@Richard Davidson:  I've seen that at the  VA Med Center I go.   There are guys I've seen that are slackers, are not there anymore.   I get around that place.. I thought they just got reassigned....   There was one guy at one station 
That was alwAys on the phone calling for a courier(usually a volunteer) to run s'thing just down the hall a couple hundred feet..  like he thought they would miss him for a couple minutes.   The replacement is a Silver Star Vet(he has a miniature medal on the collar of his shirt) . He got up and took another patient's slip to another station for the patient who looked to. Be frail and close to 80.   When he returned he told the elderly Vet that that they know he's waiting to see the docs and it's alright, whenever he gets there, they'd take him right in.   He didn't sit on his arse and call a courier., he took the paper there himself for the the older Vet.    There's a new director also and he's all over the hospital.