Pros: unlimitied overtime
Cons: they took all incentives away. clinical ladder, pto's, cut flex match, cut match on retirement
A 26 bed ED, seeing over 40,000 patients a year. Level 3 trauma.
When I first started in the ED we had a Director and a Manager and it was a family environment.
I was a team player went in whenever they called me, night and day.I loved my co-workers, Physicians and Director but they are no longer there. I worked for 9.5 years in the ED and loved it. – more... Found it was my passion. We changed Directors 4 times while I was there.
Communication was lacking top down and bottom up. It got lost in the middle. People were frustrated, understaffed and over worked. When people spoke up they became targets. As long as you went with the flow and kept your mouth shut you were good. That didn't set with many for they left and are still leaving.
A typical day of work started 7 am. to 7 pm. It was not uncommon to be called in early to assist nights, or work over related to insufficient staffing. Having days off were hard to come by, staff were always calling off and you would be called in. We hit the floor running and kept running all day. No time to eat or drink, and we were lucky to have time to go to the bathroom. This is related to being understaffed. You are unable to leave a critical patient or have another cover you when everyone is dealing with critical patients.
I found that with the changes being made with Medicare and insurance. More people out of work influenced the number and acuity of patients. The health of the patients were worse and we had a larger influx of low acuity patients for they were unable to go to doctors no insurance. Along with the physicians would no longer see them related to bills accumulated. – less