Not for professional development...
Pros: none at this time.
Cons: far to many to list.
I had always dreamed of returning to my home town to work in VVMC with the desire to make a difference, and I could not have been any more misguided.
I left a beautiful east coast location to return home after receiving a job offer that was at best, a professional failure. During the interview, I walked around the facility and meet some of the staff where my reception was at best bitter sweet. My first week of orientation was nothing but a demeaning experience of being advised that I need to surrender my previous 3 years of critical care experience and learn "a new way of respiratory care". At this time is I realized what it truely meant to work for a facility that is not JCOH.
The co-therapist all have been there for a great number of years and refuse to allow more modern practices to be spoke of, (I.E using BAN nebs vs. inhalers for status asthmaticus patients). All therapist pick there own work assignment and heaven forbid if you attempt to assist with their work load with out their permission.
The department lead is poker faced and assumes no corrective action role. all rumors are assumed true and there for is quick to assign disciplinary action based on biased opinions.
The department as a whole received my presence as one would welcome a new onset of herpes. I was not permitted to express any opinions nor challenge my skills without any persons being offended. The department utilizes 2 sets of policies and procedures, one for the clinical and the other for sleep lab. these P&P's are interchangable and unchallengable and are able to be "tweeked" to the supervisors liking – more... at any given time.
The department head is an RN whom has no previous respiratory experience nor does he exude any sense of ownership over the management of the department. The department medical director is a physician whom has been at VVMC for a very long time and though he does a decent job of accepting input from the therapist, he allows inexperienced "doctors" to manage the vents. Hyperoxygenation and nitrogen washout is very common practice with in the ICU and the preceding questions of "why?" are usually abundant after the extubation.
After my short period of time within my hometown hospital, I am sad to say that not only do I not desire to affiliate with them, but I would much rather die as opposed to let any person within VVMC attend to my medical needs. – less