Notes on the road from bedside nurse to the executive seat, written from inside the work.

By Monica D. Cutia, BSN, RN, PHN, COS-C
Clinical Founder, CultureAI · VP of Clinical Operations, HealthView
Fifteen years leading post-acute clinical teams. Makes the platform answer to the standard of care.
New episode ·
Published in Forbes · Leadership noteStaying With Patients and Your People
A hospice daughter who was not keeping score, an intake call that built the trust before the nurse arrived, and the business case for keeping the same faces with the same family. Continuity, and why the commitment runs inward first.
Start here
The founding note, Nº 0
I spent years being told that nursing and business live in different buildings. I no longer believe the buildings are separate. I’m a nurse. I brought documentation.
The chapters
Start at Nº 0 and read on, in order.

Nº 0 · The founding note
The Buildings
7 min listen · 7 min read

Ch. 02 · Note
The Patient Who Said No
6 min listen · 6 min read

Ch. 02 · The capstone
The People
12 min listen · 10 min read

Ch. 03 · The capstone
The Nurse
7 min listen · 6 min read
Published in Forbes
Monica’s columns for the Forbes Business Council, each with its own narration.

Published in Forbes · Leadership note
Staying With Patients and Your People
7 min listen · 5 min read

Published in Forbes · Leadership note
What Looks Like Falling Behind Is Often Someone Catching Up
7 min listen · 7 min read

Published in Forbes · Leadership note
What the Bedside Can Teach Leaders That the Boardroom Never Could
7 min listen · 6 min read
Ask the Lab
Ask the notes.
Ask in your own words. Every answer is written only from the 32 field notes, with a link to every passage it used.
Try asking
ExampleFrom the notes, word for word
Example question: What does Monica mean by the buildings?
- 1I spent years being told, mostly without words, that nursing and business live in different buildings.Nº 0 · The Buildings, ¶1
- 2Clinical people care for patients. Business people run the company. Stay in your building.Nº 0 · The Buildings, ¶2
- 3I no longer believe the buildings are separate.Nº 0 · The Buildings, ¶4
Every note

Published in Forbes · Leadership note
Staying With Patients and Your People
A hospice daughter who was not keeping score, an intake call that built the trust before the nurse arrived, and the business case for keeping the same faces with the same family. Continuity, and why the commitment runs inward first.
7 min listen · 5 min read

Ch. 03 · The capstone
The Nurse
Seven ordinary objects. Seven lessons I still lead with. The bag, the stethoscope, the name badge, the chart, the call light, the drive home and the last visit, and what the work made of the nurse carrying them. I am a nurse. I brought documentation.
7 min listen · 6 min read

Ch. 02 · The capstone
The People
Nobody in this cast supervised anyone. They taught me leadership anyway. The caregivers, patients, aides, schedulers, and chaplains I met along the way, and what they used instead of titles. I am a nurse. I brought documentation.
12 min listen · 10 min read

Nº 0 · The founding note
The Buildings
I spent years being told, mostly without words, that nursing and business live in different buildings. I no longer believe the buildings are separate. And I am not asking you to take my word for it. I am a nurse. I brought documentation.
7 min listen · 7 min read

Ch. 02 · Note
The Patient Who Said No
He understood the recommendation, the risks, and the consequences. Then he chose differently anyway. What that choice taught me about nursing became the most important thing I know about leadership.
6 min listen · 6 min read

Published in Forbes · Leadership note
What Looks Like Falling Behind Is Often Someone Catching Up
A patient learning a new routine after a major health change looked clumsy, slow, and uncomfortable, and kept showing up anyway. What that taught me about mistakes, readiness, and the cost of stepping in before someone finds out what they are capable of.
7 min listen · 7 min read

Published in Forbes · Leadership note
What the Bedside Can Teach Leaders That the Boardroom Never Could
I did not start my career thinking about strategy, operations, or organizational culture. I started thinking about people, specifically the person in front of me in their most vulnerable moment, and what they needed from me that day. Nearly a decade at the bedside gave me a lens I cannot take off, and five lessons the boardroom never taught me.
7 min listen · 6 min read
From Scrubs to Strategy
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