This is my constant frustration as well. We are an even smaller outfit than yours and I really feel this is not a nurse friendly environment. A rad tech for a manager means as good a manager as he tries to be he just does not "get it". We have a "dotted line" to our CNO but no nursing administration structure. Doctors do not communicate with us directly but do it through the Rad Techs. This too caused a "wrong procedure" at our hospital. A renal vein sampling (rennin) ended up having to be done again due to the doctor not communicating with the nurse who thought it was as adrenal vein sampling (aldosterone/cortisol). I have even had doctors try to give orders through the techs. This is pretty frustrating. I love the hours though. We don't have nearly the number of nurses you do though. We should have 3 full time and 2 PRN nurses to be fully staffed but never do so you can imagine the call situation is less than desirable