The question is, Does management appreciate you, or is their stance, “You can always be replaced?” I worked hard for 43 years in a hospital, truly cared about my patients and smooth function of the division, while most of the nurses sat on their ass doing the minimum. You only got anywhere if you kept your mouth shut and kissed ass, doing administration bidding. I was out spoken, said it like it was. I wasn’t appreciated. Those who don’t and won’t tow the line, never are. My eyes are open to what the nursing profession, medical profession and hospitals really are. Mistakes were made by our residents, but the blame was put on nurses. Changes were made, but the nurses shouldered the burden while the residents continued their sloppy, rushed work treating infants like a non person. I had two months to early retirement or another year. I took the former option and have never regretted it. The hospital administration tries to squeeze as much work out of you and then squeezes some more. They do not care about patients, only if the patient gives a bad review. Joint Commission on Accreditation of Hospitals is a scam, as is State Maternity Licensure. The hospital chooses the charts to be audited, you know when they are coming so a thorough cleaning can be done (other times it looks like a pig sty). It is all a game.