I have worked a onco/CC as a traveler there in the past. I deal with higher acute chemo patients - the unit handles ICU/dialysis/vent/multiple drips, as well as less acute patients, receiving drugs that have a high propensity for crashing and requiring the previously mentioned critical care.
I like my coworkers, but took a few weeks to get a handle on a few of the more "difficult" ones. The environment can be stressful and intense but invigorating. Some of the procedural differences in my department can be difficult to get used to, but make sense. Very few facilities in the world have the resources to handle a unit or drugs like these safely, but Hopkins does it well. The manager, social worker, research nurse, and clinical manager are amazing people.
That said, I am an Onco/Hemo nurse traveler and there are CC travelers, and we work side by side. A unit like these requires adaptation and team work. Your assignment may change during the shift, per the need to transfer care on a patient that goes bad. Everyone has to work together - onco nurse giving chemos, orienting CC nurse on all aspects of the high level chemos and research drugs. And CC nurse helping onco, if stable onco pt crashes.
I love my fellow nurses, and many of our CAs (aides/NAs/NTs) and some SAs. A few of the CAs and some of the SAs (support associates/housekeeping/transport), I would rather claw my eyes out than ask them to do anything because of the rudeness that they display. Some of the support staff is unionized and managed separately from nursing, so that little can be done about the attitude.
Pharmacy in my department (not main facility) is pretty spotty and often the bane of nursing existance. You fax the order 2-5 times, and it still does not come. The pyxis does not get refilled often enough. You order narcs repeatedly - no one calls to say that they are not available. You call down (the phone rings forever), find out that they are out, "Can you wait until the refills come" (for goodness sake -IT"S A CANCER FLOOR"). You tell them, "No, we have 6 patients waiting for it". They fill it and put it on the next run....to come to the floor sometime in the next 90 minutes. I call back to see when it will come or I can pick it up. They say "I didn't know that you NEEDED IT NOW".
What part of "We have been faxing for hours - we have 6 patients waiting on pain meds"...do they not comprehend???????? I would like to see the pharmacist wait hours for pain meds.
The residents, interns and Attendings have better manners than the Community nonteaching hospital's MDs, and okay for teaching hospitals. But I have seen a hissy fit or two - no profanities or throwing things though. For the most part, they are good group though.
Baltimore is quite scary at times, and the area around the facility is particularly so. Their mass transit is quite poor.
I liked it but I can see where some might consider Hopkins an acquired taste.