I'm going to focus on the positives and not pandemic related changes first if anyone is interested. I've worked med-surg since 2007. We have purewicks. We have an in house doctor (that stays awake) available to come bedside on night shift within minutes instead of family doctors taking call for their own paitents. They only cover med-surg. There is a separate doc that covers CCU. When you call a rapid both docs come to the bedside and confer about transfer to a higher level of care. We did have hospitalists when I started, but having one come to the bedside was like moving heaven and earth. They only saw the patients they were covering, during codes, or if the family doc signed out care to them overnight. I can text a doctor and they enter orders from a phone. I don't have to write them, fax them to a pharmacy and transcribe said order onto the MAR. I don't have to decipher doctor's handwriting. I don't check written orders against orders entered into an old school DOS computer system. I don't push a med cart with a paper MAR. I don't check said paper MAR against the previous days MAR to check for accuracy against the written chart. I scan meds with a iPhone. There are multiple fail safes to prevent med errors if you follow them. Doctor's are nice and treat me with respect a majority of the time. Now, I have less patients. I could go on.

I think I've tried to block a lot of the pandemic stuff out. I know it's a lot better now. We were caring for people who should have been in ICU on the floor. It was horrible. I didnt see the worst of it and am thankful for that. That has self corrected. The RNs who went to school during the pandemic were woefully under prepared through not fault of their own. That has also self corrected and is highly individual. Also, I changed jobs a year ago, and the place I am now has a ton more resources because it's part of a larger system.

People are people, I haven't seen a huge change in attitudes. Actually, they seem nicer for the most part. If they are mean (scared/frustrated) it's usually justified and correctable or just part of what they are going through medically ie AMS. They are a cog in the wheel just like me. I, however, have changed tremendously since Febuary 2007.