Can you hear the ticking of the clocks?

the most dogshit useless decimated search engine in the entire world:

I need people to understand that Robby and Abbot are Dana and Lena's colleagues, not their bosses. Nursing staff are not under the supervision of doctors - organizationally. Medically, yes, nurses carry out physician orders and report changes in patient assessment to physicians, etc. etc.

But Dana does not report to either of them as her supervisors. None of the nurses do. The nursing chain of command is:

Registered nurses (RNs), Licensed Professional/Vocational nurses (LPNs/LVNs), and certified nurse assistants (CNAs) all report to the charge nurse. The charge nurse changes by shift. You can be on shift and not be charge that day because you're not the most experienced charge trained nurse on the schedule, but then the next shift you are and you get the unfortunate distinguished punishment honor of being charge.

The charge nurse reports to the unit nurse manager. For the ER that would be the ER nurse manager. Dana could technically be the ER nurse manager and it just hasn't been mentioned yet. Often times when you are short-staffed the nurse manager will take on patients and act as charge nurse. Nurse managers generally work day shift during the week and have weekends off with some on call times.

The ER nurse manager reports to the Director of Nursing sometimes called VP of Nursing (lol vpn). The director often supervises multiple units, like in the children's hospital I worked at that was attached to an adult hospital, our DON was supervisor for all the children's hospital units (General Peds, Peds ICU, Peds Step-Down, Outpatient procedures, etc.), but she wasn't over the ER because our patients came through the adult ER (we were building a Peds ER at the time I left but didn't have one yet).

Director of Nursing reports to the Chief Nursing Officer.

Please note, at no point is any nurse supervised by a physician. We even have a separate chief, they have the Chief Medical Officer, we have the Chief Nursing Officer. If a physician has a complaint regarding a nurse, they will address it with the charge nurse and the charge nurse will either address the issue themselves or report it up to the unit nurse manager. Do physicians sometimes yell at nurses in the patient's room and then go complain to the charge nurse? Yes, especially surgeons because they are dicks who think they are God's gift to medicine (I may have had beef with a surgeon...)

I have seen things in fics, specifically in Emma Nolan fics where she is paired with Park the Shark, where the author talks about the nurse being "on x physician's service" which... Honey, no.

Nurses are not on any physician's "service." We work on a specific unit, sometimes float to other units or pick up an extra shift on another unit, but the physician you work with changes. If you're working on a med-surg or general peds unit, you can have three different doctors for your patient load. If you work ICU or ER, it depends which attendings and residents are on shift/call. If you're an OR nurse, you're assigned to a specific surgical team and can have one or two different surgeries you're assigned to scrub in on, but you may or may not have the same surgeon for them.

obviously in acute care settings there are more orders and quick procedures that are done by doctors or PA's or NP's. of course these two have to work together more. but even then, nurses to their thing and doctors do too. like laney said: they do not decide who does what, they mostly just give med orders and we do the rest. they are not our bosses, they don't decide what nurses do which patients, like robby tried to do after emma got assaulted. they have zero say in that because oftentimes they don't even really know all we do.

in the ED, there is more communication needed and used between doctors and nurses. but i just wanted to mention that these are two quite separate entities even in those settings. we are our own profession!!! and that this separation is even greater on wards. doctors have no idea who has which patients, we often know about 10x more about the patient than they do. they know the medical details and that's it, we handle the person, they handle the ailment.

nurses signal changes, we ask for labs, we call family, we arrange post-care, we ask for xrays and consults and social work, we report any suspicious things. doctors spend such a small amount of time with patients outside of critical moments that they often don't pick up on these things. i see that doctors are so often the ones doing these tasks in the pitt, instead of the nurses signalling it and reporting it back to the doctors to discuss. and while i think that the pitt is very good at nurse representation, to the point where i've been delighted to see myself represented in an accurate way, it isn't perfect.

tl;dr: we are our own profession. nurses do a lot of important shit seperately from doctors, and just because we take orders and carry out their care plans does not give them authority over us whatsoever. we work together, but we are on the same level, just with different tasks. media likes to pretend doctors have authority over us, they don't and they won't.

Of course, what was supposed to be a short term service industry job before he lived for his art has bloomed into just being his life, and life as a poor artist is never as romantic as one imagines. While the cost of living of Bikini Bottom is low enough that even a frycook can be a homeowner, it's not quite so low that he can afford the luxuries he was used to growing up.

His view of the Working Class as the downtrodden masses were rather tattered by years of living between SpongeBob and Patrick, who were not so much temporarily oppressed intellectuals as they were, well, SpongeBob and Patrick.

Still, through thick and thin he's never gone back on his decision to leave the money behind. The great irony is that he is ignorant of his greatest achievement—his superiority to Squilliam isn't turning a bunch of randos into a functioning Marching Band or turning a burger joint into a fine dining establishment, it's having the strength of character to look at all the advantages Squilliam had and choose to leave it behind.