Charge Nurse Quotes

Let whoever is in charge keep this simple question in her head (not, how can I always do this right thing myself, but) how can I provide for this right thing to be always done?

To be "in charge" is certainly not only to carry out the proper measures yourself but to see that every one else does so too; to see that no one either willfully or ignorantly thwarts or prevents such measures. It is neither to do everything yourself nor to appoint a number of people to each duty, but to ensure that each does that duty to which he is appointed.

The group had an atomic structure: a nucleus of nuts surrounded by darting, nervous nurse-electrons charged with our protection.

PTSD seems to have an even higher prevalence and greater severity following violence or disaster that is man-made; natural disasters, "acts of God," seem somehow easier to accept. (...). This is the case with acute stress reactions, too: I see it often with my patients in hospital, who can show extraordinary courage and calmness in facing the most dreadful diseases but fly into a rage if a nurse is late with a bedpan or a medication. The amorality of nature is accepted, whether it takes the form of a monsoon, an elephant in musth, or a disease; but being subjected helplessly to the will of others is not, for human behavior always carries (or is felt to carry) a moral charge.

I have already computed the charge of nursing a beggar’s child ... to be about two shillings per annum, rags included; and I believe no gentleman would repine to give ten shillings for the carcass of a good fat child, which, as I have said, will make four dishes of excellent nutritive meat. Those who are more thrifty (as I must confess the times require) may flay the carcass; the skin of which artificially dressed will make admirable gloves for ladies, and summer boots for fine gentlemen.

Six witnesses affirmed that Jacoba had cured them, even after numerous doctors had given up, and one patient declared that she was wiser in the art of surgery and medicine than any master physician or surgeon in Paris. But these testimonials were used against her, for the charge was not that she was incompetent, but that—as a woman—she dared to cure at all.

Do you want to speak to the man in charge—or the nurse who knows what’s going on?

I sank into the chair and checked to see if the charge nurse could see me—not if I didn’t lean out too far. The night was looking up! Two patients who ought to sleep all night long, and an Internet connection. How lucky was I? Pretty damn lucky, at least until someone needed a diaper change.

The punishments could be terrible. If a nurse aided and abetted an affair of a young woman in her charge, she would be punished by having molten lead poured down her throat.

A little later, when breakfast was over and I had not yet gone up-stairs to my room, I had my first interview with Doctor Brandon, the famous alienist who was in charge of the case. I had never seen him before, but from the first moment that I looked at him I took his measure, almost by intuition. He was, I suppose, honest enough -- I have always granted him that, bitterly as I have felt toward him. It wasn't his fault that he lacked red blood in his brain, or that he had formed the habit, from long association with abnormal phenomena, of regarding all life as a disease. He was the sort of physician -- every nurse will understand what I mean -- who deals instinctively with groups instead of with individuals. He was long and solemn and very round in the face; and I hadn't talked to him ten minutes before I knew he had been educated in Germany, and that he had learned over there to treat every emotion as a pathological manifestation. I used to wonder what he got out of life -- what any one got out of life who had analyzed away everything except the bare structure.

My emotional range is limited. I can’t do grief, but rage is my friend. For instance, I hate death by sickness. It is nothing like Homer, the Old Testament, and Tolkien led me to expect. It is not noble and awe-inspiring. No one delivers a final soliloquy. It is as abrupt and banal as the flicking of a switch. The squiggly line on the monitor straightens out, the defibrillator doesn’t even go whomp, the epinephrine is useless, the nurse doing CPR looks up and even before the doctor pronounces the words, you know. This is not what death should be. Death, the reason for religion, the subject of great literature, the certainty we spend our lives warding off, the giant mystery that looms over everything we do, death should be spectacular, not pity-inducing, a bang and not a whimper. A huge ball of fire, a shower of sparks, a final charge into the ranks of your enemies, a terrific explosion, a backward dive into the fiery pit. Not. . . this.

I felt the familiar charge of responsibility. It had a narcotic effect on me, this sense of mild suffering, the feeling of being needed, of being poised to go through something. If he was sick, I would nurse him back to health. I relished the idea.

It’s not easy to feel good about yourself when you are constantly being told you’re rubbish and/or part of the problem. That’s often the situation for people working in the public sector, whether these be nurses, civil servants or teachers. The static metrics used to measure the contribution of the public sector, and the influence of Public Choice theory on making governments more ‘efficient’, has convinced many civil-sector workers they are second-best. It’s enough to depress any bureaucrat and induce him or her to get up, leave and join the private sector, where there is often more money to be made. So public actors are forced to emulate private ones, with their almost exclusive interest in projects with fast paybacks. After all, price determines value. You, the civil servant, won’t dare to propose that your agency could take charge, bring a helpful long-term perspective to a problem, consider all sides of an issue (not just profitability), spend the necessary funds (borrow if required) and – whisper it softly – add public value. You leave the big ideas to the private sector which you are told to simply ‘facilitate’ and enable. And when Apple or whichever private company makes billions of dollars for shareholders and many millions for top executives, you probably won’t think that these gains actually come largely from leveraging the work done by others – whether these be government agencies, not-for-profit institutions, or achievements fought for by civil society organizations including trade unions that have been critical for fighting for workers’ training programmes.

It was getting late, but sleep was the furthest thing from my racing mind. Apparently that was not the case for Mr. Sugar Buns. He lay back, closed his eyes, and threw an arm over his forehead, his favorite sleeping position. I could hardly have that. So, I crawled on top of him and started chest compressions. It seemed like the right thing to do. "What are you doing?" he asked without removing his arm. "Giving you CPR." I pressed into his chest, trying not to lose count. Wearing a red-and-black football jersey and boxers that read, DRIVERS WANTED. SEE INSIDE FOR DETAILS, I'd straddled him and now worked furiously to save his life, my focus like that of a seasoned trauma nurse. Or a seasoned pot roast. It was hard to say. "I'm not sure I'm in the market," he said, his voice smooth and filled with a humor I found appalling. He clearly didn't appreciate my dedication. "Damn it, man! I'm trying to save your life! Don't interrupt." A sensuous grin slid across his face. He tucked his arms behind his head while I worked. I finished my count, leaned down, put my lips on his, and blew. He laughed softly, the sound rumbling from his chest, deep and sexy, as he took my breath into his lungs. That part down, I went back to counting chest compressions. "Don't you die on me!" And praying. After another round, he asked, "Am I going to make it?" "It's touch-and-go. I'm going to have to bring out the defibrillator." "We have a defibrillator?" he asked, quirking a brow, clearly impressed. I reached for my phone. "I have an app. Hold on." As I punched buttons, I realized a major flaw in my plan. I needed a second phone. I could hardly shock him with only one paddle. I reached over and grabbed his phone as well. Started punching buttons. Rolled my eyes. "You don't have the app," I said from between clenched teeth. "I had no idea smartphones were so versatile." "I'll just have to download it. It'll just take a sec." "Do I have that long?" Humor sparkled in his eyes as he waited for me to find the app. I'd forgotten the name of it, so I had to go back to my phone, then back to his, then do a search, then download, then install it, all while my patient lay dying. Did no one understand that seconds counted? "Got it!" I said at last. I pressed one phone to his chest and one to the side of his rib cage like they did in the movies, and yelled, "Clear!" Granted, I didn't get off him or anything as the electrical charge riddled his body, slammed his heart into action, and probably scorched his skin. Or that was my hope, anyway. He handled it well. One corner of his mouth twitched, but that was about it. He was such a trouper. After two more jolts of electricity--it had to be done--I leaned forward and pressed my fingertips to his throat. "Well?" he asked after a tense moment. I released a ragged sigh of relief,and my shoulders fell forward in exhaustion. "You're going to be okay, Mr. Farrow." Without warning, my patient pulled me into his arms and rolled me over, pinning me to the bed with his considerable weight and burying his face in my hair. It was a miracle!

The aged Summerlea nurse pushed past Valik and Laci and stalked over to his sickbed. “You are supposed to be sleeping.” Her face scrunched up in an expression of severe disapproval. She didn’t care that he was king. She chided him like she might any misbehaving schoolboy. He almost smiled. It was clear Tildavera Greenleaf was accustomed to being in charge, and equally accustomed to speaking her mind and having her orders obeyed. But this was one order he had no intention of heeding. “I’ve slept long enough. Khamsin told me you were the best healer in all of Mystral, and it’s clear she wasn’t exaggerating. You did a fine job bringing me back from the brink of death. I’m sure you can keep me clinging to life a while longer.” The old woman’s lips pursed. “My patients do not ‘cling to life,’ ” she snapped. “I pride myself on their making a full and miraculous recovery. But carting them all about the countryside with their insides hanging out is not at all conducive to that outcome!

If Dr. Good missed the birth of the baby, he could not charge his extremely high fee of $125 for prenatal care and delivery. When holding Rose’s legs together failed to keep the baby from coming, the nurse resorted to another, more dangerous practice: holding the baby’s head and forcing it back into the birth canal for two excruciating hours.

As we stood on our doorsteps and clanged our pans, politicians were handing out billion-pound contracts to their mates. As we put rainbows in our windows, nursing home residents were being all but murdered by their idiotic policies. And throughout, as NHS staff put their lives at risk, as they worked double and triple shifts, as the PPE cut into their faces, as they moved out of their family homes for months on end, the ghouls in charge seemed far more concerned with their own appearances and legacies. And there’s still nothing approaching an assurance that the NHS won’t be sold off in five years’ time, plunging us into an unfair insurance-based system that mostly benefits the former politicians who stuff the boardrooms of private medicine.

Galsworthy made one of his characters—a lawyer, I think—say that once you have set in motion the chariot wheels of Justice, you can do nothing at all to arrest or deflect their progress. Lady O'Callaghan, that is the exact truth. You, very properly, decided to place this tragic case in the hands of the police. In doing so you switched on a piece of complicated and automatic machinery which, once started, you cannot switch off. As the police officer in charge of this case I am simply a wheel in the machine. I must complete my revolutions.

And I knew, I knew as I answered her that I was breaking a rule of conduct which was there to protect them and me equally. Therapists, teachers, doctors, nurses: none of them should share their personal lives with their charges. It isn’t appropriate or fair. They aren’t friends, even if they take your advice, even if they rely on it, even when they share their darkest thoughts and deepest wishes with you. You must never reciprocate and share your feelings, hopes and fears, because in doing so you damage your respective roles in each other’s lives beyond repair.

You have to imagine what it was like to be on the receiving end of vicious antagonism: sneering, contempt, ridicule, slights about one’s intelligence, integrity and motives. In those days, women even ran the risk of dismissal for their opinions. And this treatment came from other women, as well as men. In fact, “in-fighting” between various schools of nurses who had some sort of training in midwifery was particularly nasty. One eminent lady – the matron of St Bartholomew’s Hospital – branded the aspiring midwives as “anachronisms, who would in the future be regarded as historical curiosities”. The medical opposition seems to have arisen mainly from the fact that “women are striving to interfere too much in every department of life”.* Obstetricians also doubted the female intellectual capacity to grasp the anatomy and physiology of childbirth, and suggested that they could not therefore be trained. But the root fear was – guess what? – you’ve got it, but no prizes for quickness: money. Most doctors charged a routine one guinea for a delivery. The word got around that trained midwives would undercut them by delivering babies for half a guinea! The knives were out.

Also in America, the Redemptorist priest and founder of the Paulist order, Fr. Isaac Hecker, was a great admirer of St. Catherine, seeing in her the perfect foil to those who claimed that Catholicism promotes a mechanical piety or fosters a sanctity unconcerned with the real needs of suffering humanity in society. To the latter charge he replied forcefully: "Read the life of St. Catherine, and in imagination fancy her in the city hospital of Genoa, charged not only with the supervision and responsibility of its finances, but also overseeing the care of its sick inmates, taking an active, personal part in its duties as one of its nurses, and conducting the whole establishment with strict economy, perfect order, and the tenderest care and love!

Work’us,” said Noah, “how’s your mother?” “She’s dead,” replied Oliver; “don’t you say anything about her to me!” Oliver’s colour rose as he said this; he breathed quickly; and there was a curious working of the mouth and nostrils, which Mr. Claypole thought must be the immediate precursor of a violent fit of crying. Under this impression he returned to the charge. “What did she die of, Work’us?” said Noah. “Of a broken heart, some of our old nurses told me,” replied Oliver: more as if he were talking to himself, than answering Noah. “I think I know what it must be to die of that!” “Tol de rol lol lol, right fol lairy, Work’us,” said Noah, as a tear rolled down Oliver’s cheek. “What’s set you a snivelling now?” “Not you,” replied Oliver, sharply. “There; that’s enough. Don’t say anything more to me about her; you’d better not!” “Better not!” exclaimed Noah. “Well! Better not! Work’us, don’t be impudent. Your mother, too! She was a nice ’un she was. Oh, Lor!” And here, Noah nodded his head expressively; and curled up as much of his small red nose as muscular action could collect together, for the occasion. “Yer know, Work’us,” continued Noah, emboldened by Oliver’s silence, and speaking in a jeering tone of affected pity: of all tones the most annoying: “Yer know, Work’us, it can’t be helped now; and of course yer couldn’t help it then; and I am very sorry for it; and I’m sure we all are, and pity yer very much. But yer must know, Work’us, yer mother was a regular right-down bad ’un.” “What did you say?” inquired Oliver, looking up very quickly. “A regular right-down bad ’un, Work’us,” replied Noah, coolly. “And it’s a great deal better, Work’us, that she died when she did, or else she’d have been hard labouring in Bridewell, or transported, or hung; which is more likely than either, isn’t it?” Crimson with fury, Oliver started up; overthrew the chair and table; seized Noah by the throat; shook him, in the violence of his rage, till his teeth chattered in his head; and collecting his whole force into one heavy blow, felled him to the ground.

Twas the night before Christmas and in SICU All the patients were stirring, the nurses were, too. Some Levophed hung from an IMED with care In hopes that a blood pressure soon would be there. One patient was resting all snug in his bed While visions—from Versed—danced in his head. I, in my scrubs, with flowsheet in hand, Had just settled down to chart the care plan. Then from room 17 there arose such a clatter We sprang from the station to see what was the matter. Away to the bedside we flew like a flash, Saved the man from falling, with restraints from the stash. “Do you know where you are?” one nurse asked while tying; “Of course! I’m in France in a jail, and I’m dying!” Then what to my wondering eyes should appear? But a heart rate of 50, the alarm in my ear. The patient’s face paled, his skin became slick And he said in a moment, “I’m going to be sick!” Someone found the Inapsine and injected a port, Then ran for a basin, as if it were sport. His heart rhythm quieted back to a sinus, We soothed him and calmed him with old-fashioned kindness. And then in a twinkling we hear from room 11 First a plea for assistance, then a swearing to heaven. As I drew in my breath and was turning around, Through the unit I hurried to respond to the sound. “This one’s having chest pain,” the nurse said and then She gave her some nitro, then morphine and when She showed not relief from IV analgesia Her breathing was failing: time to call anesthesia. “Page Dr. Wilson, or May, or Banoub! Get Dr. Epperson! She ought to be tubed!” While the unit clerk paged them, the monitor showed V-tach and low pressure with no pulse: “Call a code!” More rapid than eagles, the code team they came. The leader took charge and he called drugs by name: “Now epi! Now lido! Some bicarb and mag! You shock and you chart it! You push med! You bag!” And so to the crash cart, the nurses we flew With a handful of meds, and some dopamine, too! From the head of the bed, the doc gave his call: “Resume CPR!” So we worked one and all. Then Doc said no more, but went straight to his work, Intubated the patient, then turned with a jerk. While placing his fingers aside of her nose, And giving a nod, hooked the vent to the hose. The team placed an art-line and a right triple-lumen. And when they were through, she scarcely looked human: When the patient was stable, the doc gave a whistle. A progress note added as he wrote his epistle. But I heard him exclaim ere he strode out of sight, “Merry Christmas to all! But no more codes for tonight!” Jamie L. Beeley Submitted by Nell Britton

For progressives, Obamacare was a prize. The prize was control of the huge American health care system, representing virtually one-sixth of the whole economy. Obamacare put progressives in charge of more than 10 million doctors, dentists, pharmacists, nurses, and technicians and support staff. Obamacare gave progressives control of more than five thousand hospitals and almost a million hospital beds. The system included hospitals and also drug companies, insurance companies, and the producers of hospital equipment, not to mention research and educational institutions. Obamacare was a heist with a very big payoff.

Humbled once more by her selflessness, Alistair watched as Ana took charge of the menders. She did more than delegate orders; she helped nurse the injured with her own hands, no matter how small or great the wound, while he saw to his remaining guardsmen.

All those songs I used to pretend to understand, all the angsty, heartbroken songs I had heard all my life, they suddenly made so much more sense. "Well, then she probably needs a giant coffee, a huge box of your creations, and some time to nurse her feelings in private, don't you think?" Brantley Dane, local hero, saves girl from sure death brought on by sheer mortification. That'd be his headline. "Come on, sweetheart," he said, moving behind me, casually touching my hip in the process, and going behind counter. "What's your poison? Judging by the situation, I am thinking something cold, mocha or caramel filled and absolutely towering with full fat whipped cream." That was exactly what I wanted. But, broken heart aside, I knew I couldn't let myself drown in sweets. Gaining twenty pounds wasn't going to help anything. There was absolutely no enthusiasm in my voice when I said, "Ah, actually, can I have a large black coffee with one sugar please?" "Not that I'm not turned on as all fuck by a woman who appreciates black coffee," he started, making me jerk back suddenly at the bluntness of that comment and the dose of profanity I wasn't accustomed to hearing in my sleepy hometown. "But if you're only one day into a break-up, you're allowed to have some full fat chocolate concoction to indulge a bit. I promise from here on out I won't make you anything even half as food-gasm-ing as this." He leaned across the counter, getting close enough that I could see golden flecks in his warm brown eyes. "Honey, not even if you beg," he added and, if I wasn't mistaken, there was absolutely some kind of sexually-charged edge to his words. "Say yes," he added, lips tipping up at one corner. "Alright, yes," I agreed, knowing I would love every last drop of whatever he made me and likely punish myself with an extra long run for it too. "Good girl," he said as he turned away. And there was not, was absolutely not some weird fluttering feeling in my belly at that. Nope. That would be completely insane. "Okay, I got you one of everything!" my mother said, coming up beside me and pressing the box into my hands. She even tied it with her signature (and expensive, something I had tried to talk her out of many times over the years when she was struggling financially) satin bow. I smiled at her, knowing that sometimes, there was nothing liked baked goods from your mother after a hard day. I was just lucky enough to have a mother who was a pastry chef. "Thanks, Mom," I said, the words heavy. I wasn't just thanking her for the sweets, but for letting me come home, for not asking questions, for not making it seem like even the slightest inconvenience. She gave me a smile that said she knew exactly what I meant. "You have nothing to thank me for." She meant that too. Coming from a family that, when they found out she was knocked up as a teen, had kicked her out and disowned her, she made it clear all my life that she was always there, no matter what I did with my life, no matter how high I soared, or how low I crashed. Her arms, her heart, and her door were always open for me. "Alright. A large mocha frappe with full fat milk, full fat whipped cream, and both a mocha and caramel drizzle. It's practically dessert masked as coffee," Brantley said, making my attention snap to where he was pushing what was an obnoxiously large frappe with whipped cream that was towering out of the dome that the pink and sage straw stuck out of. "Don't even think about it, sweetheart," he said, shaking his head as I reached for my wallet. "Thank you," I smiled, and found that it was a genuine one as I reached for it and, in a move that was maybe not brilliant on my part, took a sip. And proceeded to let out an almost porn-star worthy groan of pure, delicious pleasure. Judging by the way Brant's smile went a little wicked, his thoughts ran along the same lines as well.

charge nurse”: a bedside RN who functions as a manager for that particular shift. Charge nurses—also called resource nurses at some hospitals—assign patients to staff, troubleshoot, and perform set administrative tasks, such as making sure the crash cart (a toolbox of equipment and drugs we need in an emergency) is ready to go.

Mindfulness puts you in charge of where you place your attention. Then, when you are less preoccupied with concerns and worries, you have more energy available to attend to your work.

Nurse, nurse,” the soldier reached out toward her with his uninjured hand, “Nurse, could you hold my hand?” And as Maisie took his hand in hers, the young man smiled. “Thank you, nurse.” Suddenly Maisie was aware that someone was bending back the soldier’s fingers and moving his arm to his side, and she looked up at the nursing Sister in charge. An army chaplain placed his hand on her shoulder for barely a second before lifting it to perform last rites over the young soldier’s not-yet-cold body, while two stretcher-bearers waited to remove him to allow room for more wounded.

This rip-off relied on a series of blatant lies. “If you like your health care plan, you can keep your plan.” “If you like your doctor, you can keep your doctor.” “The average family will save more than $2,400 per year.” “Health care costs will decline.” “Health care premiums will go down.” “Everyone in this country will now have health insurance.” Even though Obama kept saying these things, none of them was true. These statements were simply part of the con man’s “pitch.” For progressives, Obamacare was a prize. The prize was control of the huge American health care system, representing virtually one-sixth of the whole economy. Obamacare put progressives in charge of more than 10 million doctors, dentists, pharmacists, nurses, and technicians and support staff. Obamacare gave progressives control of more than five thousand hospitals and almost a million hospital beds. The system included hospitals and also drug companies, insurance companies, and the producers of hospital equipment, not to mention research and educational institutions. Obamacare was a heist with a very big payoff.

When the security guard walked past the infirmary, he noticed the open door. Gun drawn, he charged into the room and pulled the nurse away despite her protestations. After she complained about the incident, the warden released several photographs of Allander’s victims for her perusal. She sat down after the second one, requested a glass of water after the fifth, and turned in her resignation after the seventh. Through the bars on his window, Allander watched her leave the prison, shaking her head, her steps slow and unsure.

Chapter 15 Grace One morning, after an uneventful sojourn at the bath house. The ward received a rare visit from the Physician Superintendent. He walked into the day room accompanied by the charge nurse just as me and Art were preparing the patients for lunch. “Do you say Grace before meals?” inquired the Superintendent of the charge. “Yes Sir.” The charge was well aware of the hospital rules and snapped almost to attention in reply. His response was true. Our charge, being a stickler for the rule book of the institution, always insisted on saying grace. The order was; “Stand behind your chairs.” Usually bellowed by the deputy although Art and I occasionally got the chance. The seventy odd patients milling round in the dining gallery would stand behind their chairs in absolute silence. Years of institutional living had taught them that meals would only be served after a period of absolute silence, followed by grace. The charge, not leaving his chair, would open his office door and poking his head out would call. “For whayouare aboutorecieve maythelor mayoutruly thankful.” To which the patients would dutifully chorus “Amen” and sit down to eat. On this day the “Big Chief” was present and Art and I could tell things were going to be different. “Stand behind your chairs.” Was said. Nothing happened.—Louder, “Stand behind your chairs.” Nothing.—Art bellowed “Stand behind your chairs.” The effect was electric and the mass moved into its lunchtime position of silence standing behind their chairs in the dining room. The charge had slipped into his long white nursing coat. He was going to assist with lunch. He moved away from the side of the Physician Superintendent and stood in the centre of the dining room. There he adopted a posture which he adjudged spiritually appropriate. Hands clasped in front of him, eyes lowered, he bowed his head. Not wishing to get on the wrong side of our boss. Art and I stood one either side of him and followed suit. Absolute silence reigned. Before the charge could proceed any further with this charade the ward kitchen door opened to reveal Benny and Jimmy. They were two long standing ward worker patients who’s job it was to prepare the plates on the servery ready for the meal. Patients assisting with serving meals was against the “rules” and Benny realising that the Superintendent was present blurted out. “For Christ’s sake shut that bloody door.” Seventy nine patients solemnly responded with “Amen.” and promptly sat down in eager anticipation of their dinner. “I see.” said the Physician Superintendent and walked poker faced from the dining room with the red faced charge trailing in his wake. We never said Grace again after that.

You let her get away?” Caine demanded, forgetting Sam for the moment. “I didn’t let her get away. They were in the room with me. The girl was pissing me off so I smacked her. Then they disappeared. Gone.” Caine shot a murderous look at Diana. Diana said, “No. She was months away from turning fifteen. And, anyway, her little brother is four.” “Then how?” Caine furrowed his brow. “Can it be the power?” Diana shook her head. “I read Astrid again on the way here. She’s barely at two bars. No way. Two people teleporting?” The color drained from Caine’s face. “The retard?” “He’s autistic, he’s like in his own world,” Diana protested. “Did you read him?” “He’s a little autistic kid, why would I read him?” Caine turned to Sam. “What do you know about this?” He raised his hand, a threat. His face inches from Sam’s, he screamed, “What do you know?” “Well. I know that I enjoy seeing you scared, Caine.” The invisible fist sent Sam sprawling on his back. Diana, for the first time, looked worried. Her usual smirk was gone. “The only time we saw teleporting was Taylor up at Coates. And she could only go across a room. She was a three. If this kid can teleport himself and his sister through walls…” “He could be a four,” Caine said softly. “Yes,” Diana said. “He could be a four.” When she said the word “four,” she looked straight at Sam. “He could be even more.” Caine said, “Orc, Howard: lock Sam up, tie him down so he can’t get that Mylar off his hands, then get Freddie to help you. He’s done plastering before, he knows what to do. Get whatever you need from the hardware store.” He grabbed Drake by the shoulder. “Find Astrid and that kid.” “How am I going to catch them if they can just zap out whenever they want?” “I didn’t say catch them,” Caine said. “Take a gun, Drake. Shoot them both before they see you.” Sam charged at Caine and plowed into him before he could react. The momentum carried them both to the floor. Sam headbutted Caine in the nose. Caine was slow to recover, but Drake and Orc swarmed over Sam and kicked him off Caine. Sam groaned in pain. “You can’t kill people, Caine. Are you crazy?” “You hurt my nose,” Caine said. “You’re screwed up, Caine. You need help. You’re insane.” “Yeah,” Caine said, touching his nose and wincing at the pain. “That’s what they keep telling me. It’s what Nurse Temple…Mom…told me. Just be glad I need to keep you around, Sam. I need to see you blink out, figure out how to keep it from happening to me. Orc, take this hero away. Drake: go.” “If you hurt them, Drake, I’ll hunt you down and kill you,” Sam shouted. “Don’t waste your breath,” Diana said to him. “You don’t know Drake. Your girlfriend’s as good as dead.

Nothing, nothing at all, is more devastating to a nurse than to be pulled away from the patients in her charge, the lives entrusted to her.

Oh, and what about the nurse? She was fired and charged as a criminal. That’s Newton, too. If there are really bad effects, there must have been really bad causes. A dead patient means a really bad nurse. Much worse than if the patient had survived. So much worse, she’s got to be a criminal. Must be. We can’t escape Newton even in our thinking about one of the most difficult areas of safety: accountability for the consequences of failure.

The very first element for having control over others is, of course, to have control over oneself. If I cannot take charge of myself, I cannot take charge of others. The next, perhaps, is—not to try to "seem" anything, but to be what we would seem. A person in charge must be felt more than she is heard—not heard more than she is felt. She must fulfil her charge without noisy disputes, by the silent power of a consistent life, in which there is no seeming, and no hiding, but plenty of discretion. She must exercise authority without appearing to exercise it.

age of computers and programming, and he couldn’t understand either. Sure, he could send emails, had even mastered Word and Excel, but apart from that, the complexities of the machine left him baffled. There was unemployment, but he had never taken the dole, or he could go overseas, try his luck on an oil rig. Even if that were possible, he didn’t want to go, but these were desperate times, and now, to add confusion, there was a solution. Betty Galton, his former sister-in-law, had in her possession a million pounds in gold. He opened his laptop and switched it on. How does one melt gold? How does one dispose of it? he thought. He entered the search terms, fingering one key at a time, and pressed enter. If a criminal act was committed during the planning stage, then he was guilty as charged. And for once, he did not care. He hummed a tune to himself. It had been some time since he had been contented. For that night, he would forget what would be required and envisage what his life could be like with money in his pocket. Maybe a small place in the country, a dog, possibly a woman. How long had it been since he had enjoyed the closeness of another’s skin? He picked up his phone and made a call. It was a special treat for himself and for once the budget was going to be blown. He knew she’d look after him, the way she looked after so many others. Chapter 11 Clare woke early the next day; her phone was ringing. She leant over and picked it up. ‘Yarwood, I’m at the hospital,’ Tremayne said. She could tell by his voice that something was amiss. ‘I’ll be there in fifteen.’ ‘Thanks, and don’t tell anyone.’ A quick shower, some food for her cat, and Clare was out of her cottage. A murder enquiry was serious; her boss being ill, more so. Parking at the hospital, she soon found her way to outpatients, meeting someone she knew. ‘It’s Tremayne, he’s not well,’ Clare said. ‘And please, not a word to anyone.’ The woman, a friend, understood. Inside, behind some screens, Tremayne was lying flat on his back. His shoes had been removed, and his tie had been loosened. ‘How long have you been here?’ Clare said. She knew Tremayne would not appreciate lashings of sympathy, although he looked dreadful. ‘Since last night. I’d had a few drinks, a few cigarettes, and all of a sudden I’m in the back of an ambulance.’ ‘Does Jean know?’ ‘Not yet. Maybe you can phone her. She went to see her son for a few days, left me on my own.’ ‘Off the leash and into trouble, that’s you, guv.’ ‘Not today, Yarwood. Maybe Moulton’s right about me retiring.’ ‘Having you feeling sorry for yourself isn’t going to help, is it?’ The nurse, standing on the other side of the bed, looked over at Clare disapprovingly. ‘It’s how we work,’ Clare said. ‘That may be the case, but Mr Tremayne has had a bit of a scare. He needs to be here for a few days while we conduct a few checks.’ ‘What’s the problem?’ ‘It’s not for me to say. That’s for the doctor.’ ‘He told me to cut down on the beer, quit smoking, and take it easy.’ ‘Retire, is that it?’ Clare said. ‘They don’t get it, do they?’ Tremayne looked over at the nurse who was monitoring his condition. ‘Sorry. We’ve got a murder to deal with, nothing personal.’ ‘Don’t worry about me. We get our fair share of people, men mainly, who think they’re invincible. You’re not the first, not the last, who thinks they know more

Many East Siders pushed the MTA to add a station at 96th Street. Metropolitan Hospital, a city-owned facility located at 97th Street, sent about one hundred doctors, nurses, and other employees to the hearing. One of its directors charged the MTA with “brutal insensitivity toward the sick poor” and said it was not a coincidence that Rockefeller University and New York Hospital, where the governor was a major benefactor, would have much more convenient access. After the hearing, which lasted four hours and fifteen minutes, the MTA board subsequently voted to add a new station at 96th Street. The Bronx did not have as much political clout as the Upper East Side.

In the good old days, every man’s son, born in wedlock, was brought up not in the chamber of some hireling nurse, but in his mother’s lap, and at her knee. And that mother could have no higher praise than that she managed the house and gave herself to her children . . . In the presence of such a one no base word could be uttered without grave offence, and no wrong deed done. Religiously and with the utmost diligence she regulated not only the serious tasks of her youthful charges, but their recreations also and their games. It was

Molly had heard that some staff nurses treated agency nurses poorly, but she was surprised now that it was happening to her. “If the agency nurses weren’t there, the staff nurses would have a much higher patient ratio,” she explained. “We make their job easier, but they’re rude and unfair.” Another agency nurse had told Molly that one day she had arrived at an ER that had a total of seven patients. The charge nurse assigned her all seven. When the nurse asked why, the charge nurse said, “You’re agency. You’re getting paid more than us. You can handle it.

A consultant I once worked for was renowned for his warmth and kindness. (..) A colleague told me, confidentially, that this same consultant was also in charge of a ward located in another hospital where patients were bound in restraints, force-fed and abused by a team of sadistic nurses. (..) Was the kindly consultant for whom I had so much respect an authentic Jekyll and Hyde? I doubt I would have remembered this story—it still sounds to me like an urban legend—were it not for the fact that I had had first-hand experience of equally odd characters and situations in other hospital settings.

Every woman, or at least almost every woman, in England has, at one time or another of her life, charge of the personal health of somebody, whether child or invalid,—in other words, every woman is a nurse.

I kept thinking how grateful I felt to have been part of this magnificent team. For five months we had been one unit, all specialists and all tackling the same problem together. The staff at the pediatric ICU and the consultants in the children's center reacted spectacularly. They rallied behind us and spent countless hours without charge, working to make this operation successful. As pessimistic as I was about the eventual outcome of the surgery, I still felt a glow of pride in being able to work side by side with the best men and women in the medical field. And the end of the surgery wasn't the end of our teamwork. The postoperative care was as spectacular as the surgery. Everything in the weeks following the surgery confirmed again our togetherness. It seemed as if everyone from ward clerks to orderlies to nurses had become personally involved in this historic event. We were a team--a wonderful, marvelous team.