i do understand. but things were no better "way back when", just different. we had more patients jammed into smaller spaces plus family members camped out in chairs. we were trying to manage iv pumps and any other equipment we could squeeze in behind all that. when i was first out of school, i worked on a primary care neuro floor. that meant we nurses each had 6 patients for whom we did absolutely everything. if we were lucky there was a na or an orderly who could help us lift or do a bath but that was 1 for the entire floor not 1 per nurse. we didn't have computers, we did everything on paper which meant of course trying to read a dozen or more different different mds hand- written notes and orders. there was no pyxis, meds had to be brought up from the pharmacy individually when needed. we mixed most of our own ivs and antibiotic drips. getting the picture? so yes, i understand. and staffing issues with administration has always been an issue. back then the difference was that most hospital administrators were business people or mds. no chance that a "mere nurse" would ever reach that pinacle of success so it was pretty rare to have anyone topside who had ever had boots on the ground no matter how long ago. the more things change, the more they stay the same. the only way that anything will improve is if we can all just believe that we all have hard jobs but no matter what the patient comes first...that is, the person patient, not the patient as dysfunctional medical machine.