Tone of voice and Loudness

I suspect it's the dreaded "Yankee accent" which has bitten me in the posterior in past jobs. I'm on the east coast now, and I'm LESS harsh than everyone else. I agree with the advice to be aware of and moderate your tone as much as possible. Speak as low as you can and stick to the facts, Jack, no opinions unless you're SURE they're being solicited. Also, be careful of how you joke with people. A dry sense of humor has sunk more than one nurse.