Meredith Castin, PT, DPT, was tired of "being expected to be 3 places at 1 time," then having multiple parties express frustration with her when she failed to do the physically impossible.

There also was the psychological toll of constantly being outed in what therapy staff called "the log of shame"—a ledger in which they were required to list their billable units at the end of each day. If they hadn't met the hospital's productivity requirements, they had to explain why they'd failed to do so. Housed in the charting alcove, the log was readily accessible to every physical therapist (PT), occupational therapist, and physical therapist assistant (PTA)—who thus could see which individuals were making the performance grade and which weren't.

Never mind that the southern California PT's productivity was compromised by multiple factors outside her control, such as being scheduled to work in different units simultaneously, having insufficient time to document, needing to remember ever-changing entry codes on doors, and having constantly to walk back and forth among units.