Case in point: when I started working in the hospital, my experiences in the medical field included several emergency room visits and one overnight stay as a kid, and sleeping in a chair at my grandmother's bedside the night before she died. I guess my personality sold me to the nurse manager when she hired me on as a part-time unit clerk because it certainly wasn't my medical expertise! So on my first day of computer training for the unit clerk job, I was sitting in a room with about 15 other students in it, I was the only one who wasn't at least an LPN. We were given a page of pretending doctor's orders to enter into the computerized ordering system for practice. Now, on a side note, these were nothing like real doctor's orders. They were neatly typed (not scrawled illegibly), and they were distinctly sorted into lab tests, radiology, dietary, etc (not: BMP, CBC am, CXR am, advance diet to full liquids, troponin q8h x3, CT of abdomen stat). So, anyway, I'm pretty computer literate, so I'm doing okay, finding the tests in the computer, ordering them and checking them off. It's been pretty easy to figure out so far, X-rays come from radiology, blood tests from the lab, and food from dietary, so I'm doing okay. Except for the EKG. I have no idea what an EKG is, or where it should be ordered from. But there are about 15 other people in the room, and no one else is asking stupid questions like "What is an EKG again?" So the instructor comes over to check on me: Her: "Looking pretty good... Oh, look you missed the EKG!" Me: "Right, okay..." Her: "Let me see you put that one in!" Me: "Right, so I would... Um... I don't know what an EKG is." Her: (stares at me dumbfounded) "Cardiology services?" Me: "Oh, right, yeah I knew that!" Fast forward 2 years. The hospital and I, we got along just great. I love the chaos, I enjoy talking to the patients, and I feel like I'm really coming into my own. After I got the unit clerk thing figured out, I moved on to working as a patient care technician. I'm doing EKG's now, drawing blood, suctioning, and lots more things that probably don't need mentioning if you want to keep your lunch down. I also have three semesters of nursing school behind me. One afternoon while working on the cardiology floor, we received a patient from the cath lab, complaining of a headache when she arrived. The resident happened to be there, so the RN asks her for an order for pain medication and heads into the room to check on her patient. I'm sitting at the desk putting together the patient's chart while the resident thinks out loud to herself. Her: "Well she's allergic to Tylenol, says she takes Excedrin at home, but I probably shouldn't give her that because of the caffeine..." Me (muttering to myself): "Yeah, plus it has Tylenol in it..." Her: "Yeah. Oh well, I guess I'll just order a whole lot of aspirin..." Me (still not looking at the resident, because I don't want her to think I'm telling her what to do): "Really? Aspirin? When she's already got all that Plavix onboard from pre-procedure, she's got integrilin hanging, and she just had a large hole bored into her femoral vein? Aspirin?" I don't know what she ordered, but it wasn't aspirin. I'm going to love being a nurse!