Jeff Carter MD
stood at the desk in the nurses' station of the ortho/neuro unit and stared at
the order sheet. He couldn't make out the medication order, yet the pharmacy
had sent penicillin. The patient had received part of a dose of a medicine he
was allergic to. The reaction had been quickly countered by the nurse. For that
he was thankful, but the whole situation bothered him. He hadn't ordered
penicillin, but the order had been scrawled in the same shade of ink as the
other orders.
He glared at the
young nurse seated at the desk beneath the counter. "What happened?"
"I hung what
the pharmacy sent."
He looked at her
name pin. "Penny, didn't you see this?" He tapped the red allergy
sticker on the front of the chart. Granted his handwriting wasn't the best and
he'd been in a hurry, but someone should have called his office for
clarification. "When I spoke to the pharmacist, he said he'd cleared the
order with a nurse on this unit."
"Wasn't
me." Tears welled in the young woman's eyes. "I didn't even see the
orders."
"Where's the
nurse manager?" Though Delores Forbes was the last person he wanted to
see, this matter had to be resolved.
"She left
early to take some comp time."
"Then who's
in charge?"
The young nurse
pushed strands of fair hair from her face. "I think . . . maybe
Edna."
"Did Mrs.
Forbes tell you she'd spoken to someone in the pharmacy?"
She stared at the
desk. "She said not to bother her. She was in a rush to leave."
Jeff frowned. Had
Delores known what had happened? If so, had she changed the order? "Could
I see the incident report? Surely you filled one out."
"I slipped it
under her office door, and it's locked."
Take ten deep
breaths. He put the chart on the desk.
Though the
allergic reaction had been halted immediately, there could have been a tragedy.
He drummed his fingers against the Formica top of the counter. For the past two
months, there'd been too many incidents involving his patients. He hoped the
new nurse manager would find a way to turn this place around. Otherwise, he was
going to recommend the Board close the unit.
After doing a
complete examination of the patient, he returned to the nurses' station. The
young woman looked up. "Is he all right?"
"Yes, and
thanks for your quick action." He opened the chart. "Can I borrow
your pen?"
Another nurse
laughed. "Dr. Carter, surely you can afford to buy your own."
"I do, but
they walk." He scrawled a note. "One more thing. If you ever have a
problem reading my orders, call my office or my home."
"Mrs. Forbes
doesn't allow anyone except her to make outside calls."
He handed her the
chart. "Making calls to doctors when there's a question about an order or
a patient's condition is standard procedure."
The girl nodded.
"Yes, sir."
"By Monday
you won't have to worry about Mrs. Forbes' rules. The new nurse manager will be
here."
"If she
stays. Mrs. Forbes says no one else wants the job."
Jeff frowned. Was
Delores planning to blindside her replacement? Even if she succeeded, he would
see she wasn't given the position. He wheeled and left the unit. In the hall,
he collided with his daughter.
"More gray
hairs, Dad. You look ready to go on a rampage."
"Don't ask.
Megan, why didn't you take the position as nurse manager on my unit?"
When she laughed
her golden curls bounced. "Bad enough my big brother can order me around,
but my father . . . . Please. So what happened?"
"Another
incident, and this time it could have been serious."
"Your
handwriting, I bet."
He shook his head.
"No matter what it looks like, I didn't write the order."
"Why don't
you print or learn to use the computer?"
"Don't be a
smart mouth. Never learned how."
She put her hand on
his arm. "Computers will solve the problem. You know most of the units are
already using them? This one should be next."
"I don't have
time to learn how to work one."
"That's
right, you're ancient. Fifty-one in December." Her blue eyes sparkled with
laughter. "They're simple. Just think, you could type your orders, and no
one would complain. You wouldn't have to dictate reports or scrawl progress
notes only you can read."
He shook his head.
"Not sure handwriting's totally at fault. Why would a nurse manager forbid
her staff to make outside calls?"
"To keep them
from making personal calls on hospital time."
"Even to a
doctor? One would have prevented the latest incident."
She frowned.
"What are you saying?"
He shrugged.
"Not sure yet. See you at dinner."
"Won't be
there. The gang's helping Liz move in."
"Who's
Liz?"
"The woman
who's going to solve all your problems."
The gleam in her
eyes alarmed him. "Megan."
"Dad, she's
the new nurse manager. We're helping her move into Lauren's house."
"Why Lauren
bought that house still puzzles me."
"To prove a
point to my thick-headed brother." She turned. "Don't you remember
Liz? She's one of the Grantley gang. You talked to her at Lauren's
housewarming."
Jeff frowned. He'd
brought ice cream. There'd been a tall woman with long dark hair. They'd spoken
for a few minutes. She'd seemed shy. "Was she at the wedding?"
Megan shook her
head. "She had to work. Trust Lauren not to give her friends much lead
time."
Suspicions leaped
into his thoughts. "Is this woman married?"
"She's a
single mother with nine-year-old twin sons. She was the oldest member of our
group."
"I'll pass on
the festivities." He met her gaze. Spare me from a matchmaking daughter.
He refused to be her next victim. He'd spent eleven years running from women with
marriage on their minds. He didn't need another wife. The one he'd had had been
perfect.
"Your
choice." Megan backed away.
"I'll give
her time to settle in."
Megan laughed.
"So you won't confront her 'til Monday afternoon." She turned to
leave. "You're not the most patient of men. Just make sure you don't put
your foot in your mouth."
He stared after
her. What did she mean by that?
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