On the floor, I hear some nurses say "I want to get out on time". I
think that statement does not consider the needs of the patients. The
nurse may have a manageable patient assignment, so the secondary goal
of getting out on time might happen. But, if the patients need
labor-intensive care (complex dressing changes etc), or a new
admission comes up, then the nurses exhortation of "I want to get out
on time" needs to take a back seat.

Just last week, I picked up after a nurse who left 3 wrist bands on a
patient, and one of the wrist bands wasn't even from our hospital.
Empowerment is wonderful, but it must be "patient first". patty