Here's my opinion.
St Rose system (Dilema, San Martin, Siena) - Pays the best of all the hospital systems. Treats their employees well from what I've heard (ER RNs got bonuses at christmas). I've heard patient load in ER,ICU, med surg is the same as the other hospital systems.
HCA (Sunrise, Southern Hills, Mountain View) - Pay is ok for critical care. ER (1-4) not unheard of to have multiple ICU pts as well as regular, very busy - ICU (1-2), IMC (2-4), Med surg up to 9 on nights. I work here. Its rough with a high acuity and traffic but that's just the ER. I like the people I work with. NEVER been called off. As a matter of fact doing tons of overtime right now.
I am a bit of a trauma junkie as of late, we get alot second only to UMC. Not planning on leaving anytime soon. Our busy/slow times for ER are the same as everywhere else. Only a few slow months in the summer (but more traumas).
Valley System (Summerlin, Valley, Desert Springs too I think) - Know a few people who work in summerlin h. They like it. Not as busy there. Haven't heard of any call offs
VA hospital - I dont' know anyone who works here.
UMC - county hospital. enough said. We have some people who have worked there. They said its kind of a zoo. Lots of budget issues right now.
If you are an experienced CC RN you will get a job out here. I would take a travel assignment or two to test out the different hospitals if I were you. It also depends on if you have kids and which side of town you want to live on. I know St. Rose and Sunrise have CC float pools where they will float you around to ER, ICU in all their affliliated hospitals. That way you get to try out all of them. We get alot of ICU floats in the ER who decide they really like the pace and people (we are a weird and wacky crew on nights
) and stay for awhile.
PM me if you want more info.