Scott Nicotera.

The Archive

Past Issues

Every issue of both newsletters. Click any issue to read it. New issues appear here as they're published.

THE SHARP END

Clinical leadership from the frontline forward.

Jun 18, 2026 · 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. Read on beehiiv › Jun 17, 2026 · 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. Read on beehiiv ›

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M

THE MARGIN

Command judgment for chief officers.

Jun 16, 2026 · 7 min read Big Fire, Big Water — and the Hydrant That Lies Your tank buys you a couple of minutes. Your hydrant might buy you nothing. The difference between a knockdown and a defensive collapse gets decided before the tones drop — not after. Read on beehiiv › Jun 15, 2026 · 10 min read Serious People Who Know When Not to Be The department that laughs together survives together. Most chiefs never got a class on that. The ones who figured it out didn't need one. Read on beehiiv › Jun 14, 2026 · 4 min read The Budget Meeting Nobody Prepared You For You can manage a mayday. You can run a multi-alarm with mutual aid from four directions. Then someone who has never pulled a hoseline tells you your budget request is too high — and you don't know what to say. Read on beehiiv ›

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