ABSTRACT

A nurse working the night shift in a busy urban hospital makes her evening rounds-reviewing patients’ treatment plans, taking temperatures, and administering medications. She notices that the dosage for one of the patient’s meds seems a bit high. Fleetingly, she considers calling the doctor at home to check the order. Just as fleetingly, she recalls the doctor’s disparaging comments about her abilities the last time she called. All but certain the dose is in fact fine (the patient has an unusual condition and is on an experimental protocol, justifying the high dose), she pulls the drug from the supply cabinet and heads for the patient’s bed.