Travel Nursing Hospital
ranking will be averaged and updated on a continual basis. The highest score for
a hospital is 100.
Travel Nursing Hospital Review of: Beth Iseral Deaconess (Plymouth)
Feel free to rank any
hospital. You are not limited to the ones below.
(within 1 year)
|1. Friendliness and acceptance of travelers by staff||4|
|2. How open are they to allowing you to expand your skills while traveling?||2.5|
|3. Hospital Technology||2.5|
|4. Location (A nice area to live)||3.5|
|5. Cafeteria food||2.5|
|7. Physical layout of hospital effecient||3|
|8. Hospital appeal (looks)||2.5|
|9. Hospital orientation geared toward travelers?||1.5|
|10. Simplicity being initiated into the system (Do you have to do lots of unneccessary paperwork, drug testing, criminal background checks, etc. in addition to what the agency requires before you can start working?)||2|
|11. Reputation of the hospital||3|
|12. How nice are the doctors to staff||4|
|13. Friendliness of staffing office||4|
|14. Happy with the work scheduling procedure?||3.5|
|15. How efficient is their system so you can get your job done?||1|
|16. Adequacy of their nurse to patient ratio||1|
|17. How well staffed are they||1|
|18. How happy were you with your workload?||1.5|
|19. Staff morale (overall)||2.5|
|20. To what extent would you recommend this hospital to other travelers?||1.5|
|Total Score (number or rankings)||50.5(2)||(0)|
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- I worked in the emergency department(s) in the hospital. Comments for each area. (1) This part really impressed me, and it's truly what keeps this ER running so well. Almost everyone was really friendly, from the very first day I met any of them. The ER is incredibly tiny and work spaces are tight, but this seems to help contribute to the team-ish nature of their nursing. (2) There were some classes and seminars available, which were open to travelers. Although the hospital offered certifications for free for staff, any non-employee had to pay the full price. (So I opted to do my ACLS & PALS recerts somewhere that was cheaper.) (3) They use the new version of Meditech. It's windows-based now, but I find it much harder to view old records and data. (4) I did't live in the area (opted to take the stipend and lived some distance away). But most of my co-workers lived in or around Plymouth, and the areas are all relatively nice. (5) Not-so-good. The salad bar isn't bad, but there isn't much selection of hot foods. The sandwich/wrap section is closed at dinner time. And the cafeteria closes at 1855. Don't be 1 minute late! (6) There's a parking lot just outside the ED which technically isn't for staff, but the ED uses it. It's very dark at night, though. Security will always walk out with you and make sure you get to your car safely, though. (7) It's rather small, so it doesn't take long to get to other departments. (8) Parts of it are newer. Overall, it's pleasant. (9) There was nothing specific for us. (10) There was nothing out of the ordinary. (11) This hospital was called Jordan. It was acquired by the Beth Israel Deaconness system in the last year or 2. Apparently, it's improved significantly, like opening a cath lab for STEMI's. It still has a long way to go, though. (12) Like the nursing and ancillary staff, the friendliness of the doctors impressed me also. Only a couple were unpleasant. Most of them go by their first names. This always takes me some time for me to get used to, but it does contribute to feeling like more of a team, than like you have to shout across a gaping doctor-nurse abyss. This ED gets crazy busy, andi t's hard to have adequate communication then, but most are willing to stop and explain their plan or answer questions. Most of them are content with you putting in protocol orders also. (13) One woman is in charge of staffing. She was great to work with. I appreciated that she was willing to honor most of my schedule and minor time-off requests (that weren't approved prior to my start date). (14) The woman from #13 posts a request board. I prefer everything electronic, but it works well for her, so I have no complaints. But here come the negative marks... (15) Meditech itself is only part of the problem. I think of "system" as the global approach within the unit, and it's (in part) addressed by the questions which follow this one. So, overall, the system is sub-par, at best. Some issues: You have to receive (recept) your own ambulances, which takes time away from working with your other patients. RNs have to transport their tele patients on a monitor to their admitted rooms. (I've never experienced this anywhere else, aside from patients that don't offer ancillary staff to do this job.) Then you have to wait for staff to be available to receive your patient (though I know this is a problem in many hospitals). At night, there are no transporters, so techs (attendants) have to transport patients to/from radiology, which takes away from their ability to assist in the ED. Techs are also pulled to be sitters. The locked behavioral health unit is often forgotten. As one doctor leaves, patients are passed on and on to the next doctor, so their continuity of care is often fuzzy. Getting new orders is harder than pulling teeth with your bare hands. And, although security is located within that unit, they're on the opposite of said unit. That distance is enough to create a barrier of hostility with some patients. This is only part of it... (16) This part is absurd. When I interviewed, the manager told me their usual ratio is 4:1, though sometimes 5:1, but that 5th patient is usually something easy. Not true! I was often been expected to take 5 and 6 patients, particularly when staffing was poor. And sometimes they would all be heavy patients. In the behavioral unit. the ratio was up to 7 patients to 1 unit (though their schedule calls for 2 nurses) and 1 tech. The tech was sometimes pulled later in the day, though I usually refused this. Patients on CIWA protocols require q2h VS, some of the patients required a lot of behavioral intervention, and some a lot of medications. Without another staff member present, it was near impossible to do everything else expected of me. (17) This is directly related to #16. They don't have enough staff, period. And some of their core staff had left, though they brought in more travelers. But, when there wasn't sufficient staff, they didn't necessarily close beds to accommodate the decrease in staff. No, the staff who were there were expected to take all the patients in their area. And then, when staff left at 2300 and 0300, the remaining staff were expected to absorb those patients - sometimes having 7 patients in the wee morning hours. (How is that ok in an ED??) (18) I think #15-17 answer this pretty well. (19) Surprisingly, staff remained relatively positive (or at least neutral), even with things so rough. I'm not sure I would have lasted if it weren't for them. Sadly, many of them privately expressed that they're getting worn down by the insane staffing and ratio expectations. (20) I wouldn't. Sadly, I love the staff, and I wish that weighed more in favor of my recommendation. But #15-17 outweigh almost everything else. This place just isn't safe to work. 07/11/2015 Housing was approximately unknown mile(s) from the hospital. The name of the housing complex was unknown. Housing was located in city of unknown. On a scale from 1 to 5, I would rate it a 3. I took the housing stipend and lived some distance from the hospital.
- I worked in the ED department(s) in the hospital. I had only two days of precept and then was thrown out to the wolves, I felt unsafe, overwhelmed and felt like the nursing staff was accountable for many other departmental jobs. For example, the nurse registers all ambulances (reception), the nurse is responsible for all the labs drawn (phlebotomy), the nurse puts in most of the orders and still has to do them (physician), the nurse would have to go retrieve patients from CT if needed (radiology), the nurse administers all the neb tx, ekgs and respiratory therapy was barely used (RT) and once the pt was admitted to the hospital, you were responsible to give and do the MSU orders to the best of your ability if they didn't have a bed for them yet (MSU)! On top of all that, you still had to do your typical emergency tasks/evaluations/assessments. It just seemed wrong all the way around. In my interview she talked about all the ancillary staff they have available to do the med recs, ekgs, techs to help assist patients, blah, blah , blah, don't believe it.
The positives were the nurses that I got to work with, very helpful for the most part and friendly. They were way understaffed but were really hard workers. 07/07/2015 Housing was approximately 16 mile(s) from the hospital. The name of the housing complex was The Village at Marshfield . Housing was located in city of Marshfield. On a scale from 1 to 5, I would rate it a 3. The pool was an added cost of $25.00 per wrist band. Laundry was $5.00 a load. The apartment was clean, nothing exceptional but very doable. It was a 5 mile bike ride to the beach so that was nice.
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