The Sharp End

The Sharp End

Clinical Nursing from the Front Line Forward

The Middle Manager Is Not the Problem. They're the Evidence.

Jun 18, 2026

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5 min read

The Middle Manager Is Not the Problem. They're the Evidence.

A post-arrest patient. A mechanical support device running without clinical support activation. Medications with no titration orders. A preventable deterioration. And a reporting system that swallowed every detail and said nothing back.

Scott Nicotera
Scott Nicotera
The New Grads are Ready. Are We?

Jun 17, 2026

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7 min read

The New Grads are Ready. Are We?

Every June we hand a new nurse a specialty unit and a 2003 map — then blame them when they get lost. The failure isn't at the sharp end.

Scott Nicotera
Scott Nicotera