You are the director of a 60-bed acute care/rehab unit for spinal cord injury patients. The unit is composed of three wings of care. Unit A, a 10-bed unit, is the most acute wing, with patients who are either quadriplegics or paraplegics with severe medical conditions that are unstable and are frequently ventilator dependent. Unit B, a 20-bed unit, has stable patients, quadriplegics and paraplegics, who are still medically unstable but are not ventilator dependent. Unit C, a 30-bed unit, is normally stable, newly injured quadriplegics and paraplegics who are on the unit to learn how to function within the scope of their disabilities. These patients receive intensive OT, PT, and ST during the day but after five they are usually in their rooms or out in the common areas until 9 or 10 PM when they go to bed. These patients, although stable, require positioning, wound care, and much care in relation to ADLS. Your staffing levels are great - they exceed the national standards for care of this type of patient. Patient satisfaction is historically high and staff are motivated to care for these vulnerable patients in the best way possible. You notice that complaints of inattentiveness have.