LittleA asked in my comments from this morning's post "What next?" Hell if I know. I hate what healthcare has become. I've either been a director of nursing or consulted as a director of nursing for almost 18 years now. I can't believe how fast it's gone.

I read an article in the last month sometime in some periodical I receive at work that the average length of stay for a DON is 11 months in extended care facilities. They can't take the stress. Hell I can't take the stress.

Something started changing about 10 years ago...switching from quality care to the almighty dollar. Things have been declining steadily since.

So what I'm going to do, I don't know. I can go back to consulting, at least I don't have to stay in one place too long. Clean it up and move out. But I hated living out of airports and hotels. I hear through the grapevine about every 3 months my old boss would like to have me back. I always was a little resentful that she billed me out at $75 an hour, I worked 60...salaried at 40 hours a week. Oh well. Need to negotiate better I guess. I learned off that one.

When a door closes another one opens up...I just hope it's a little less bullshit behind the next door.