> My Wife is an ER nurse manager and while you have many self entitled idiotic patients that think they are staying in a resort versus visiting an ER, the patient satisfaction surveys is not very high in regards to the issue and why nurses are leaving.

ER is definitely a different ballgame. Thanks for the additional perspective.

The patient satisfaction surveys apply more to domains where repeat visits are the norm: Family doctor, nurse practitioners, and so on. (Ideally, none of us becomes a frequent customer of the ER nurses!)