It is 5:45 a.m. on Friday; the alarm clock blasts you awake on the last day of a long, grueling week of long, arduous days. The meetings, the complexities of navigation through the decision-making processes of the academic medical center, the budget cuts, the journey to Magnet status, the needs of a new patient care tower, and the unhappy staff in one of your departments have worn you down. © 2006 Mosby, Inc. All rights reserved.