I began working in 1976 on an Orthopedic floor as the charge nurse on the 11 pm-7am shift. It was myself (a new graduate) and a relatively new LPN to care for 32 Orthopedic/Surgical patients. I had a medication room where I mixed all of my own IV piggybacks and dispensed my own medications. My biggest nightmare was the list of patients awaiting pain medication when I arrived and it seemed like about the time I got everybody serviced, it was time to start all over again. This was in the days of skeletal traction for femoral fractures for 6 weeks and total hips were non-weight bearing for almost a week. There were no scope cases- all knees were open knees. While I was in orientation, I wore my white dress and cap, but at night, I wore a white pantsuit and my cap. If I felt it was necessary to consult with a surgeon regarding a patient or an order, I had no problem doing so. And I learned soon enough, what was important enough to wake up a doctor for and what could wait. After about 11 months, I transferred to the SICU step down floor. I loved this experience. I worked a 3pm-11pm shift and had the opportunity to work with some really great nurses in the SICU that I really learned a lot from. During this year, I began to "forget" to put my cap on (and kept getting written up for it), developed a horrible bilateral ulcerative blepharitis as a result of taking care of trach patients, and eventually got the opportunity to transfer to the OR. This made me a very happy girl! The rest of my career has been spent in and around the OR--happy days, indeed. Times have changed a lot. And yet, nursing has gained very little in 40 years. Nurses are still overworked, floors are understaffed, and no one wants to pay you what you are worth.