Originally posted by 4XNURSE
Bigger does not necessarily mean better. Nor does it mean worse. I've worked in some of the biggest in Ca. - (LA County USC & UC Davis MC) I've also worked in some of the smallest. (Mountains Community) Each has it's good and bad points.
As a generalization, the big teaching hospital will have more diversity, and more opportunity for learning the newest technologies, and proceedures. I found the learning opportunities to be broader at the big hospitals.
In a smaller hospital I found there to be less pressure, and more opportunity to develope relationships with both patients and other staff.
Remember these are generalizations. Everyone finds different things, based on their own preferences.
In reality, I've enjoyed both. fortunately I have been able to do a wide variety of things. I work as an agency nurse and have been able to work in HUGE, BIG, medium, and small. I like the variety.
just my $ .02
Ditto, Ken, to everything you wrote here!
I have worked both types of hospitals, and find the smaller ones to be less pressure, and more opportunity to form patient and staff relationships. I also found the staff in the smaller hospitals to be more "team oriented" -- willing to pitch in and help one another.
In the big hospitals, especially the university hospitals, the majority of kindesses that I encountered were from the other agency and travel nurses (like I was when I worked in them). Not many of the staff took the time to get to know us, or to care about how our day was going. This isn't true in every case scenario, but it held true for me for the most part.
If I were going to choose a place of employment, the money would matter, but I wouldn't accept a job solely based on the money because if I did, chances are, I'd end up quitting from misery and excess stress long before the money would even make a dent in my life. :chuckle Kindness and professional friendliness goes a long way on a job, and that's something money can't buy!
"Sometimes the road less traveled is less traveled for a reason." -- Jerry Seinfeld