5:42am you went for a walk this morning. A little bit later than usual. You got a phone call on your work phone at 2:19am. It was the triage nurse. She went to see a patient who was complaining of discomfort. The nurse could not get a hold of the on call doctor to obtain orders for stronger pain medication. She had tried two other doctors. No one had called her back. It had only been twenty minutes. She wanted to leave the community. She explained there was not much she could do without a doctors order. I told her that was fine and to please explain the situation to the staff and to assure them a nurse would follow up later in the morning. I doubt she told them. She is not a very good nurse. She only does the bare minimum and complains the whole time. The doctor is a good doctor but only takes call to make the monthly paycheck. He has too many other interests to effectively take call. This whole site is filled with people just doing the bare minimum, getting by, here for the money. I am ashamed I am the director. Not because I created the situation but because I have failed to change it.