The very thought of preparing for an accreditation survey weighed so heavily on one nurse's shoulders that it drove her over the edge. How else would you explain her telling lie after lie to her surgeon and colleagues that, yes, they were all set for an accreditation survey when she hadn't even applied to the accrediting body? Or dreaming up excuses not once but twice for why the surveyor she'd said was coming the next day had cancelled at the last minute? Or finally setting a small fire to her office after-hours to destroy paperwork and buy herself more time, after she'd cried wolf a third time and told everybody once again that the surveyor was due the next day?