As a former ER RN at San Antonio Community Hospital (SACH) I would never recommend working at this institution. Like with any job the staff is hit and miss. You will find helpful, compassionate co-workers who are very professional and then you will find malicious co-workers who will lie, gossip and try creating trouble for you with your fellow co-workers and superiors. The true abuse of this institution however comes from management and directorship. Management will often give write ups based on prejudice and favoritism without any due process, investigation or objectiveness that all employees are entitled to. Furthermore the policies of this hospital are often very vague and often ignored and even broken by management in order to create an environment of overall control. Overwhelming assignments are often given to those who are not favorited and due to this institutions infatuation with numbers and profit, will often break JACHO standards, along with state and federal laws to maximize patient turnover. This often leads to an environment where the nurse is put into overwhelming and often unsafe situations, thus putting their license at risk, all the meanwhile assuming all responsibility with no management liability. When these practices are addressed, as I have seen numerous times, that Nurse is often harassed to an inhuman level. On the healthcare professional side, this hospital is ran more like a concentration camp under the control of a totalitarian regime than an actually productive and professional healthcare agency.