A place where I lost most skills, lacked autonomy, and was guided by residents who had recently finished their basic training. Only a handful of attendings had a bit of knowledge. There existed little comradery between the different shifts, days vs. nights. Usually, the weakest nurses would try to outdo the ones with more knowledge by badmouthing them in front of doctors and managers. Management seemed nonexistent. When patients did poorly, usually due to poor medical care or preexisting conditions, the nurses were blamed for the matter. The hardest part of the job was trying to get patients to survive where there existed such lack of knowledge all around. Only a few nurses really knew and understood the concept of good patient care. On a rare occasion, a well-trained resident from Jackson would be on duty. A plus included the supervisors who didn't disturb the staff like they do in other hospitals. Floating all over the hospital, while short-staffing the home unit, was a big problem.