I never did understand the advertising angle of marketing hospitals to the public. Going to the hospital is a lot like going to Denny's at 3am - you don't want to go there, but you end up there because it is the only place to go. I am respectful and kind to my pts, BUT they are not there for me to wait on them as if the were on vacation. Most of them understand this, and quite a few apologize for "taking up my time". I tell them that this is not the case and that they are my responsibility. That being said, I have had it with hospital administration (BIG reason that I turned to agency nursing 9 months into my very first hospital job 15yrs ago..) and their marketing strategies for "customer satisfaction" And I will name names here.. St Peter Hospital in Olympia Washington "prides" itself with advertising a primary nursing model to their prospective "customers". They say that it promotes continuity of care because the nurse is the only caregiver for that pt. The way I see it is that because I am the "license", I can do everyone elses job. On the PCU, you can get up to 6 pts with no help - no one to help with ADL's, VS's and the myrid of other things CNA's do. You cannot really depend on other nurses on the floor because they are too swamped with their own pt load. It makes an already difficult and mostly thankless job totally unbearable - unwilling to do the impossible, I left.