I wanted to explain what happened to me... - page 10

Hey everyone... I want to thank everyone for the prayers. I'm sorry I haven't been able to explain why I needed them and what I meant by saying I was in trouble, but I have recovered enough... Read More

  1. by   tryingtomakeit
    Just wanted to tell you that I am rooting for you and praying for you. I know how dark this all must seem to you right now, but as a woman who has been through enough to drive the average person insane, I can tell you that time heals. < BIG HUG >

    Tammy
  2. by   RebeccaJeanRN
    Quote from lorialabamarn
    ...i work 11p-7a as the supervisor of a nursing home. last sunday night i worked. monday morning after work i went to visit my grandmother in georgia, not intending to be gone all day. she has been diagnosed with a brain tumor and has decided to refuse any treatment- she wants to let it take her course and rejoin my grandfather who died three years ago. this is devastating to me because i am very close with her. i ended up being with her all day and getting home around 9pm. i had to be at work at 11, so i decided not to sleep since it would make me more groggy to get less than an hour of sleep than it would if i just stayed up. despite my best efforts, i fell asleep around 9:30 and when my alarm went off at 10 i was in bad shape- disoriented and nauseous. i decided to take an ephedrine tablet and set the alarm ahead 20 minutes so that when it went off the ephedrine would be in my system. i hardly ever take it but when i do i take an atenolol with it because it makes my bp go up and my heart race. the atenolol was prescribed to me a year ago, but since losing almost 100 pounds my bp has been normal and i haven't had to take it regularly. anyhow, when the alarm went off again i was still really nauseous and tired but i got ready and went to work. i felt weird- sort of detached and sluggish but i figured it was because of lack of sleep. i'd gone without sleep before so i thought i'd be fine.

    at about 3am, however, my don showed up. i was surprised to see her, but she told me she just had paperwork to do. it seemed like she was observing me though, and soon the truth came out- someone had called her at home, woken her up and stated that i seemed impaired. after watching me, she declared probable cause and accused me of being on drugs. i was shocked and scared and denied it- i have prescription narcotics for my back ( i broke it 7 years ago and am trying to avoid surgery for as long and possible) but i never take them within 12 hours of work- never. i was made to feel like a criminal. three days later i found the bottle of atenolol in a totally different location than i thought. apparently i took an ambien instead...once i figured this out, i tried to explain it to her, but since the drug test had already been sent out i still couldn't work until the results came in. it took eight days instead of three because of the positive for opiates resulting in a differentiating test. the only thing that showed up (of course) is one of my prescription narcotics (lortab). the lady from the drug testing center called me this morning and i had to bring over my prescription bottle to confirm it...
    lori- my heart goes out to you, it really does. you have a boatload of pressures (financial, your grandmother, your back problem, and now morale too!)- but i'm thinking that maybe there is an unacknowledged drug problem here too. i hope you will be open minded to this, should i be correct...according to your post, the reason the don was called to observe you is because you were acting impaired and acknowledge feeling impaired. in addition, you acknowledge taking an ephedrine to wake up, using ambien and taking that in error along with it, and having a routine prescription for lortab. not only that, you say that the drug test was positive, and everyone here responded to your taking ambien and telling hr that, but nobody seemed to notice that your drug test was positive for lortab- and yet you said that you never take it within 12 hours of your shift. well your drug test was at 3 am. if you didn't take it within 12 hours of your shift, and the test wasn't done till 3 in the morning on top of that, then the half life would have put your level at too low to be picked up on a urine screen. can't help being suspicious that you really do have some drug issues that you are in denial about. you were behaving on the job in such a way that the don was called to observe you- that alone means that you really were putting your patients at risk that night, even if it was an isolated event. and yet your greatest regret seems to be the mixup of your medications and your subsequent conclusion and admission of maybe accidentally taking an ambien before work. anyway, we can all help you here to put a good spin out for a new employer, and to help support you in morale- but part of that support means giving you honest feedback. [and i think that you really must want honest feedback because you are brave enough to share your story here with everyone!] with that intent, i pray that you look into your own heart and explore the possibility that this action was a real blessing because it prevented you from making an error that could have harmed a patient and cost you your license. if you think that losing a job is a big problem (and it is !!), just consider the other possibities, which are far worse!! in that regard you were given a second chance actually. and part of that second chance is the opportunity to honestly consider the possibility of a drug problem and what you should/can do if you think it may be true. i wish you the best and really promise that i'll keep you and your grandmother in my prayers!
  3. by   UM Review RN
    Quote from scarta105
    I hope this question doesn't upset anyone...not ment to, anyway, but how can a person confuse an ambien with a bp pill? Ambien is a tiny, thin, oblong tablet that doesn't look like any other pill I've ever seen. The shape alone should have a been clue.

    I take many pills each day: hormones, 2 different bp meds, antidepressant, and on occasion will take an ambien for sleep. I've also passed hundreds of drugs during the course of my employment as a nurse, and I've learned to recognize many just by their shape, color, and markings, although I always double and triple check what I am giving. I'm so use to utilizing the 5-rights of medicaiton administration, that I find myself doing the same with my husband and children.


    Scarta, this is excellent advice, I agree. But I have to tell you that when I'm sick, exhausted and at home, I've done the same thing Lori did. I've overdosed myself by accident on my BP med because I took it, fell asleep, woke up a few hours later (sick with a temp), forgotten that I took it, and took another one along with my other pills and Tylenol.

    Well, my heart rate dropped to the 30's and I felt like I was going to pass out for about 10 hours, and I felt like you-know-what. But it was a B-Blocker and they're kinda known for that, so I never caught on until the next morning when I counted my pills and realized that I must have taken an extra one.

    I called off that night because I discovered that I had a temp at some point. It was just by chance that my husband was home that night and when I told him how I felt, he handed me the phone and insisted that I stay home.

    So it could've happened to me. I'm totally goofy when I get a temp over 99.

    My point:

    We simply cannot have our lightswitch in the "On" position all the doggoned time. We're human.

    Any job that doesn't get it, isn't worth it.

    Lori, you just take it one day at a time and it'll all work out ok. I've read your posts and you're an experienced, thoughtful, excellent nurse with too much to offer to be stuck home for very long.

    Take care, and keep us posted, OK? :icon_hug:
  4. by   rehab nurse
    Correct me if I'm wrong, but I've seen several people suggest she might have a "drug problem".

    Now, I am no expert, and please I mean no harm here or flames to anyone!!

    This is what I think, as a back pain sufferer, and chronic pain patient myself for over 5 years. I now no longer work because without narcotics on a daily basis, I would be in severe pain. I need around the clock meds, and even then, I still hurt. I am awaiting disability, and will be moving back in with my parents and my two children.

    Here are my thoughts. Lori has a diagnoed medical condition which requires pain meds she can take every 4 hours as needed. More than likely, she takes them every day, even if she avoids them before work for 12 hours. BUT, she doesn't have a drug problem if she takes her meds AS PRESCRIBED. right? Her employer knows she takes those meds, as does her doctor. A drug screen will show lortab in her urine for up to 3 days after her last dose. Now, again I will say I am NO EXPERT, nor do I work with drug screens. This is what I was told by my own MD. Maybe I'm wrong, and if so, I apologize. Please, no one take me wrong here. I am just trying to understand things better.

    Why would Lori have a drug problem if she takes her meds as prescribed? A drug abuser takes meds not according to schedule, taking them by inappropriate routes (snorting, injecting) to get a high. Lori says she takes Naprosyn during work hours because she's SCARED of being targeted by someone at work for taking her OWN PRESCRIBED MEDS. I find this disheartening. Lori has severe back pain, and I feel so sad that those who are rx's pain meds are SCARED to take them even with doctor's permission. If her pain is uncontrolled, that might be worse than going to work with a lortab on board. Usually people who have been on narcotics for some time develop tolerance and don't get "high". they get pain relief. And her employer knew she had a script for those. Now, I don't know what their agreement was about taking them at work/out of work. And please, I am NOT meaning to be mean, or flame anyone here!!! I can't stress that enough. I am just trying to figure out what happened, how she can get back on her feet, and give her some support. I know some people believe a nurse should never go to work while on pain meds. I know some believe one can as long as it's acknowledged by employer, and it's ok by doctors, by employers, etc. And I also know some BON's forbid it. I know nurses who have worked and still do while taking narcotics. (Duragesic, oxycodone, lortab/vicodin, etc). They are working with permission from employer, MD's, etc.

    I know I am rambling here. There is a big difference between a person who is a drug abuser and someone who takes meds for a legit reason, as precribed. I just wanted to say I know how it feels to be in pain, and that I feel for Lori who has to suffer at work in pain because she's scared to take her prescribed meds for pain. I also wanted to say for the poster who said she showed positive for Lortab despite "not taking it 12 hours before shift". Maybe someone here can inform me about drug screens. What I was told was that if someone takes it every day, it WILL show up on a drug screen, even if it was 3 days ago. So her test would be positive at 3am, even if she didn't take it since 11am the morning before her shift. maybe my MD is wrong, but i trust him.

    okay, back to thread. please don't anyone take what I said personally, I am just stating my opinion, and what my knowledge is about DS. I acknowledge I am certainly no expert, so maybe someone here can teach me something!!!

    Lori, I hope you are spending some alone time, and some relaxing time this weekend. And I hope you are not in pain, and that you go get a better job Monday. Hugs my friend.
  5. by   rach_nc_03
    Quote from RebeccaJeanRN
    In addition, you acknowledge taking an Ephedrine to wake up, using Ambien and taking that in error along with it, and having a routine prescription for Lortab. Not only that, you say that the drug test was positive, and everyone here responded to your taking Ambien and telling HR that, but nobody seemed to notice that your drug test was positive for LORTAB- and yet you said that you never take it within 12 hours of your shift. Well your drug test was at 3 am. If you didn't take it within 12 hours of your shift, and the test wasn't done till 3 in the morning on top of that, then the half life would have put your level at too low to be picked up on a urine screen. Can't help being suspicious that you really do have some drug issues that you are in denial about.
    do NOT imply that someone with a legitimate prescription for a narcotic for a CHRONIC PAIN ISSUE somehow has a drug problem because they take their prescribed medication. Just like the nurses here who have ADHD who say they have trouble performing at work well without their meds, people with chronic pain who take pain meds as prescribed- under the supervision of their doc- are often safer than if they DON'T take them.

    Unless you give drug screens routinely, you can't know how long the lortab would show up in a DS, anyway- I've taken vicodin six hours before a screen and it came up clean, and had a positive screen once when I'd taken the last dose 18 hours prior. (And, by the way, these were both pre-employment screens, for which I supplied my prescription, and there was never an issue.)

    Lori chooses not to take her lortab before a shift, and that's fine- but it's a CHOICE she has made, not an obligation, if she is able to function safely while taking it. My understanding is that most state BONs take this position as well.

    I'm sick and tired of some nurses implying that everyone who takes prescribed narcotics to manage chronic pain are somehow ADDICTS. If you have an acute injury and you take vicodin for 2 weeks, maybe you're not going to be able to practice safely- but someone who is under a doctor's care for chronic pain management is most likely MORE impaired when they're not using their meds! If the law required us to avoid taking any medication that *could* affect us mentally, the nursing shortage would skyrocket. Heck, diabetics wouldn't be able to practice, as they might have a hypoglycemic episode. Oh, and nobody could go to work without getting 8 hours of sleep.

    Sorry to rant, you guys, but this makes me .
  6. by   Kymmi
    I've read this entire thread and although I havent figured out how to cut/paste quotes from other posters I'd like to say a few things so I'll generalize.

    Amy Gooch---excellent post and suggestions--can you be my life coach?

    To the poster suggesting that a friend call and pretend to be a perspective employer---Im not sure that is such a good idea because I do believe that could cause alot of troubles for misrepresentation.

    The the poster suggesting that that the Lortab would not have shown up in the drug screen if it had been 12 hours since Lori took it I think that is wrong because if you look up the amount of days that narcotics can be detected on a drug screen it is many. I know that Percocet can be detected up to at least 5 days post last dose.

    Lori---I really think that you had the best of intentions by going into work however I do agree that you need to learn how to take care of yourself and do what is best for YOU first. The old saying that goes something like you cant make anyone else happy if you arent happy yourself also applies to taking care of yourself. A majority of nurses are so co-dependent that we worry about everyone else first and ourselves last and in the long run that is no good for anyone. I have wondered while reading this entire post why the DON would take such drastic measures against you if this was the first incident. Im not necessarily saying impaired incident but any kind of negative incident in general. I know what's done is done however even though the state is a right to work state I do believe that most employers keep a very good paper trail on any negative issues that may occur.
  7. by   rach_nc_03
    rehab nurse- you and I must have been typing at the same time! you said what I was thinking, but you were MUCH nicer.

    I have always been told, when applying for jobs, that having a postive UDS for narcotics because of a legitimate prescription COULD NOT be grounds for denying employment. Working impaired, for whatever reason, can. Personally, I don't think employers are doing anybody a 'favor' by allowing them to work while taking pain meds- if it's such a big problem, have better sick time and STD policies so people can actually take time off when they're injured.
  8. by   RebeccaJeanRN
    Quote from Kymmi
    ...I have wondered while reading this entire post why the DON would take such drastic measures against you if this was the first incident. Im not necessarily saying impaired incident but any kind of negative incident in general. I know what's done is done however even though the state is a right to work state I do believe that most employers keep a very good paper trail on any negative issues that may occur.
    I agree with above plus I did know that I would possibly incur the wrath of many by suggesting a possible drug problem in my earlier post, so I'm not surprised at all the tongue lashing. But just please consider the bigger picture which raised red flags for me: the use of Ambien to sleep , the use of Ephedrine to wake up, the positive drug test for Lortab- and yes, I know that we don't know how often the use is for any of these...- but there also is the impairment on the job which was visible and which triggered a drug test. All these are just hints of something larger, that's all....just hints!, so I only made the suggestion. If that makes me horrible, so be it. There is also the fact that she could not be legally fired for just one positive drug test for use of a legal prescription- unless that particular prescription drug is illegal to have in your system on the job in that particular state.

    [BTW, my background includes being a former Med Tech and working with the drug tests (although very long time ago & much has surely changed). And I didn't just invent the half-life info on Lortab, I looked it up first before posting.]

    Anyway, meant well and am still going to pray for this OP who surely needs it right now.
    Last edit by RebeccaJeanRN on Sep 23, '06
  9. by   Kymmi
    Im not implying that anything the OP or any other person who stated they used any narcotics for prescribed use as a addict. Im saying that it seems unusual to me that someone would be fired for a one time incident. Im also not implying that the OP has had previous incidents related to drug use. When I said negative incidents I meant anything that the employer would have issues with which would make them want to fire the employee instead of assisting them to get help. In other words other reasons in addition to this incident. I've worked with nurses at other jobs that have had a drug addiction problem and have actually been proved impaired and they have been offered suspension while they attended rehab and then returned to work under specific guidelines. We have one side of the story here and Im not attempting to say what has happened wasnt fair however we dont know the other side therefore we do not have all the facts.
  10. by   km5v6r
    Quote from sunbeach73
    What part of Lori's post was not understood? She KNOWS what she did was wrong. It was a mistake of her taking the wrong medication when she was upset. Geeze.....
    No the mistake was thinking she could go to work without sleeping for over 24 hours, leaving her sleep deprived. In trying to manage the sleep deprivation; which would cause impairment and lack of judgement; she tried to take a potent stimulant. To manage the side effects of the stimulant she then accidentally, possibly, took a sleeping pill. She is not even sure she took the sleeping pill but it is possible. Not to make Lori feel worse then she already does but the original mistake was to stay up for over 24 hours, spend an emotionally exhusting day then try to work another 8 hour shift. Having a full night of sleep before spending the day as she had, then going to work would have been difficult.

    Lori, I learned the hard way that you can pour way to much into a job. You wrote once of being salaried and putting in 10-15 hours of overtime a week, working every holiday, feeling you could never call in sick. Been there done that. You are a wonderful nurse who truely cares for your patients. In a fair world, in years past, your kind of loyalty would have been repaid with the assistance/support you need right now. Unfortunantly it is an unfair, corporate world. An employer will use you for what they can get then throw you away when empty. The unpaid overtime you put in was wonderful for the company. The golden rule of treating others as you want to be treated doesn't exist in the corporate world. It is difficult for truely caring people to grasp that people can and will suck everything out of you if given the chance. For me, I gave absolutely everything to a company and job I truely loved. 50-60 hour weeks, taking tremendous amounts of call, making forms to ease pt care, ordering supplies, staying at the hospital for 48 hours at a time, teaching classes, I even paid my son to come in and help move supplies on the weekend when I wasn't being paid. I ended up setting a very high expectation. When I began having family problems and could no longer keep up the same pace I was reprimanded. I no longer "met standards". I still did far more then the other staff but I no longer could meet the standards I had previously met. I finally realized I was the only one that cared about me and would protect me. I am still a sucker for a sob story or unmet need but I am trying to do better at protecting myself and believing that I deserve time off and compensation for my work.

    As far as why you left your last job; just say you were/are going through a very difficult family crisis and found the manager to be unsupportive. If questioned, acknowledge you made a mistake in trying to work during an emotional crisis. It is all true. Out of fear of defamation suits most facilities will only acknowledge that someone worked from this date to this date and if they are eligible for rehire. Take copies of all the forms etc you developed with you.

    This incident has to have anilated your self esteem. Keep telling yourself the truth that you are a good nurse, you deserve better then you have received and you will receive better somewhere else. Also know you will be sorely missed.
  11. by   Lacie
    Quote from km5v6r
    As far as why you left your last job; just say you were/are going through a very difficult family crisis and found the manager to be unsupportive. If questioned, acknowledge you made a mistake in trying to work during an emotional crisis. It is all true. Out of fear of defamation suits most facilities will only acknowledge that someone worked from this date to this date and if they are eligible for rehire. Take copies of all the forms etc you developed with you.

    This incident has to have anilated your self esteem. Keep telling yourself the truth that you are a good nurse, you deserve better then you have received and you will receive better somewhere else. Also know you will be sorely missed.
    Lori, as someone who has been through a very similar situation and dealing with the aftermath I have a great deal of empathy for your situation. Although I was not impaired and had all negative drug screens they still reported me to the BON. This all occured within 2 weeks of being severly assaulted in a domestic situation broken bones and all. I did all the steps I should have and still lost my job and was also disciplined on my licensure all based what the boards said was only "circumstantial evidence" of impairment. I couldnt afford an attorney either as they wanted a $2500.00 retainer. I ended up bankrupt and in the hospital for a month with major depression 3 months after the suspension. I suffered more from the so called "support" from my profession than I did from the actual abuse. Long story which I mentioned in another thread regarding drug testing by employers. Yes some do eat thier young in this profession then spit them out only to devour them again. It took me a long time to even consider regaining faith in this profession again. That was 16 years ago and it still stings at times but I promise you it does get better. Once I finally learned to quit blaming myself I saw the world and nursing in a whole different light. Many have no idea just how fragile our jobs and licensure really can be. The above quote gave very good advice regarding seeking new employment. It's always best to not speak of a previous employer in a "bad" light. Just express you had differences. Dont detail unless specifically asked to do so. Maybe consider seeking something in medical case management with the insurance industry like worker's compensation, etc. Corvel is national and doesnt require any on hands care. I did this for years and loved it as health problems with my knees prevented me from doing alot and I for the same reasons didnt want to take pain meds. As others have said "Take care of yourself first"!!!! I learned the hard way and now I do make myself the priority. It will make the biggest difference when you start putting yourself first. Also I did find a fantastic counselor to help me deal with the issues and to vent my frustration and anger. And I did have alot of anger afterwards. Dont let that get in the way of seeking new avenues. Prayers for your search and keep us posted on your progress please.
  12. by   rehab nurse
    rebeccajeanrn: hi there...i didn't mean to "jump all over you" about you posting the info on lortab. i don't know who you're referring to, but i hope it's not me. i said specifically a few times i didn't mean anything personal, and i didn't want to offend anyone.
    that being said, i understand that the half life of lortab may be around 3 hours (give or take). but what i was suggesting was just this: that even if she only took one lortab, it shows up on a urine screen for days, not hours. i understand what you're saying, but even my pain md said that just one dose of any narcotic, and also illegal drugs, will show up in your urine and blood drug screens for days after. you probably knew that anyway, since you have experience with it being a med tech. i don't have any experience with that, just what my md told me and the same info available online.

    please, i am not trying to offend anyone here, just clarifying things. i don't want to appear rude to anyone, however, chronic pain is a near and dear topic to me. and i know on this site we've actually had threads about the subject of nurses taking narcotics while working. most of them don't end well.

    here is the chart i found on family practice handbook about how long drugs will show up on a tox screen:




    alcohol (ethanol)
    • 3 to 10 hours
    hydromorphone (dilaudid)
    • 1 to 2 days
    amphetamine or methamphetamine
    • 1 to 2 days
    • may also detect mdma
    methaqualone (quaaludd)
    • 2 weeks
    barbiturates
    • 2 to 6 weeks
    methadone (dolophine)
    • 2 to 3 days
    benzodiazepines
    • moderate use: 3 to 5 days
    • heavy abuse: 3 to 6 weeks
    morphine
    • 1 to 2 days
    cocaine
    • direct: 5 hours
    • metabolite (benzoylecgonine): 2 to 4 days
    pcp (phencyclidine)
    • 2 to 8 days
    • false positive with ketamine
    codeine
    • 1 to 2 days
    propoxyphene (darvon)
    • direct: 6 hours
    • metabolites: 6 to 48 hours
    heroin (detected as morphine)
    • 1 to 2 days
    marijuana (thc metabolite)
    • urine: use of one joint: 2 days
    • use three times per week: 2 weeks
    • use daily: 3 to 6 weeks
    • blood: 8 hours
    source: moses s. toxicology screening, urine tox screen. family practice notebook; 2005 www.fpnotebook.com/psy123.htm

    information on the half=life of lortab:

    hydrocodone : following a 10 mg oral dose of hydrocodone administered to five adult male subjects, the mean peak concentration was 23.6 5.2 ng/ml. maximum serum levels were achieved at 1.3 0.3 hours and the half-life was determined to be 3.8 0.3 hours.



    i understand what people are saying about half-life. but really what counts is how long the med will show up in her urine, and that can be a few days. she could have taken the lortab days ago, and it still would have shown up in her urine.
    i don't know about lori's state, as i don't live there. however, it must be legal to take those meds, as her employer knew she took that for her back injury when she was hired on a year ago. and if it was against her bon rules, her employer could have reported her (and would have been mandated to report her) to the bon.
    another issue, was something my pain doc told me when i asked him about working (in general, not just nursing) while taking narcotics on a daily basis for chronic pain. he said that the liability for the employer is great when they have an employee working on meds that have the potential to impair judgement. not just narcotics, but meds like topamax (which i took a couple times for migraine prevention) and others can really impair a person. it's not just narcotics or even meds that can impair someone's judgement. lack of sleep, as proven by lori's post, emotional distress (worrying about a terminal loved one) can all affect one's performance.
    i agree, lori shouldn't have gone to work that night. she was exhausted, hence her needing to take an ephedrine (i think) to wake her up. she lacked sleep, was upset, etc. however, she was past the time to call in without discipline. and yes, i know it's more important to take the discipline and be safe at home rather than try to work. but i also know that a lot of nurses (and other professionals) have gone to work while maybe not gotten enough sleep, aren't feeling well, etc.
    heck, we had a cena at my old facility that worked 14 doubles in a row...she wanted to buy a new hummer. the employer should have told her no, but they don't. they want a body to cover "the minimum staffing level". i tried to send her home, since on an afternoon shift on my unit, she kept dozing off in pt's rooms. (she worked 3-11/11-7) when i told her to punch out and go home, sleep in her care, whatever...she went and called the don and administrator on another unit and they told her to stay. i was the one disciplined for that. so, a whole lot of things in play.

    lori, i pray that whatever happens, that at your next job you won't work so many ot hours for free. i know it's a typical "mid management" expectation, but it shouldn't be. learn from this, that an employer and a job isn't worth going through this anguish ever again. you're an rn and you can go get a job anywhere. you're a darn good nurse, and you have a heart of gold. any place would be lucky to have you. but, like another poster said...you are most important. do your work, but when your job is done, go home. take care of yourself first, because an employer won't. employers care about the bottom line only. and no nurse should have to put a job before their own health and well-being.

    sorry for such a long post, just had a lot on my mind. goodnight, all. lori, i hope you are sleeping peacefully at this hour.
  13. by   LoriAlabamaRN
    Thank you to all who have come to my defense. I honestly am not a drug addict, I am someone who has a chronic back injury and cannot sleep without narcotics to control the pain. I take a third what I could, and all because of my own views and worries about what could happen. I've taken the same strength for four years now, so I doubt it could ever mess up my mind.\

    Thank you Amygooch for your suggestions, I have printed and saved them and will be putting many of them to use. Financially I am sick to my stomach with fear.

    I understand the comments I got regarding title loan. I will only use that as an absolute last resort. Thank you for enlightening me.

    Thank you also to all those who have faith in my nursing abilities. I did feel as if I had no choice but to go in, we currently have a hospice patient who requires an RN be in the building at all times, so if I had called in it would have resulted in my DON having to come in at the last minute for the whole shift... I just couldn't do that. I didn't know Ihad taken the Ambien, i thought I was just working on no sleep like so many of us here have selflessly done.

    I thank you so much for your support... and I am still here... I never expected so much interest and support and it has raised my spirits immeasurably...I plan to go to Goodwill in the morning to look for some sort of passable outfit to wear to this interview...
    Last edit by LoriAlabamaRN on Sep 24, '06

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