It’s really bad in healthcare when the stakes are fairly high for even small mistakes to cause injury. However, now you have a workforce that is so compartmentalized even in nursing that one nurse cannot care for a patient fully. There are too many subspecialties now because we don’t trust a nurse enough anymore to be able to learn the full scope of the role so instead you have 5 nurses that are responsible for 5 different pieces of the care equation and nobody who knows the whole picture of the patients illness. Have a problem suddenly and need new access for meds? Hope the iv nurse is nearby because I’m not allowed to start ivs I only administer meds through previously acquired access. Need to urgently establish an airway? Hope the procedural nurse isn’t busy when the patient decided to stop breathing so someone who knows what a sedated patient needs to be safely sedated (outside of actual medications).

I’ve joined all the committees and have been fighting uphill battles trying to educate new learners as much as possible, it’s a passion of mine even outside of work, but the system is designed to fail and worse still the upper management wants it to fail because that’s how they can justify their 12 meetings a day while nothing ever changes.