I have recently started my first job in hospital quality as a Joint Commission coordinator. Please don't throw rotten tomatoes just yet! I paid my dues in med surg (nights no less!) and loved every minute of it- the crazy old ladies, being out straight with two patients crashing while one wants to get up on his new hip and the others have decided to just go in their beds, then staying late to document when you've finally handed them all off. It was an invigorating roller coaster ride that taught me a lot about myself & others. But I always knew I would leave the bedside at some point. My first career was in public health and I knew I needed to somehow find a position that utilized that side of me in order to be truly fulfilled in a career. Well I have finally found it, but I have to say I am incredibly discouraged by many of the comments I hear not just from the nurses at my hospital, but from the nurses on this forum. It is disappointing to hear so many educated, experienced, intelligent people question the value of those whose job it is to keep their eyes on the big picture. We nurses in the quality department work hard to improve patient outcomes on a hospital-wide scale. We keep up with the evidence, and identify trends that could signal problems. We work to improve safety for every patient who walks through our hospital's doors, as well as every employee. My goal is to keep my bedside nursing perspective as I move through my career as "a paper pusher", as I've seen us referred to on this site, so that I can continue to work towards a safer hospital by working WITH the frontline staff - to implement changes that fit INTO your workflow, or IMPROVE your workflow while ALSO improving outcomes for the patient. Anyway, what I would like to know is, deep down do you truly believe that the nurses in the quality department are so terrible? Or are you just venting after a tough 13 hours when you talk trash about us? I truly believe that we can achieve great strides for patients and the nursing profession if we can work together.