other that she could "start from scratch" in a new hospital and develop her department just as she pleased. There would be no traditions or out-dated policies to observe and no unproductive staff members to consider. The director could plan, arrange, and rearrange until everything was just right according to her standards and ideas. I had that wish, too, and it came true when I was employed on July 15, 1952, to be director of nurses for the Sinai Hospital of Detroit, which would be ready to receive patients six months later, on January 15, 1953. The hospital administrator had been appointed October 1, 1951. The hospital is a beautiful, modern plant which accommodates 211 adult and pediatric patients and 48 infants; it provides medical, surgical, pediatric, and obstetric services. Its up-to-date equipment includes a pneumatic tube system to carry written messages and small articles, a patient-nurse communicating system, wall outlets for oxygen supply and suction equipment, and air conditioning in the operating room, the delivery room, and the