RUN RUN QUICKLY AWAY!!! Currently (not for long) working at a HMA hospital. Have worked for both a non-profit health system and now a profit hospital, my experience: I will never work for a profit hospital again! HMA management is more worried about THEIR bonuses then they are with patient care and the safety of patients and staff. When I interviewed I was told that they had computerized charting, an admission nurse and would only have 5-6 pts maximum. The computerized charting is only in ER and and one of the ICU's, not expected to be on other floors any time soon, the admission nurse was a figment of my imagination even though 3 other nurses that hired in at same time was told same thing, the last time I had 5-6 pts was when I was still on orientation, average number is 8 as many as 11, RN assignments are made by rooms not acuity. PCT's work with an avg of 10-12 pts. My unit is SO disorganized that orders are missed consistently by both the CN and RN. Communication between mgmt and floor staff is near nonexistent till something goes wrong. Higher up mgmt hold "Town Hall Meetings" at 9am, busy time for all staff and too long for night shift to hang around. HMA stopped contributing to employees 401K couple of years ago. Insurance costs are outrageous and unless you increase to a higher standard does not cover much of anything. Equipment is old and supplies are VERY limited. Black mold continues to filter through walls, which a FT maintainence man cleans the area and repaints. Most of the patient rooms are dark and dreary. No visitor bathroom on the floor nearest one is 3 floors away. Staff breakroom is 8x12, which holds a 6ft table, lockers, microwave and BR. Patient pantry is a joke!, no extra condiments, night snacks consist of 5 vanilla wafers and a piece of cheese which for a floor that holds 40pts food service may bring 6. Cafeteria is only open for lunch on weekends and the menu consists of weeks leftovers.
So with all this said, I wish that I would have researched the company prior to hiring. From what I have found out about HMA the problems at my facility are company-wide. Many may say "at least you have a job" well yes I do but how long will I have my license! Mgmt is more worried about profits than nursing staff, we are expendable, plenty more out there. Every day is full of stress, every health system has problems, at HMA stress is compounded by low staff morale, poor communication and inferior equipment and management that just doesn't care. HMA management are aware of the problems staff are told to "be patient, big changes are happening." Hearsay (including some doctors) is that nothing has changed in years and won't as long as HMA's board are bringing home the high end of 6 figure bonuses each year.
My advice to any nurse, old or new, is to throughly research the employer prior to applying. Look on the internet for financial records, forums etc.. Take a tour of the unit that you are interviewing for, is staff running around or calmly walking the halls, are they smiling?, look at the equipment (new vs old), look at patient care areas (clean, dingy?) look at the assignment board (figure out pt:nurse ratio), walk around the facility and look at staff, visitors and patients. Be smart, research prior to and after interviewing (most respectable places will give you 24 hours to "digest" the given information), I wish I had! You worked hard for your license, protect it and while others might think we are expendable there are also many different facilities!