They do come out worse than they went in because of the poor nurse patient ratios. They get malnutrition because their nurse doesn't have time to feed them because she is constantly dealing with multiple simultaneously emergencies and orders getting thrown at her. The get infected stage 4 pressure ulcers because they are not helped out of bed when their nurse cannot take the time to do it because she is overwhelmed with everything else going on.

Drug errors happen. We had a patient die because the family member of another patient was harassing his nurse while she was hanging a fentanyl drip. The drip got fucked up and infused to fast.

Not only are the RNs working short but too many patients and families see them as hospital waitresses who are there to provide service rather than seeing them as overwhelmed care providers who have too many life and death problems to deal with at once.

The guy who was harassing the nurse hanging the fentanyl drip followed her into another patient's room to harass her because his dad wasn't happy with his meal tray. He distracted the nurse and caused a death. Selfish fucker. Complain to the kitchen dumbass! Nurses have no control over the damn food trays.