Debbie Clark Posted about 1 year ago Experienced/senior nurses are being denied jobs in hospitals because their salary step would be "too expensive". Newer RNs get the jobs. Well, William, you have hit the proverbial nail on the head!! I wanted to be a nurse since 4th grade-drew a poster as me as a nurse helping a patient in bed. THAT'S why I went into nursing-Because I care. I care for and about my patients and their families; I care about my co-workers and their need for help with patient care and their need to get breaks when they need them. I care-Period. There are other nurses with whom I have worked who also care deeply-but many aren't as altruistic (some would say unrealistic) as I am. I don't know what it is like in many business settings (maybe it's the same) but unit managers in hospitals are "middle men" (their "power" is ephemeral) and often put in untenable situations. e.g. Upper management has absolutely NO clue what we nurses have to do and deal with on a daily basis, yet they hand down policies and procedures that fill some bureaucratic/political desire to make the hospital look better, yet are virtually unrealistic or impossible to implement in a real world setting. The middle manager knows it's ridiculous, however, his/her job is on the line if every effort to implement this new (whatever it is) is not taken. The manager can't stand up for the nurses under his/her charge (even though they know it is the right thing to do-call "bullshit" to the ivory tower dudes) so mid-managers have to choose: the staff & reality of patient care on their unit or placating the upper (clueless) echelon. I've had 1 manager in 35 years that negotiated the tightrope very well. He left after about 5 years because it was getting too ridiculous. I am not "political", never have been. I DO have high standards and honesty (which I have been told many times is "to a fault"). Integrity is mine. So essentially I am agreeing with you. What can one do when, as a nurse, you are essentially a minion? As I told Keith-like the movie "Network"- "I'm mad as hell and I'm not going to take it anymore". Hmmm... But what, exactly, can I do? Thanks again!