to the original post:
you have to do what they say, how they say, when they say. period. the author of the poorly written advice suggests keeping your mouth shut because suggestions are simply not tolerated. if you make too much noise you will be written up. i have experienced the same kind of resistance to change at other facilities, however. that being said, those other facilities are on the verge of bankruptcy, which hca is not.
i do not know how hca is elsewhere in the country; i can only speak for my own experiences at a rather small facility in california, where we are blessed with mandated ratios. the employees are also represented by a rather large union, but that brings its own set of political wrangling and bs.
hca is a for-profit corporation, they use meditech for charting, i would avoid any facility that is not represented by a union, although politics usually invades the union as well it affords protections that you will need. the management style could be described as tyrannical. the administration where i work was entirely replaced, and i have not seen what the new ceo or cno will do.
from what i have heard, they replace all upper management every two years or so, shake everybody up, and then it’s back to business as usual until the jc comes again. i do not know if this is typical of every hca facility, but i find this behavior highly suspect. how can you run an organization when the leadership is replaced as soon as you know who they are? it seems that the head honchos just want to inspire fear and dread in their middle management underlings and uncertainty in us peons.