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Ever since Katrina, there has been a proliferation of efforts at the state level and among hospital administrators to come up with guidelines that would help professionals stuck in a situation like this to prioritize patients. These are questions of values much more than they are of medicine or nursing. They're the province of everybody.
The way I try to simplify my job is that I have two lists - I have a list of all the crazy, interesting problems that I get to solve every day or that need to be solved, and I have a crazy list of things I'd like to invent. And I kind of just prioritize them and work my way down, and try to simplify what I do when managing a big company.