1) Core Measures addressed in multiple ways. 2) Supply room stingy with stocking (to save hospital $). Then multiple calls to get those supplies sent to you from central supply. 3) Duplicate (sometimes triple) charting on the same thing. Supposed to be "paperless" but more and more forms to be filled out as the years go by. 4) Emails from management on what we aren't doing right, what we need to do better and also now we will be filling out _____ paper each shift. Oh and if you don't start or stop doing such and such you will be written up. 5) Losing our much needed only tech to a unit that "needs them more". 6) Two words - patient satisfaction On the other hand there is a lot I love about what I do. Co-workers I love. Being involved in saving lives. The patients' (we've all had them) that have made an impact on your heart. Yep we put up with a lot of crud but luckily so far the positive outweighs the negative. I wouldn't mind getting rid of some of the above though!