This is a great benefit to teamwork efficiency. All our patients who come come for various types of surgeries, whether they are classified into neurology, vascular, cardiac and general surgery among many other specific specialties. We are closed on major holidays, which definitely provides moments of respite from such a hectic environment, this is an advantage of working in an outpatient facility. Some of these patients are discharged the same day as surgery, while others may be hospitalized overnight or for several days. One disadvantage is that some patients expect us to know exactly when they will be returning home for longer stays. As nurses we do not have this foresight for each patient and since each surgery is individualized, a specific discharge time will depend on how the recovery period is progressing. Another perceived disadvantage of working in this unit is that we are often understaffed due to fluctuating patient caseload volumes which can literally vary from hour to hour.