We live in a world of corporate managers who have little to no concept of what work getting the best results entails. Most managers now have reports which they read and feel they have a true grasp and grip on the pulse of the daily work routines of all the various hospitals and departments. Budgets and most of the departments' expense planning come from these reports, Much of these managers live by their budgets (from which some to most of their bonuses are derieved from) and most seem to care about the bottom line: their salaries, status, future promotions and pleasing their bosses more than the department outcomes-personnel satisfaction and good morale. Intermountain Healthcare (formerly IHC) is very much a part of this corporate mentality.
These fundamentals, good morale and satisfied personnel, needed to achieving those great outcomes management is always "striving" for seem to be lacking these days. Success comes off the backs of hardworking, dedicated employees working extra shifts or covering additional overtime because of lack of staff, insufficient number of quaiity staff-due to personnel quiting or reducing hours due to stress or dissatisfaction, or as of late, the failure or slowness to replace retiring, quitting or terminated individuals due to "pulling the budget back into line". The professionalism of those same individuals will not allow any negative outcomes to occur; managers and administrators know and understand this and use this to save money and their budgets.
Prioritize and do what you can today and leave the remainder for the next shift or for tomorrow, we are after all a twenty-four hour department/facility and we have all the bodies we need for the work we have to do each day. Heaven help the next shift. . . .