. >> for general public comment, mike hill, crystal duran and heather roninger. >> i am one of the nursesn the er. our concerns are about general hospital emergency department staffing issues, transparency, lack of, promises made to us at the joint commission that were supposed to be built into our contract. for instance, the ratio change in the er. we haven't had any information funneled down to us how that will be accomplished. we assume they will hire temporary staff for the changes. that is not the safest way to care for our patients. if that is the plan, but we don't know the plan. there has been multiple issues. care start is another implementation that didn't respond to any of the input from the nurses that have to work the care start program. it is not safe to our patients. there are so many different issues the other nurses with me will speak about. i wanted to introduce those problems in the er. >> would you identify yourself for the record? >> mike hill, nurse in the er. >> thank you. >> good afternoon, commissioners. i am actually going to read a letter on behalf of one of my