Pro: the communication was exceptional and I always knew who was covering my patient. The oncology tower (med, heme, gyn, surg are all separate floors) is the best tower in the hospital as it's brand new. Traveling wise we were 3 hours or less from peak opportunities like NYC for Christmas, Salem for Halloween etc. Fall is the best time to be up there for sure. Cons: med surg is a third world country comparatively. No techs/aids. There were 4 patients to one room. It was night and day from the onc tower. The staff: everyone is friendly/helpful but they intentionally make unsafe/heavier assignments for travelers and have no problem telling you they do that. Surg onc is the exception. They love any and all help. The area is unsafe in general. There's so many police buttons and extra security everywhere you go but it doesn't stop the crime in the area even a little bit. Overall a mixed experience. Wouldn't go back.
Multiple points to be made… - I was originally hired for a unit that was not even open yet. The manager for that unit also managed two others. Therefore, I was supposed to be working on those two units until the other opened. However, 90% of my shifts were spent floating to other units. I was okay with it, but it’s something to keep in mind when working here. - On a lot of floors they have 3-patient cohorted rooms, with one bathroom in the room. Kind of gross if you think about it. Anyway, the problem with the 3-patient cohorted rooms was that they would have 3 confused patients in the same room. All are wanting to get out of bed. So, when one would wake up, they would wake up the other two. It essentially became a game of ping-pong on trying to get the patients back in bed to prevent falls. - the hospital is very understaffed (which is the normal now). However, a lot of days there was no tech, so the nurses ended up with 5 total-care patients with little-to-no help because everyone else was busy. -Certain floors don’t know how to balance assignments. There would always be one person drowning, regardless if you were staff or a traveler. Someone always got a horrific assignment. -The Epic charting software they use is very different from other epic programs I’ve used in the past. It took a few days to get the hang of it. -The hospital is not in a great area. You’d think since it’s associated with Yale University it would be in a nicer/safer neighborhood, but it’s definitely not. In the 3-month duration I worked here, the hospital underwent 4 lockdowns due to shootings in nearby streets. They do have a lot of security guards on the campus 24/7, so you feel a little safer. -you have to pay for parking. But the parking garage is right next to the hospital, so it’s not a far walk. -the only redeemable quality is that the core staff is very nice and welcoming. -providers are readily accessible. You can message them though your assigned phone and they respond fairly quickly. -if you’re working nights, the main cafeteria closes but they have a little cafe where you can get snacks, sandwiches, salads, chips, candy, or beverages (similar to a convenient store)
PICU was very busy unit. Only floated a few times to NICU and psych. Unit was split into cardiac side and picu side. Would get high acuity, fair ratios. Staff very helpful and fun group to work with. Parking was offsite and had to take a shuttle.
Epic is set up completely different than any other I’ve seen. CTICU (5-4) is SO understaffed. Often days had one core staff member who only had one year of experience and was charge (and did their best but had no idea how to be charge understandably so). Unit is split between step down and icu and you float regularly between the two. Ratios were always great and travelers get reasonable assignments (not fresh hearts but not just ltac types). Traveler pay got cut 3/4 into my contract by 30-50% across the board without reason so I left after 10 weeks. Great staff just a dumpster fire—overall extremely underwhelming
ICU travelers being hired from September on are being required to float between 11 ICUs and 2 hospitals. I spent more than 50% of my shifts being floated to med-surg.
Ok so overall, place wasn’t horrible. Hospital has an older, stuffy feel. I worked on 7-2 surgery which is managed by the same person as 7-2 med/cards. Management seemed nice at first and super helpful, but then after I got there was lax with communication and poor scheduling. Staff RN’s were friendly and helpful. The assignments were fair. Usually 1:3 and sometimes 1:4 if short staffed. Floated a lot-you can go anywhere including picu and ED (and take your own patients not just as help all). Used epic and Pyxis. Baxter pumps.
I worked as critical care float and honestly it was pretty good. As critical care float, you do not know your assignment until 6 AM which sucked at times but most units do not start until seven. The staff are very appreciative of the travelers and typically I had good assignments. Lots of help, lots of support. Very traveler friendly
The culture among staff is deplorable. They are hateful to travel nurses. The most toxic attitudes are setting the standard as everyone else has to dance around the toxicity to avoid daily conflict. CNAs would openly deny helping RNs and it wasn't personal as they wouldn't even know the nurses (most of us were travelers and floaters) they just knew they could get away with and if you said anything they would pitch a fit and run to management. It was awful.
I would not work there again as a bedside RN. I did work there as a nurse practitioner as well, but I wouldn’t do that either. I would not recruit a friend to work there. Scheduling was not flexible. Toxic work culture. Safety not always a priority. Underpaid across the board, except for the executives. Patient ratios not acceptable.
I would work there again only for the PCAs. There were a few nights on the neuro floor that I would have 6 patients (one night having 7). They were always short staffed so there was ample room to pick up and extra OT shift weekly.
MICU treated travelers like absolute trash! Staff excepted you to clean/turn 400lb by yourself and found any excuse to be "busy" when you needed help. No night shift resources (transport, IV team, etc.), despite being a huge hospital. Neuro ICU was a dream! It was refreshing to be floated there!!! I had a 12 week contract with MICU shortly AFTER COVID. Watched COVID rooms be cleaned and EVS go immediately into a non-COVID room with the same rags/equipment and clean. When asked to renew my contract told my recruiter...not for all the money in the land!
Workload can vary based off patient acuity. If I got help it was fellow travelers. Core staff was were very cliquey, and not very helpful or drag their feet to help. That was very off putting being an ICU, as it hindered patient care. They have aids but are rarely staffed and I would not work here again.