Worked on Johns Hopkins' cardiac care unit (Zayed 5 W). Cared for a unique population, from government officials to the IVDA/homeless to those who flew in for surgery and many under arrest with an officer at bedside. Dealt more with residents than attendings. Most nurses were efficient, staff was friendly and mostly helpful. Learned a lot, saw a lot. To travel nurse here you have to have a strong set of critical skills, be independent and have much patience and confidence. The only cons that I can think of are that the unit was short staffed, it's sometimes hard to get orders from MD, the cafeteria food is lousy, and the area around the hospital feels a bit unsafe. That being said, I would still recommend working here!
This CCU is mostly a medical, 24-bed unit with occasional vascular and thoracic surgeries. They are also doing flaps now. The teamwork on the unit is fantastic and the permanent nurses have a team-oriented culture. There are multiple intensivists available during the day and an NP at night rounding between CCU and ICU. They are all friendly, very helpful and available when needed. The patient ratios are usually 1:2 (ICU) or 1:3 (ICU and downgrade mix). Because of COVID, 1:3 is pretty common. N95 must be used up to 3 times and stored for 5 days in between. Must go to house supervisor to get a new n95. There is rarely a tech or other supportive staff on the floor so that is a big downside. If there is a tech there is only one for the entire unit. The hardest part is dealing with isolation patients in critical moments, but that is true in all ICUs right now. The best part about working here beside the great compensation and flexibility in schedule is having wonderful co-workers and great managers. The facility also offers 401k matching. Any cons I can think of aren't a big deal compared to a lot of the other facilities I've worked at, sometimes patient ratios are a concern but for the most part it's more than manageable.
Floor nurses are supported on the hematology/ oncology floor where I work, with great ratios. We're typically 3:1, almost never 4:1, and sometimes 2:1 with very sick patients. We have IV team 24/7, respiratory therapists, a resource RN 24/7, care partners (nursing assistants) staffed at 8:1 max, and dedicated charge nurses that don't take patient assignments. Your co-workers will also support you. Everyone believes in the mission here, and generally looks out for each other. Morale is typically high and people are kind and accepting towards each other. We also get breaks here, don't let anyone tell you otherwise! More than one, too. There are also plenty of "extra" things to get involved in (councils and committees, audits, research, etc.), and there are a lot of ways the hospital tries to make nurses feel cared for and heard (HR night rounds, occasional face to face meetings with the CNO or CEO, etc.). The night shift differential is good, $4.75 for 1st 4 hours and $8 for the last 8. That comes out to around $7/hour overall, close to $1000/month. Those "extra" things are an expectation to receive raises that are still less than the average rate of inflation. New RNs get brought up to speed in terms of pay fairly quickly but after a few years you're looking at a ~1.5% yearly increase if you work your butt off on the "extras", and less than 1% if you don't get involved much off of the floor. You will always be told your pay is "above market" after 3 or 4 years of experience and will not get raises with market adjustments. The benefits are marginal. They do match your 401k contributions at 3% after a year, regardless of your status (full time, per diem, etc.). Health insurance is pretty blah. My husband's offerings through work are better and cheaper even at his part-time status versus my full-time. Also, if you're part-time here (less than 0.75 FTE for the sake of benefits), be prepared for your health insurance premiums to be nearly double the full-time rate. There is also no way to waive your benefits and take a slightly higher pay rate, so don't ask. LA is expensive, and many nurses here work a second job or pick up extra shifts beyond being full time to be able to afford it. Aside from the expectations of much involvement beyond the "floor" for any RN, there is unfortunately not much of a clinical ladder. The desirable roles (lead RNs, managers, house supervisors, directors) are filled by people that do not leave for decades. So for job growth, if that's your thing, RNs tend to go back to school and become NPs, teach, or find positions elsewhere. Not much room on the ladder here. They'll be happy for you to take on more work in councils, etc. but it won't likely earn you any promotions because everybody is in the same boat.
Offers transitional programs to move to different specialties such as ED, Labor and Delivery, ICU and Operating Room. Flexible and helpful in balancing work and life. I truly enjoy working for Scripps. I have been there 4 years and counting, and absolutely recommend Scripps as a wonderful place of employment. I feel that my supervisors respect employees opinions and take our thoughts into account when making adjustments to our work environment.
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