Confessions of a Nurse

As I've said, I work at a surgical center. It is an outpatient facility, meaning patients usually go home after they recover a bit from their surgery. There are two phases of their recovery.

After patients have surgery they are taken immediately to the recovery room, now referred to as PACU (post anesthesia care unit). They remain there until they are awake, breathing safely on their own and stable enough to be moved to the post-recovery area. 

A lot of our patients are children who've had their tonsils out, ear tubes installed, hernias repaired, dental work requiring anesthesia and a variety of other surgeries. We also have many adult patients having their gallbladders removed, kidney stones resolved, plastic surgery, lap band placements, nasal surgeries, etc. 

I was assigned to the post recovery area yesterday and I did have a mixture of adults and children to recover. Usually patients are in a medical type of recliner while in post recovery. Most often when children are brought out from PACU we have one of the parents sit in the recliner and we place the child in their lap. Isn't that just the best place for a child to be when they are scared and/or hurting?

Anyway, that was rather a long build up to tell you about the dumb thing I did yesterday. 

I entered the room where a young boy was recovering in his mother's arms. I was preparing to take the boy's temperature and to go through the discharge paperwork. The boy's grandmother was in the room and I was talking with her while I was doing all this. Without even thinking, I used the temporal thermometer and swiped it across the forehead to take the temperature. The only problem was, I TOOK THE MOTHER'S TEMPERATURE! As I said to the mother, "That really gives you confidence in my highly professional assessment skills!" 

Then guess what happened!? Yep, I went over the edge. I laughed and laughed. It's not my fault, really. Remember, I suffer from the Genetic Laughter Seizure Syndrome. 

Eventually I pulled myself together, kind of. I still needed to go through the discharge instructions. I admit I had a couple more giggles slip out even then. Thank goodness both the mother and the grandmother were people who also enjoyed a good laugh.

Anyone else want to make any confessions of dumb mistakes they've made at work?

Credit or Debit?

Last Thursday was mall lunch day.  As usual, we all went through the lines at various businesses in the food court.  I chose pizza that day.  Boy, was that expensive pizza!  Actually,  before I even received my receipt I heard the clerk make some funny gasping sounds.  She seemed pretty upset and then finally explained to me the problem.  She'd accidentally charged me over $800 for my meal!  Yikes!

I had used my debit card for this transaction so she then had to figure out how to issue a credit.  That took some time but she finally managed to do it and gave me that receipt as well.  I was surprised by all this because I thought our debit card had a $300 daily use limit anyway.  I'm not sure but maybe it is because she ran our debit card as a credit card.  I don't know.  Anyway, I didn't throw a fit.  It looked as though she'd reversed everything so I assured her all was well.  She really was more upset than I.  She then ran the transaction for the proper amount and I went off to eat my lunch with my family, telling them of my little adventure.

Do you use a debit card much?  I love the simplicity of it!  I am careful, though.  For instance, if we are eating in a restaurant where they take your card from you at the table and go to a back room to run it, I will only use cash or a credit card.  Why?  Because stuff happens.  I don't want my debit card out of my sight.  As far as I know it wouldn't be more likely to happen with a debit card than a credit card but the repercussions can be more difficult to manage.  

If there is a problem with a credit card, I am pretty confident it will be corrected...eventually.  We've experienced a couple of cases of credit card fraud years ago.  The issuing bank always fixed it for us with no problems.  Actually, it was the credit card company that found one of the errors and reported it to us before we even knew it occurred.  It was some company far away that set off some sort of alarms with the fraud department of the credit card company.  I even had our credit card company fraud people call me on a Christmas morning  regarding a charge they were investigating.  As it turned out, it was a gift I'd ordered for one of our boys.  I asked why that one made them suspicious and it was because they'd had a lot of fraudulent charges of that item in particular.  Anyway, I figure if someone does something bad with a credit card I will have some time to deal with it.

If someone uses our debit card fraudulently I assume the bank will work it out as well.  However, in the meantime it could cause a lot of problems.  For example, it someone used our debit card for a large amount, that amount would immediately be taken out of our bank account.  Even if it is later put back in, during the interval time that money would not be available to us.  We may unknowingly write checks that bounce or have the card rejected when getting groceries or something.  So, I only use it when it stays in my sight, never online or over the phone either.

Well, in the situation of my expensive lunch, I thought the immediate refund would balance it all out.  I learned something new.  Although the clerk put through the credit on that gross overcharge only minutes later, $843.43 was immediately noted on our account as a pending transaction.  Although it didn't ever really go through, that amount was deducted FOR THREE BUSINESS DAYS!  The credited amount did not appear at all until the third day.  I go online and peek at our bank account frequently and I'm glad that I did so that I could adjust as needed!  On day three, everything went through, the refund negated the charge and the drama was over. 

What I learned from all of this is that when your card is used, even though it appears on your account right away, a company has three business days to put it through in its final form.  That is useful for things like renting a hotel room.  The hotel can put the charge through as a pending amount, to be certain your card (debit or credit) will cover the room charge.  However, they may need to change the final amount if you charge room service, a movie or something more on the card.  Or, if using a card for a meal a restaurant may run it through for the cost of the meal to be certain it will be covered.  When you sign for it, though, you may choose to add the tip amount on the bill.  They have up to three days to go back in and adjust that total.  It all seems kind of messed up to me but that's the way it is.

Have you had any weird problems with a debit or credit card?  It can happen with checks as well.  Once, several years ago, Mike's paycheck wasn't applied to our account when we deposited it.  Although we had a receipt, something weird happened at the bank.  We were oblivious to the problem as that was before I could go online and check our account regularly.  That was quite a mess before it was all resolved!

So, here's my banking advice for you.... pay attention.  That's it.  That's the advice.  Just pay attention.  Look at your receipts, check your accounts regularly and report any problems.  That's all the financial advice I have for you.  

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