We all experience it at one time or another, but how do we know when it is in control, and when we have lost control?  The death of a young nurse from Ohio was a wake-up call to the health professions and others that long hours, lack of sleep, lack of hydration and more is just not working.  So, what is your role in dealing with fatigue?  What do you do to overcome the challenge, and is it working for you?