Leadership and management are often nit-picky and have high expectations for what can be accomplished under extreme circumstances. Understaff floors on a regular basis, counting on employees to pick up extra shifts in order to meet staffing needs. Rather than putting a great deal of effort and energy towards hiring help, time is spent critiquing performance of existing employees who are mostly overworked, usually on shifts so understaffed that the patient ratios would barely be considered safe (13:1 for techs is pretty common, there were many weeks with 8:1 for nurses. At time of writing it has come back down to roughly 6:1 most nights.) There's barely enough staff to fill the schedule on a good night, and patients are very needy.