35 years of bedside nursing.. Outside of previously mentioned diversion, abuse, and incompetence.. Politics (it's gotten me). Change agents run a risk. Whether it is union or non union. They will find a way. Many union negotiaters are in bed w/ hospitals (ie under table pay outs for avoiding arbitration). Have courage and faith in your skills. Many times, losing a job has nothing to do w/ competence or skills. I have seen exceptional RN's lose their jobs for inconsequential things. The HIPPA and harassment issues are exceptionally tricky.