a teambuilding activity of constructing a new airport out of Legos), they met yours truly (I'm the airport's QHP Coordinator) for a tour of the new QHP showroom and a few homes in construction.
Students from this charter middle school have had the opportunity to visit the airport for the last few years as a result of Ryan's community involvement with San Diego LEAD; KIPP Adelante was his community project. KIPP Adelante's slogan is: Work Hard. Be Nice. Dream Big.
Students were very interested in the QHP and that it was free to eligible homeowners in defined areas near the airport. The showroom tour included an explanation of the QHP's acoustic reduction goals, lead by Ambassablogger Sjohnna, who is the QHP Manager.
KIPPsters got to view the products, and experience the acoustic kiosk, giving them a sound understanding of a five-decibel reduction, the goal for any residence. They then boarded a bus — along with Craig, the QHP Construction Manager, and me to tour Point Loma Tennis Club condominium complex, one of the current QHP projects.
Jack and Brandon, Construction Inspectors for QHP, walked the students through the entire construction process. KIPPsters visited homes the contractor opened that day, including one in mid-construction, and one in its final day of construction. Jack and Brandon explained how new acoustic windows are retrofitted and how electrical panels are upgraded for new furnaces and air conditioning. Jack was impressed with the KIPPsters, calling them "attentive, inquisitive and very polite." Reflect back to the academy's slogan.
KIPPsters then met Whitney, the QHP Homeowner Liaison for the Point Loma Tennis Club. Whitney and I talked about our positions and how continuous communication and great customer service are vital with homeowners throughout the Quieter Home Program process.
On the bus ride back to the Airport, the students talked about the tour; they could not believe the amount of construction that occurs in the 15 days allotted for a project. One student felt it should take longer, perhaps even a year! Ryan, Sandra, Craig and I then quizzed the students about what they had learned that day; the KIPPsters enthusiastically had some great answers.
Freda, the Director of Development at KIPP, thanked the airport staff and the Quieter Home Program for "opening our students' eyes and feeding their curiosity."
It was a great day for all!
Work Hard. Be Nice. Dream Big.
Guest Blogger:
Catherine, Program Coordinator for the Quieter Home Program
Filed under: Airport Employees, Aviation education, Guest Post, In the Community |


text:
"999... what is your non-emergency?"
Julie Spence thinks that the public do not expect police to attend every 999 call.
If she's referring to people who dial 999 to ask how to boil an egg, or because they need to renew their driving license, she probably has a point. And it is perhaps unfortunate that her quotes in the above article are put in conjunction with a report of a man who called 999 to be told no police were available, and was then get beaten up by his assailant.
However, her remarks reflect a Senior Management Team blindness to the reality down on the front-line. During my first month as Acting Sergeant, I was the duty skipper on a Friday night. At about 1am I ran out of troops: my seven or eight PCs being either in custody or at other emergencies. Over the next hour there were a number of unresourced jobs, and at least four of them running simultaneously were of a nature where the public would expect the police to drop everything and attend:
A 'no requests' 999 call with a female screaming at the top of her lungs in the background.
A guy being beaten up by a group of five others.
The pressing of a 'high risk' domestic violence victim's panic alarm.
A burglary-in-progress: three masked intruders smashing in a window to someone's house.
I had literally no staff to send. My inspector had no staff to send from other areas. The next areas over again had no one. The jobs were not attended.
Three hours later I returned to the station and logged onto the terminal. The four above jobs were still there, unattended, along with ten or fifteen less urgent ones (involving missing teenagers, assaults where the victim just got home from hospital, burglaries from last night). I updated the inspector that we still had four 'grade ones' unattended.
'Well they're not exactly Grade Ones any more, are they?' was the response.
As the rest of my team was still not back from their commitments, I drove to the four locations myself to establish that- bizarrely- the woman had stopped screaming, the guy was not lying in the road, the high risk victim's alarm had stopped, the burglars had run off. As it so happens, my inspector was right: by the next night the jobs had transmogrified into missing teenagers, assaults where the victim just got home from hospital, and a burglary from last night.
Since the above, our minimum staffing levels have decreased, we now have a single-crewing policy, we aren't allowed to drive more than a certain speed even on 'blues', and we're under more pressure than ever to detect priority crime which means carrying out lengthy enquiries into every incident no matter how minimal the chance of conviction.
No doubt my blogging about this will be labelled 'undermining public confidence' in the police.
Well I have news for CC Spence and Blandshire's Senior Management. It isn't blogging about unresourced jobs and under-staffed response teams that scares the public: it's under-staffed response teams. It's picking up the phone in your hour of need and no one coming.
If you don't like us blogging about it, DO something about it.
Well said.
What I would like to know is why doesn't the daily fail refer to the police officers themselves as uncaring and lazy for not being able to attend to every emergency that gets called in?
They are immediately defended by the Daily Fail as being hindered by government targets or management cock ups. Their senior managers are blamed rather than the individual PC.
When a lone nurse caring for 20 critically ill patients by herself is unable to answer a call bell to bring someone a vase for their flowers because she is up to her eyeballs in preparing and administering life saving meds the Daily Fail labels her uncaring and cruel.
What about when a registered nurse has 5 critically ill patients who need one to one monitoring and intervention at mealtime (no they don't just suddenly get well so that I can leave them and feed people) on top of 7 patients who all need to be spoonfed at the same time?
What about that fact that the nurse has 20 minutes ONLY from the moment the food gets brought out until the moment the domestics collect it back in? Have you ever spoonfed 7 people in 20 minutes? People who take 15 minutes each to process and chew one bite? Even if I did leave the ill patients who will die if I leave them to feed the others I would still fail to get anyone fed. In this situation the nurse is accused of intentionally starving people. Papers like the mail never look at what our senior managers are doing.
My Trust still thinks that losing RN's and staffing each ward per shift with 1 or 2 RN's and 3 untrained assistants saves money. It kills people, it costs money and it completely stops the RN from being able to function at all. They are aided along in this premeditated murder and encouraged to keep RN's away from the bedside by a media who will slam the nurse for failings in care without looking at what else was going on during the time that the failings in care occurred.
If you remember anything I ever wrote on here remember this line:
If you do not know who many other patients your RN has and understand exactly what is going on with those patients, then you DO NOT understand why you were not attended to or why failings in care occured. So don't even start with the "my nurse didn't bother" bullshit.
I wish someone would explain that to this asshole, Frank Fields MP.


text:
|Paul Maritz
VMware Tuesday confirmed earlier reports that it will roll over its non-core technology for building platform-as-a-service (PaaS) offerings to a new virtual organization where it will be combined with EMC big data technology and called the Pivotal Initiative.
The move will result in a separate organization focused on developing the infrastructure for transforming applications built on and using cloud, mobility and big data technology while allowing VMware to focus on continuing to develop the software-defined data center, according to a VMware blog post by Terry Anderson, VMware's vice president of global corporate communications.
As was initially reported last week, VMware plans to move its vFabric group, including its GemStone and SpringSource teams, along with its Cloud Foundry and Cetas teams and related technology, to the Pivotal Initiative where it will be joined with EMC's Greenplum and Pivotal Labs organizations.
[Related: VMware Blockbuster: Maritz Out As CEO After Four-Year Tenure]
The Pivotal Initiative, which will include 600 VMware and 800 EMC employees, will be under the direction of EMC Chief Strategy Officer Paul Maritz. Maritz was CEO of VMware until his sudden departure in July, when he moved to storage kingpin EMC where he was said to be involved in a new initiative.
Speculation about a possible PaaS spinoff by VMware was first raised in July when VMware denied plans to spin off Cloud Foundry into a separate business. However, speculation at the time by VMware partners was that the plan was put on hold due to EMC's replacing of CEO Maritz with Pat Gelsinger.
VMware, which in April of 2011 launched Cloud Foundry, has been in the process of turning Cloud Foundry into an open source project that can be used by developers to build applications that can work across different clouds to allow choice and prevent vendor lock-in.
The Pivotal Initiative also includes the Spring Framework, an enterprise Java programming model that VMware picked up in its August 2009 acquisition of SpringSource.
It also includes GemStone, an in-memory database based on VMware's 2010 acquisition of GemStone Systems.
Also from the VMware side comes Cetas, a developer of big data analytics technology that VMware acquired in April.
NEXT: EMC's Contribution To The Pivotal Initiative, And What It Means


text:
They've tackled their hooligan problem and now they're in an FA cup final – these are good times for my old club Millwall. Words Tony Cascarino
Meaningless friendly? I don't think Ireland versus the...
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text:
Drug overdoses now kill more Americans than car crashes. That Centers for Disease Control statistic has hit home recently as the number of suspected heroin overdose deaths in Massachusetts surged over the past four months.
Drug overdoses now kill more Americans than car crashes.
That Centers for Disease Control statistic has hit home recently as the number of suspected heroin overdose deaths in Massachusetts surged over the past four months.
At least 185 Bay State residents have died from heroin overdoses in the past four months, according to data the Massachusetts State Police recently released. And those figures exclude Boston, Springfield and Worcester, the state's three largest cities. Nationally, drug overdoses kill more than 36,000 a year.
"We see better than a person a week in Norfolk County, and we don't have a lot of large urban areas," Norfolk County District Attorney Michael Morrissey said. "I don't think any community in Norfolk County has been immune. There are no boundaries. It covers all communities, all ethnicities and all socio-economic groups. There are good kids from good families."
There were 60 reported heroin overdose deaths in Norfolk county last year, and 12 so far in 2014.
State and federal officials, including R. Gil Kerlikowske, the director of the National Office of Drug Control Policy, recently visited Taunton to meet with local officials and other stakeholders. That city has seen six fatal heroin overdoses and more than 70 nonfatal overdoses since Jan. 1.
"Heroin and prescription drug addiction is an equal opportunity destroyer of lives," said U.S. Sen. Edward Markey, D-Mass., who organized the Taunton forum. "It breaks apart families. It buries hope and happiness under a mountain of despair. The meteoric rise in addiction to heroin and prescription drugs over the past decade is catastrophic, and the magnitude of resulting harm our communities have seen is nothing short of an epidemic."
Officials at the forum called for greater resources for treatment, and the state firefighters union announced a plan to carry the drug naloxone, which can reverse the effects of an overdose, on all fire engines.
Many health professionals and law enforcement officials say opiate addicts often start with prescription painkillers, then move to cheaper, more potent heroin.
"Percocet can go for $30 on the street for one pill," Morrissey said. "Heroin can be as a low as $3 a bag."
Dr. Joseph Shrand, medical director at the Brockton-based CASTLE treatment program, said he has seen heroin addicts as young as 13 or 14.
"Most of the kids who are using Percocet and heroin who come in to see us are not getting high from heroin anymore," Shrand said. "They're using it so they don't go into withdrawal."
State Police spokesman David Procopio said there has recently been a particularly high concentration of fatal overdoses in Southeastern Massachusetts, the Merrimack Valley and Western Massachusetts.
Since the State Police switched to a new tracking system on Nov. 1, there have been 34 reported overdose deaths in Bristol County; two in Berkshire; nine on the Cape and Islands; 22 in Essex County; 12 in Hampden, excluding Spingfield; 19 in Hampshire and Franklin counties; 30 in Middlesex; 15 in Norfolk County; 20 in Plymouth County; 10 in Suffolk, excluding Boston; and 12 in Worcester County, excluding the city of Worcester.
"Unfortunately, because of the new system, I cannot at this time provide a similar time period preceding these last four months for comparison purposes," Procopio said. "Our experience and accumulated knowledge, however, indicates that these numbers absolutely represent an increased rate of fatal heroin overdoses."
The State Police, he said, do not track deaths in the state's three largest cities, as those municipal police forces lead investigations into local deaths.
In Essex County, District Attorney Jonathan Blodgett has called for legislation that would require hospitals to report basic data, such as the age and gender, of all overdose victims.
"Without hard, real-time numbers of opiate-related drug overdoses we will end up spending and wasting more money and time to stop this epidemic, neither of which we can afford to waste," he said in previous testimony in support of such legislation.
Essex County had 66 fatal heroin overdoses in 2013.
The city of Worcester has had two suspected overdose deaths since Jan. 1, and 19 in all of 2013, although just two have been officially confirmed by the state medical examiner's office, according to the Worcester County DA's office. Worcester County has had four suspected overdose deaths in 2014 and 23 last year. The figures are unofficial, the office said.
Worcester County District Attorney Joseph D. Early Jr. recalled a particularly deadly spell in late 2013.
"It seemed like we were having at least one overdose death a week for eight weeks," Early said.
In addition to education and prevention programs, he said, his office is working to steer addicts toward appropriate treatment programs.
"We're also aggressively trying to tailor the dispositions we have on cases to the needs of the addict, with bottom line being public safety," Early said. "We try to make treatment the focus. But if they're selling heroin, we want them off the street."
Plymouth County District Attorney Tim Cruz also said the approach must be multifaceted, including steering addicts into treatment.
"If you're robbing stores, stealing from cars, you have to be held accountable for those actions," Cruz said. "It's a delicate balance. You have to get to them before they abuse."
Like several other DA's Cruz said his office has instituted a prescription drug take-back program, in which people can drop their leftover prescription pills in a secure box at their local police station, no questions asked.
The State Police have speculated that there could be a particularly potent strain of heroin flooding the streets, or that the heroin may be cut with a synthetic substance, such as Fentanyl.
"There's no such thing as a good batch of heroin," said Drug Enforcement Agnecy special agent and spokesman Anthony Pettigrew said. "It's all poison, basically. When you're using heroin, it's like playing Russian roulette."
Gerry Tuoti is the Regional Newsbank editor for GateHouse Media New England. Email him at email@example.com or call him at 508-967-3137.


text:
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Castlevania - Symphony of the Night (1997)(Konami)
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text:
Saturday, October 25, 2008
Craftsman Trucks On SPEED From Atlanta (1PM ET)
It is a very big week for the Truck Series. First of all, the teams are racing on the high-speed Atlanta track on national TV on Saturday afternoon. Secondly, the series has just picked-up a full multi-year sponsorship from the Camping World corporation.
The TV coverage will start with Krista Voda hosting The Set-Up. This thirty minute pre-race show will have a special guest this week. Camping World CEO Marcus Lemonis will be with Voda to talk about why the Truck Series sponsorship made sense for his company.
Even better news for the sport in general is that Camping World will continue their sponsorship of the East and West regional NASCAR series that have been so very successful this year.
After the pre-race show, coverage will begin with Rick Allen, Phil Parsons and Michael Waltrip calling the action. This trio has found their stride and the reason things are clicking is the performance of Waltrip. Gone is the sponsor-shilling goofball and in his place has emerged a thoughtful and enthusiastic analyst. Waltrip has become an asset instead of a liability to the telecasts.
Look for Ryan Newman to be the possible spoiler in this event. Driving in a "one off" ride for Kevin Harvick Inc., Newman was fastest in practice and has absolutely nothing to lost in terms of points. He is only there for the win.
The championship battle between the popular Johnny Benson and the veteran Ron Hornaday Jr. is once again fantastic and should be the focal point of the coverage. These two have often been the class of the field and Atlanta is just the type of track to put all the teams to the test.
SPEED has perfected the "old school" approach to NASCAR coverage. They present a stripped-down TV package without overwhelming graphics and free of needless distractions. There is no infield pit center and only two pit reporters. The action on the track is the focal point of the coverage from the green flag.
With only a handful of races left in the season, this may be an opportunity for fans to see the SPEED TV crew at the top of their game. With good weather and a very green track, the racing action should be interesting.
This post will serve to host your comments about the Truck Series coverage on SPEED. To add your TV-related comment, just click on the COMMENTS button below and follow the easy instructions. The rules for posting are located on the right side of the main page. Thank you for taking the time to stop by The Daly Planet.
37 comments:
- Anonymous said...
Can't wait for the race to start... the set-up is the best pre-race show on television hands down!
Watch out for Chad Mccumbee and Erik Darnell on the track today!
- October 25, 2008 at 12:47 PM
- bevo said...
Agree, this is the best pre-race show. Fox and ESPN should learn from this
- October 25, 2008 at 1:05 PM
- Lou said...
You are correct JD. Without all the bells and no dog and pony show, Ms Voda supplies all the excitment that at times is missing from the NW and Cup(and I enjoy AP and DJ.) Someday she will get her due rewards. Along with Wendy.
Good interview w/Marcus Lemonis, talks like he has a plan. Hope it works. Glad to see he will stay with KHI.
Enjoy the race all.
- October 25, 2008 at 1:14 PM
- Anonymous said...
Mr Lemonis is just the most dynamic speaker I've heard in a long while. He is so enthused, hopefully his ideas for helping the truck races, sponsors & all comes to be. Imagine how much better all NASCAR would be with Brian having that kind of fire & was able to articulate himself that well! And he was well dressed & groomed to boot. No rumpled shirt & messy hair like Brian .
This "little" 1/2 hour pre race show is better than all the "big boys" combined. Krista is great.
- October 25, 2008 at 1:15 PM
- Anonymous said...
It's a shame that NASCAR doesn't admit and won't promote the truck series as the best racing in all of NASCAR... the production of the series and pre race show should be the top rated stock car television show...
Unfortunately the few times they switch the coverage from SPEED to FOX (cali and mville earlier this year) they strip the production from speed's crew to the bland fox production staff...
- October 25, 2008 at 1:16 PM
- 3bud said...
Well I was asleep at the wheel again and missed Marcus Lemonis (had to cut fire wood) it sounds like he is got a plan for the series from what I read.Good to see the best racing get a good sponsor in Camping World.
- October 25, 2008 at 1:23 PM
- red said...
just wanted everyone to know this: i emailed camping world yesterday, thanking them for their 7 year committment to the trucks series. this morning, i received a quick email back from their customer service department which read (in part):
"Thank you for your email regarding our sponsorship of the NASCAR Truck Series. We are very excited about the 2009 season!"
to put it into context: i have emailed espn on several occasions, stating my displeasure with their poor coverage and asking for response to specific questions. i have yet to hear back from that organization.
this short email has made me an even more loyal supporter of camping world and i will continue to recommend them without reservation to my many friends who are avid campers.
espn? not so much.
- October 25, 2008 at 1:26 PM
- Daly Planet Editor said...
I have never met or spoken with anyone from Camping World. The day after my article about Mr. Lemonis the VP of Public Relations sent me an email thanking me for the article and asking me if there was anything else I needed from them.
Talk about a dynamic new partner for NASCAR!
- October 25, 2008 at 1:36 PM
- Karen said...
Awful, just awful anthem. Gosh, where'd they find her?
- October 25, 2008 at 1:40 PM
- Matt said...
Camping World seems to be such a great sponsor. Thanks to them for saving the series. I hope the partnership is a success.
And agreed about this pre-race.. I love Krista.
- October 25, 2008 at 1:40 PM
- AMS fan said...
I'm sure the singers for the National anthem do their best.
Thanks to Nascar for it being part of EVERY pre race.
I just wish the singers would have to audition for the honor.
And thanks to all broadcast companies for allowing us to hear it.
- October 25, 2008 at 1:42 PM
- bevo said...
These promoters need to be held accountable for these awful anthem singers, it's getting ridiculous this year.
- October 25, 2008 at 1:44 PM
- NorCalFan said...
Karen, totally agree. How about when she had to swallow in the middle of singing a word? Don't think she'll be asked back.
On with racing.....
- October 25, 2008 at 1:46 PM
- Dot said...
Re: the Anthem. That's why there's a mute button on the remote.
- October 25, 2008 at 1:47 PM
- Anonymous said...
@red - I did that last night emailing CW customer serv. Haven't checked email today & its the weekend.
I figured if I can email & write to complain I better be able to say Thank You. I hope alot of truck fans do to.
And I never got a response from espn either.
- October 25, 2008 at 1:47 PM
- Dot said...
Add me to the list of not hearing back from ESPU.
I noticed that there are already 2 trucks off the track. No word why.
- October 25, 2008 at 1:56 PM
- Anonymous said...
No reason to give start and parks television time...
- October 25, 2008 at 2:00 PM
- Anonymous said...
UGH! Stupid Blogger ate my comment!
I had to *giggle* when they showed the "arguments" montage! I don't remember seeing it last week, but if your driver is in a spot that he shouldn't be, just pick him up and carry him away! *giggle*
Yes, I also hope that "singer" is not invited back!
That's great JD! I'm glad that they found out about the article and sent you a note :).
I look forward to what CW and Mr. Lemonis does to help grow the sport. I've really liked him. He'll be like Mr. Nardelli and Mr. Butler where we "know" them because they're up front and visible and aren't "hiding".
I meant to check out FBN yesterday to see if they still have NA$CAR Friday and if they mentioned it or had him on again. I know they've done some changes to their format. My friend Tom used to host the 2 hour show that starts at 10 eastern, but now he's on the 1 hour noon show. He also has a radio show that was local only to Sacramento, now it's being carried nationwide :)
- October 25, 2008 at 2:09 PM
- ri88girl said...
I'm sensing some 'Cup Creep' here with Hamlin and Newman joining KB in the trucks this season along with JJ and I think one or two others. I hope they don't turn into 'truck torlls' and that this will be a good thing for the trucks to help get sponsorship and more media attention. However, I don't want to see a bunch of seasons wasted working out the kinks associated with having cup regulars regularly in trucks!
- October 25, 2008 at 2:10 PM
- red said...
jd, it's early in this relationship, to be certain, but i have a feeling that the entire camping world organization is on the ball when it comes to customer service. that alone will be refreshing.
perhaps, during the off-season, you can convince mr. lemonis to take questions directly from TDP bloggers about the series, his plans for CW's participation in it and talk to us about what he sees as the future of the trucks. and maybe he can use his obviously professionally saavy team to promote this series!
regardless, i am encouraged.
- October 25, 2008 at 2:10 PM
- Dot said...
@ Anon 2pm, I agree. This is the main reason that if you are not competitive, you shouldn't even show up. I'd rather see fewer trucks/cars in the race that are serious about racing than S&Ps.
- October 25, 2008 at 2:17 PM
- majorshouse said...
I really wish that ESPN could emply the same element of coverage that Speed provides with the truck series. I like the addage the less is more.
- October 25, 2008 at 2:36 PM
- red said...
one of the many aspects of speed's coverage of the trucks that i enjoy is that the pit reports give us solid information with every report.
also, in this format, i find i actually appreciate mike waltrip's voice and experience. he keeps the goofiness to a minimum and also provides solid information, based on his own experience in the trucks.
finally, in comparison to the cup announcers, it actually sounds as if (1.) these guys really look out the window at the race frequently and (2.) they are enthusiastic about the sport they cover.
it's such an obvious difference from trucks on saturday to n'wide on saturday and then the great downward spiral into cup on sunday.
- October 25, 2008 at 2:52 PM
- Dot said...
Is there really debris? Or a pity caution since JB was ready to go a lap down?
- October 25, 2008 at 2:54 PM
- Daly Planet Editor said...
There is a new post up for the Nationwide Series race from Memphis on ESPN Classic and on SPEED when the Trucks are done.
- October 25, 2008 at 3:02 PM
- Newracefan said...
Thank goodness for the DVR mine should be smoking today. I'm already behind with the Trucks and now NW is about to start add being On Call so frequent pauses but having fun so far.
- October 25, 2008 at 3:05 PM
- Sophia said...
I will miss the Memphis race but will read about it here later.
- October 25, 2008 at 3:13 PM
- Anonymous said...
Lookie Kevin!
- October 25, 2008 at 3:18 PM
- Anonymous said...
Congratulations Ryan!
- October 25, 2008 at 3:18 PM
- NorCalFan said...
Hornaday can't be too pleased with Newman. The loss of those points to Newman could mean the difference in the championship.
But Newman's being paid to win...
- October 25, 2008 at 3:19 PM
- bevo said...
Another great job by Speed, good call of the finish and showed the other trucks crossing the line!
The best coverage of racing by any network hands down.
- October 25, 2008 at 3:20 PM
- Anonymous said...
WTG Ryan. Nice work by Speed crew on race coverage - Thank You!
Thought Kevin was gonna go nuts at the end - lol- both his trucks 1,2 - nice day for KHI
- October 25, 2008 at 3:21 PM
- Anonymous said...
- This comment has been removed by a blog administrator.
- October 25, 2008 at 3:23 PM
- Daly Planet Editor said...
Nice effort again by SPEED but certainly wish we could have heard the team Harvick radios on the final laps.
- October 25, 2008 at 3:28 PM
- Dot said...
Funny Ron just questioned the caution that came out when he was behind JB getting ready to lap him.
- October 25, 2008 at 3:28 PM
- Newracefan said...
Will Speed stay with the trucks till 4 or will they jump to the NW race sooner? It's almost like they are using up all their commercials and then will switch
- October 25, 2008 at 3:37 PM
- Anonymous said...
I'm glad Speed is showing the Nationwide race, but I don't think they did the truck series justice. Short post race, when there were a lot of stories with the point leaders, and possibly Kevin.
- October 25, 2008 at 3:47 PM


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