In our dept, there is good teamwork, and pt safety is always considered. We have people come to us, who have MDs outside our system, who are "afraid" (their words) to go to "their" hospital. We've had people correctly diagnosed at our place who were told something wrong. elsewhere. (i.e. PE vs bronchitis, mediastinal mass vs asthma, lung CA vs COPD...)
Staffing is inadequate during holidays when all the clinics are closed; I believe they should add a RN during those few times.
Although an ER, PALS is not required. As a casual, I will not get any reimbursement, therefore I let PALS lapse. I believe they should make it mandatory--and reimburse accordingly.
Upper management is mostly about themselves; although they claim they want input from the people that actually do pt care, all they really want is to indulge their adolescent fantasies. However, once in a while, they do get things right. Middle managers are usually very good or excellent.
Pay could be better. Other local facilities do pay more, so I don't know how the upper management arrive at the computation; maybe they take all the most rural areas of the state they can find, and average that? While in the meantime, they include the CEOs at Froedert when computing their own pay. I guess I can put up with that, rather than work at Aurora.