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RNs on the other hand usually only did the more technically trained, intellectually educated activities, such as giving various types of injections, passing oral medications, managing IVs, doing treatments, changing dressings when the doctor was not involved, and so forth, which did not require the RN to roll up her sleeves

If you dont need a gluten-free option, you can use regular soy sauce

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Were skipping that since most people have squeamish feelings about it and dont have it on hand anyway