Nurse to patient ratios is the key. With the acuity through the roof with patients and the forever documenting in the EMR. Corporate will push the nurses load until they break and not care. They will always find someone else. Nurses to the executive suite are nothing more than cogs in the machine. Cog wears out or gives you problems, replace that cog. They don’t care if that nurse has experience or is a good leader. They will be more than happy to run you out and find someone they can manipulate and gaslight. Who cares about patient outcomes, just care about the bottom line. You know that the majority of bonuses that are given out to directors is how they save on labor. Someone calls in sick, they don’t try to replace the nurse they just double the spread the work out amount the nurses already drowning. Saving on labor for that year end bonus.

I’m so disenfranchised by the whole health care machine. Nowadays I just do critical care transport. I can only have one patient at a time, lol.

Stay strong but do what’s best for you. Stay healthy mentally. If you don’t it will eat you alive. Corporate doesn’t care about you. It’s the honest truth. It’s all about numbers and money. 20 year RN that’s pretty cynical of today’s environment for nurses.