Again--Thank you all. It is almost therapy to be able to explain to peers what happened. I will explain why I got into such a lazy habit. I had a couple of serious illnesses and went back to work the 1st of the year--seriously deconditioned and the halls were long--3 units) and got so tired that the extra rus down the hall were soooo hard. Once you do something wrong it is easier to do it again, and no I did not do it all the time. It is a violation of the nurse practice act. In another setting --not a nursing home, but all community based settings and mst hospitals in my state it is a legal practice. But that is not an excuse. I also would go assess the patient after the nac started the tx--NO I do not think the facility was trying to cut me for cost savings or anything like that. The dns is young and this is her first dns role. She is absolutely rule based and no deviations are ever tolerated. I did contact the local nuses association for advice and they reccomended a course in the nurse practice act. Being able to "talk" aabout it with the members here has allowed me to think through the emotional impact. Thanks:redbeathe