SCI nurses care for people with demands for care, which may frequently exceed the supply for licensed caregivers. We need to not only provide safe and adequate care, but also provide quality in caregiving to patients and their families. During times of unprecedented shortages, nurses must be willing to change their "ways of doing" things. Routines that are outdated and don't serve the best interests of our consumers--persons with SCI--need to be replaced with current care initiatives. We must preserve precious nurse resources to meet the needs of our patients. In order to facilitate quality in our care delivery to persons with SCI, we must be willing to make the necessary changes to make that happen!