Jamaica is full of people who want to do their best, but they simply don't have the resources to do so. Many of the nurses are excellent. The ones I knew were trying to advance their education and position themselves to be more professional, more competent professionals. However, the nursing structure at Jamaica is archaic. Each shift is ruled by assistant head nurses, many of whom have been out of clinical practice for a number of years. These nurses do not serve as clinical resources for less experienced nurses, nor can they prove that they have remained up to date on the latest evidence based practice and technology. The necessity of their role is questionable and yet the power afforded to them demolishes any sense of democracy and autonomy that the nurses on the floor may have. Nursing is a professional discipline. We are not children, we are professionals, and we don't need someone micro-managing us.
And YES, I floated to multiple units and found the same thing everywhere. Floor nurses working their behinds off while the assistant head nurse sat at the station and complained about paperwork. Ridiculous.
And as for the rest of it; typical hospital stuff.