1. It’s 8 o’clock in the morning. You have to put off your department heads’ meeting until never because of a few, shall we say, challenges.

2. Two nurses’ aides just called in to say they’re not coming back to work – ever – raising your turnover rate even higher. Six other staff members are late for work, including two kitchen workers. T

3. A resident on the second floor has just suffered a bad fall after one member of the staff tried to lift her alone. It looks like she may have a broken hip and needs to get to an emergency room, pronto. A

4. A man is on hold in your office; he’s upset because he heard someone on the evening shift violate HIPAA regulations by talking derisively in the elevator about his wife’s condition. He thought he smelled alcohol on the st affer’s breath. A

5. You just saw a nurse carrying bio-hazardous materials while wearing no gloves and no protective clothing. A state inspector will be here in two hours. You have a two-foot stack of paperwork, 14 calls to return, you worked 16 hours and it’s only Tuesday. Y

6. Y Your director of nursing is entertaining a job offer from a real estate company because all the paperwork regulations are obscuring the reasons she became a nurse in the first place. She simply wants to provide quality care.

7. A And, to top it off, so many of your people are emotionally impaired these days from elder-care issues, child-care problems, personal debt and simple job stress.

8. Sound familiar ? Then you have to ask yourself this question:

9. ? NEED HELP communicating with your employees these days