The nurse told mum that she would give acetami- nophen and morphine 4 hourly overnight. (Case 2, Nurse 4) Nurse explained that the child was on IV morphine and that she would be giving 4 hourly acetaminophen over- night . . . and that he was also on 6 hourly ketorolac IV. The nurse said she would be checking him every hour. (Case 6, Nurse 13) Parents did not always let the nurse know the child was in pain unless they were specifically asked a question by the nurse. This is illustrated by the fol- lowing extract from the field notes