The secret is, all power is in the doctor who can fuck with everybody else’s careers, while he gets to go chat with a “review board” of his buddies from med school.
I think this is the primary reason they fight so hard against nurses getting more responsibility.
The rules read like a fucking committee got together to compromise on shit.
Chairman: ok, so I hear one side wants them excoriated to save their souls. And the other side says they’re just humans who want to be saved by the Jesus. Can we agree on low key shunning?