NO EXCUSES.(POEM BY PHILOMENA N.OKEKE )

Let there be no excuses.

Excuse is lack of focus.

My parents were very poor.

That is excuse for failure.

Their poverty should not be excuse for.

Rather a great opportunity for.

Check out Oprah Winfrey,Alan Gerry,

Kenny Trouth ,Howard Schultz were among

the riches people in the world.

Their parents were very poor.

How many were born with silver

spoons in their mouth?

Atleast not in my mouth

Dream big and take action.

Practice how to behave.

Let your practice be a habit.

Refrain yourself from bad language.

“Everyone is the carver or maker of his or her

own fortune or misfortune.”

Make the best out of life.

Be moderate in all things.

Develop a good temperament.

Have good health and happiness.

Virtue is an asset that will elevate you.

There is equal opportunity for you.

Difference between poor and rich.

Is all about choices that we make.

The mind is very powerful.

Therefore the mind cannot be idle.

An idle mind is a devil workshop.

Train your mind in the right direction.

And smile to the bank.

Train your mind in the wrong direction.

Blame yourself for lack of riches.

“you wanna fly,you got to give up the shit that weighs you down”

-Toni Morrison,Song of Solomon.

Well train mind is a beautiful garden.

Untrain mind is a desert.

Develop your mental capacity.

Think right and do right.

Replace sadness with love.

Turn negativity into positive thoughts.

Smile,you can do this.

You got the desire and the will.

TWO SISTERS THAT WERE KIDNAPPED(Bedtime Story).

Once upon a time there lived two sisters.

One named Angela and the other was Margaret.

Angela was attractive

while Margaret was not attractive.

Their parents went on a business trip.

Angela and Margaret did not go for the business trip.

They were instructed to stay home and close the doors.

They did not listen and did not close doors.

They are not suppose to cook.

They went out to play .

And they also cooked.

Then came two group of kidnappers.

One group kidnapped Angela

The other group kidnapped Margaret.

Later Angel got married to one of her kidnappers.

But Margaret did not get married by her kidnappers.

Rather Margaret was used to make money.

She was sent out to do some odd jobs in various houses.

So Margaret did various odd jobs.

Meanwhile Angela was living happily in her new home.

She conceived and gave birth to a baby girl.

Margaret was sent to work for Angela .She was sent to babysit for Angela.

Upon arrival Margaret recognized Angela.

But Angela did not recognized Margaret.

Angela gave Margaret instructions on how to take care of the baby,

and left for work.

The baby started to cry and Margaret started to sing ” my niece,my niece please do not cry, your mother is my sister but she did not recognize because I HAVE BEEN GOING THROUGH ROUGH TIME. We disobeyed our parents who instructed us not to cook or go outside to play.

We did not listen and went outside to play.

And we got kidnapped.

While your mother got lucky, I Margaret was not so lucky.

She (Angela) had you I am still busy doing odd jobs.

So my princess,my dear princess do not cry .Baby do not cry. my baby.

Margaret kept singing the song ,one day Angela was returning home.

She stood at the corner of the house to listen to Margaret song.

Then Angela realized that Margaret was her missing sister.

She ordered for Margaret status to improve .

Margaret was cleaned up and taken to the store .

They went to buy whatever that she needed.

She bought clothes,shoes,and jewelries.

Angela and her prince bought Margaret a beautiful Castle.

They(Angela and Margaret) both later went back to where they were kidnapped from, and there they found their old fragile parents.

And brought them back to live with them.

Yes old happy fragile parents.

THE END.

The Boy and His Step mother.

FICTION.

My Step mother, mommy,mommy.

I have no other mother but you.

And I love you.

You cooked all these food. You have added some meat ,

and some fish.

You told me to come and take my food that you dished out.

But there was no meat in my dish.And there was no fish in my dish.

You told me to wait till my dad gets home from work.

One is loved because one should be loved.There should be no other reason to give from you loving your step child.-The Alchemist.

And that he will give me fish and meat from his plate because his taste better.

Mom,mom,mom.

Okay my Step mother if you said so.

I have no where to go.

I have nobody to complain to.

Mother if you said so,if you said so.

My mother died of breast Cancer five years ago.(Metastatic Cancer).

My mother, I miss you so much.I am in pain .Can you come and get me .

My clothes are old and my shoes are all old but my daddy cannot see.

Take me tonight mother please.I love my Step mother but I love you more.

Life has never been the same since you departed five years ago.

Please do something mother.I am waiting on you.

Oh my Step Mother I love you.


Story of a Girl and The Bird.(Bedtime story).

FICTION.

There is always something left  that we should love .If you have not learn that ,then you are not learning.-Lorraine Hansberry.
The little girl fantasy of been picked  up by a bird.
Beautiful bird with great wingspan.

child-807547_1920My dear beautiful bird with a long beak.How old are you? I am almostĀ  three years old. How tall are you? I am 36inches tall? How much do you weigh? I know that some birds weight 20lbs to 40lbs.

I weigh much less than that.You have a large wingspan which are really great. Why don’t you come down fromĀ  there and pick me up?I want to sit on your back and you can fly with me up again.Simply come down and pick me up,and take me around, and around.

Okay bird come down please and pick me up and go round and round.

I know that it will be lots of fun.

Please come down mother of all birds and take me around.I want to go around with you.Come on ,come on and get me.Stop wasting my time and your time.Hurry up please.You can do it.

Jesus love you and Jesus me too.

She left some food on the floor to attract the bird .The bird was beautiful with nice beak.

The bird did not come down to pick her up,so she cried until she fell asleep.The End.

The bird and the girl.The little girl was talking  to her imaginary friend ,the bird.She wanted the bird to pick her up and fly around with her but the bird did not come down. She offered the bird food but the bird did not come down.

Story Time About the Dog and His Owner.

"You must give everything to make your life as beautiful as the dreams that dance in your imagination"-Roman Payne.
My handsome big dog dedicated to his owner.Runs errand for the owner.
The dog is asked to go into the house and bring kola nut(this could be anything for
entertainment)

It is a bedtime story about a dog and his owner.The owner surprisingly had visitors that they were not expecting .So the owner started a song like this.

My handsome big dog go into the house in the living room and get me some kola nut, so that we can give to these uninvited visitors.I did not invite them and I am sure that you did not invite them.So come on big boy go into the house and get me some kola nut so that we can give to these strangers.Hopefully the kola nut will force them to tell us why they are here.

So the dog went into the house and got the kola nut.The uninvited strangers ate the kola nut.After eating the Kola nut (coca cola) they confessed that they are interested in buying the piece of land in their backyard so that they could be their neighbor.Sometimes a kind gesture can lead to meeting pretty nice people.The dog owner told them that she owns the land but the land is not for sale.So they left back to where they came from.The big dog and his owner live happily there after .The End.

Why Do So Many People Want To Be A Nurse?

Is it because of their cute uniforms?

Or because their parents want them to be a Nurse.

Because they love taking care of the sick.
They believe in health Promotion and Disease Prevention.

Or because of Job Security?

Okay because they will get good health insurance and good Benefit Package.

Simply because you want to work in the hospitals.

Is it because they could interact with so many different people.

Or you want to influence change and become different than before.

Or you want to be the agent of change.

Because you want to be knowledgeable about health and Pathophysiology.

Because you want to be Healthcare Professional.

No matter what is your motivation,I encourage you to find your niche and make sure that you LOVE what you are doing.Because Nursing is great but sometimes emotional draining and could be Challenging depending on your areas of specialization.

Nursing Student with cute uniform.


LET US CHECK OUT SOME LAB RESULTS.

Normal Lab Values

Hemoglobin 14-18(varies in some facilities)
Hematocrit 42-52g/dl
WBC 4.5-11.0g/dl
Platelet Count 150-350
Potassium level 3.5-5.5 mEq/L
Sodium level 135-145mmol/L
Chloride 95-1-5mmol/L
Calcium level 8.5-10.5
Phosphorus 2.5-4.5
Magnesium 1.7-2.5MeQ/l
Bun 7-18
Creatinine 0.5-1.2
Glucose level 70-110
Normal Ammonia level 10-20
Vancomycin level 15-20.
There are some slight variations from Hospital to Hospital.



HOSPITAL CODES TO REMEMBER.

CODE BLUE =Cardiac Arrest/Medical Emergency

CODE GRAY =Combative Person.
RRT= Rapid Response Team.
CODE RED =Fire.
CODE PURPLE = Child Abduction.
CODE PINK =Infant Abduction.
CODE WHITE =Medical Emergency Neonatal/Pediatrics.
CODE SILVER =Hostage or Shelter in place-person shooting weapon.
CODE YELLOW= Bomb Threat (Dial required #and Location)
CODE ORANGE = Hazardous Material Spill.





My Honor As A Nurse.

On my honor as a Registered Nurse.


I will provide compassionate excellent Nursing care.

I will do my best now and tomorrow.
Be a good leader,not a follower.
I must Move Nursing Agenda Forward.
I must do my Best all the time.
I promise to update and obtain required CE every two years.
Advance my knowledge,education,and experiences.
I will be Knowledgeable not Knowledge Deficit.
Team player,work effectively with my colleagues and other ancillary.
Clock or sign in on time.
Clock or Sign out on time. Have all my equipment such as Stethoscope,Pen and Pencils.
I must Reason,and be Reasonable.
Perform my assigned role effectively and efficiently. Follow Hospital policies and Regulations.
Comply with JCAHO Standards of Care and Regulations.
Carry out Doctors Orders on Time.
Troubleshoot and be Supportive of my Colleagues. Know and Understand Patient Bill of Rights.
Respect Patient and Families. “The very First Requirements in a Hospital is that, it should do the sick no harm “Florence Nightingale .
Give medications by mouth and intravenously as ordered. Advocate for my Patients.
And provide TLC.
Must not Abuse Patients Physically, Emotionally or Sexually.
Promote Health and Prevent Diseases.
“I attribute my Success to this -I never gave or took any excuse”- Florence Nightingale .
Nursing Assessment.

Who Is A Christian?

A Christian in my perspective is someone who believe in God and abides

by the doctrines of their religion or faith.As a true Christian you will learn to chose to love over hate.Wikipedia.”Christianity is a monotheistic Abraham religion based on the life and teachings of Jesus Christ”.

A True Christian will not be Drunk with themselves.

A true Christian will not be Drunk about their Position.

A true Christian is always and willing to give back no matter how small.

Purity: A true Christian is ready to sacrifice for others.

They have some of these qualities divinity,godliness,kindness,good,work hard to perfection.They are men and women of Virtue.

They avoid using pressure on others and the people that are below them.

A good Christian is knowledgeable of the Christian faith,the institutional policies,procedures,Systems,Standards and the laws.They are very grateful in knowing and applies this knowledge acquired in the process.

They try to understand the other side well.Ask questions and seek clarifications when not sure.A true Christian will love his wife,children and his neighbors just as himself.

A good Christian will avoid emotional outbursts.Do not overact if the other party exhibits such behavior.

Be Concrete and Flexible when presenting your Stand.

Use Reason and be Reasonable.

Be Fair.

What will be your reward if you Gain the Whole World and end up in Hell with Perpetual Burning?

Advocate Effectively For Patients And Families.

To advocate is to show support and promote the interest of your patients.

Here are some guides to help you advocate for your Patients.

Knowledge: know the plan of care of your patients well ,including minute details.
Time:Do you remember the adage that says “time is money? You must spend enough time discussing the plan of care with your patient, family and understand their concerns.

Bill of Rights: Be familiar with patients Bill of Rights.

Standards and Law: Be knowledgeable of the law and the Standards of Regulatory Agencies such as JCAHO regarding certain patient care issues such as Informed Consent ,DNR, Do Not Resusitate.

Honesty: Be honest with your patients and families.Admit when you do not know the answers to their questions .And promise to verify and find out and then get back to them.Do not say what you do not know.

Convey: Communicate patient and family concerns to the appropriate personnel,obtain answers and Report results back to the patient and family.

Ethical Issues: Identify ethical dilemmas and refer them to the ethics committee in a timely fashion.

Your advocacy for your patient care help them to reduce the seriousness of their problems.And make them see you as their God sent Angel.Do not worry that” they do not know your name.But they surely remember how you make them feel”-Maya Angelou.

Please buy NURSES YOU MOVE ME@AMAZON.COM

Why I Married A Nurse.

Nurses are health care professionals who are in a position to take care of patients from their physical needs to spiritual,social and down to their emotional needs.

To know a nurse is to love a nurse.Genevieve and Roy Bixler husband and wife team, who are not nurses wrote in 1945 stated, “about the status of nursing and repeated their seven criteria in 1959 included embodiment of knowledge,well defined,well organized,techniques of education,intellectuals,who exalt services above personal gain.Nurses believe in the opportunity of continuous professional growth and economic security”.

Here are my 15 Reasons why you should Marry a Nurse.

Nursing jobs are everywhere .There are hospitals everywhere in the world.If you are a nurse in India,Philippine,Nigeria,Mexico ,you can be a Nurse in CANADA or USA. Nurses have the most flexible shift 7-3:30pm,11am -7pm,3pm,-11:30pm,2pm-1030pm,6am-2:30pm,11pm-7:30pm.

Nurses are born to listen.Do not forget that they listen to their patients.So they are ready and willing to listen to your aches and pain .Nurses can turn lemon into lemonade.They are very good with troubleshooting.

Nutrition: Nurses understand balanced diet and want to provide it to their families.They understand the need for protein,Fat,Carbohydrates ,Vitamins and Minerals.

Health: They understand health screening and following up with their children immunizations.

Nurses are great sex partners. They understand the G spot.But you must understand how to approach your partner.Nurses that marry their follow Nurses live forever together.My former director has been married for over forty years with her husband ,who is also a retired Nurse.

A friend is someone who knows everything about you and still love you.

Ebert Hubbard.

“Love is selfless.It is prepared to sacrifice“.-Sadhu Vaswani.

Parenting:When it comes to parenting ,Nurses are great parents .They acknowledge their roles as their children Role Model.

Smartness: Nurses are critical but not violent and they understand very clearly what make sense and what does not make sense.They are assertive,very loving ,romantic and yet tough.As a Nurse you must learn to be strong and tough in other to be able to deal with critical patients and their families in a very challenging time.

Supportive.They give tender loving care to their patients and they will easily give it to their partner and children.Be there ,acknowledge and ready to receive it. “Who so finds a wife ,finds a good thing and obtain favor of the Lord”-Proverbs 18:22.

Team player: Nurses are team players ,calm and calculating even in a stressful situations.Nurse will get you out of a tough situation.

Compassionate Care: Nurses have seen it all .They have seen the worst case scenarios.They have seen life and death situations.Nurses are compassionate and very kind.
True love cannot be found where it does not exist nor can it be denied where it does.-Torquato Tasso.

Income Stability.:Nurses income are stable .Most Nurses are credit worthy.Nurses are in high demand.Good benefits packages,401k,457 and good retirement package.

No Dull Moment: Nurses have great sense of humor .There is no dull moment with a nurse.A Nurse is a human being that also need to be pampered.

Travelers: Nurses love to travel .They believe that life is too short,so they want to enjoy and see the other side of the world.Visiting important places in the world.Nurses understand life very well.

Catalyst: Nurses are agent of change .They like to work and turn things around for the best.

Obedient: Nurses are very obedient,they comply with the rules and regulations of the hospitals, in order to move the establishment forward.