I worked in a very busy community ER. We were taken over by a large urban hospital, who felt that nurses were a dime a dozen, and treated us that way. After two or three nurses left, they refused to fill the positions. They told us that "when you can become more productive, you will get more staff". I almost laughed in her face, that makes no sense, if we could be more productive, we wouldn't need more staff! When the HCAP scores went way down, we got more staff. I sometimes wonder what planet these people are from. LOL