Every word is so true. Sadly, it doesn't always work. In our ICU this weekI had a septic patient, and the Intensivist and I definitely provided "shock and awe" care. The family was wonderful and appreciative. After 13 hours on my feeet with no lunch, assisting in bronching, line insertion, and starting CRRT, at the very end of the shift I receive a 'variance' due to an order I entered at the MD's request to mix sodium bicarbonate drip in NS rather than a dextrose base if possible; if not the usual D5w base was fine. For the life of me, I don't understand how entering his order is a "variance", but I DO know I left work sad and disheartened that this was the ONLY response to my hard work that I received that day. This is why morale is at its lowest point ever, and why new nurses don't want to stay bedside.