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I don't know this hospital, but I generally grab several when I come on shift, put them in my pocket, and end up accidentally taking home a few often enough that I'd end up being able to have squirt gun fights with them.
Essentially, nurses go through so many that you'd be hard pressed to control them. We use them for everything from checking the status of an IV line to cleaning a wound.
$83 per person for squirt gun fights right there, if my bill is anything to judge.
Did they use an entire case? That's around 60 flushes.
According to your bill 1 Tylenol is $500
$17 per pill. Seems pretty reasonable.
The fentanyl, however, was worth it.