I would look in to PHS again in VT there are new managers in place on a regional level who have both recent clinical and management experience. They haven't been in management so long they forgotten what it is all about. Also there is a nursing shortage in all areas of nursing right now the local hospital has just announce no more OT for their nurses. I feel the patients in my jail get good care their sick calls are answered within 24 hours and our staff does care about what happens. to the patients.