You really got to the core of what is driving the madness of modern medicine! I feel guilty for valuing my patients' outcomes over the clicking clocks and unchecked boxes, but I do it every time that I can't do it all, and I can sleep at night. Add to the increased acuity of hospital patients, we also must make sure we never have a "never event" such as a fall, HAPI, CAUTI,CLABSI, etc. And we must recheck by 3 people logging in separately every 8 hours certain medication drip rates and double check a wide variety of meds and changes. We are not to stay overtime and are to certify 3 times on our timeclock and once on our time sheet that we did not miss our dinner breaks, which most of us never take. Continuing ed is posted in bathrooms, the nurse lounge, the report room, the kitchen, the nurses' station, in folders on our report room table, on our emails, our healthstream, and required classes and courses. The speed only speeds up, as do the ticking clocks and boxes to check! Thank you, Robbi, for being a voice of reason!