Reviews Received

• 
  August 16, 2023

  RN/BSN • Emergency Room

  This was a tough one and thankfully it was only 10 weeks instead of 13. I enjoyed most of the physicians that worked there some I could do without. They are a busy ER and you feel it. I was hired for days but was actually a variable shift and they would schedule 4+ shifts in a row all different times and when brought to their attention they don’t care (management). I was told they were a level 2 trauma center which I found out on day one wasn’t true. You do everything, turn rooms, mixing meds, transport, you are responsible for checking availability for beds for psych patients. Most of the staff are nice, some don’t like travelers and won’t help you.

• 
  December 6, 2023

   • Emergency Room

  If you want to get an idea of what kind of company Thedacare is, just google Thedacare suing Ascension and have a good read. I only worked in the ER for this contract so the review is based solely that. To start, this is a level 3 ER that feels as busy as a larger metro level 2. They don't take a lot of trauma but they see a lot of emergent cardiac patients mixed in with overwhelming amounts of urgent care. The ER has has 3 major sections/pods that dictate what general rooms you're responsible for. Staff consists of EMT/medics as "techs", LPNs, and RNs with 1-2 docs with some overlap and a midlevel or two (during the day). I was supposed to be straight nights without flex/rotating shifts and had to remind them numerous times I did not agree to working day shift and one day off was not enough to flip my sleep schedule. I had a week where i was scheduled a day shift Monday, night shift Tuesday, and day shift Thursday. The first major red flag for me was going an entire 6 hours without any face to face communication with a doctor. Triage runs from 1100-2300 and the charge nurse will make the call where to place the patient. No one will let you know they roomed a patient and will either sign you up for the patient without telling you, or will leave the patient in the room and just expect someone to sign up for them. Docs will sign up for patients pretty quickly (unless its an hour before shift change, and you'll have a AFIB RVR not seen for almost 40 minutes.......ya......) then thell go sit in their little secluded cubby area throw in orders and get mad if you don't acknowledge them/get them started after a few minutes....god forbid you're stuck up on the floor transporting a patient or in the room of another patient and havent had a chance to refresh Epic. Which brings up another point....when you transport a patient up to the floor, the HUC will give the floor a heads up, tell you what time you can go up, and will call up to let them know youre on the way. You're still going to get stuck up on the floor for 15+ minutes waiting for that nurse to show up. ER staff will tell you to just leave the patient in the room after 5 minutes...I'm sure thats safe right? Speaking of the floor staff....I've never seen as much hostility and unprofessionalism as I witnessed in this ER. The hospital uses "verges", their form of incident reports on everything. If you were supposed to bring the patient up at 1400 and you showed up at 1405 you'll get a verge. If you took the patient to CT for an inpatient order before taking them up to the floor....verged....but if you didn't do it then you're clearly lazy and are just making more work for the floor staff. During shift change one of the ER nurses stated they sent 7 verges out during their shift....it's absolutely nuts and just childish. Staff seem to be REALLY against having travelers around, to the point where its almost a hostile environment. My orientation was "3 shifts" but was really just a staff nurse sitting down while I struggled to find anything because they "didn't know what to do for orientation with travelers because we're supposed to be experienced already". Staff was pretty resistant to helping with anything outside of patient care. You could be down their pod flipping their rooms for them and they'd return the favor by sitting on their phones while you take a new admission and your recently discharged room will stay dirty. Nurses are responsible for all transport, cleaning anything short of an EVS nightmare, flipping beds, and stocking if you can find the time (which no one can because everyone is downing together). So if you like to be drowning every shift you work, if you like finding out you just got 2 back to back ambulances and a half triaged chest pain all within 5 minutes (because triage roomed one and didnt tell you, the charge nurse roomed one and didnt tell you, and then EMS rolled in and placed a Pt and no one got assigned so they just assumed you'd be able to pick up the patient) while you're up on the floor with your last admission.... and the concept of communication is just so beneath you....then this is the place for you. There's a reason this place is struggling so bad and there's a reason travel nurses are leaving after a few weeks.