Within the greater structure of hospital policy and procedure, each "floor" is run pretty autonomously by that manager - if they're good, great, if they're not, you are really out of luck. Truly, my manager was the worst I've had in 25 years in the workforce: workplace bullying was not only tolerated, it was essentially created by the department's manager. Favoritism, inconsistency and conflicting directions were the norm. My manager deferred to long-time employees in determining department policy and procedure, and in the assessment of other employees, well beyond a reasonable degree of the feedback and input that should be encouraged from ALL employees. Others agreed with my assessment, but we really had no recourse. I was retaliated against for speaking to the fact that our department was not in compliance with state wages and hours law. Co-workers who worked in other departments observed how differently and better-run those departments were, resulting in better morale, but again, there was really no opportunity to address any of these issues. Speaking to another former employee (not a co-worker from my department), this person left because she felt, "They could treat their employees better than they do." Indeed. Pay was poor - established employees at Costco earn more - and most of the employees in my position had post-graduate degrees. The employee benefits were good - enough to keep me there for 4 years. Overall, job satisfaction would be greatly determined by the management in the particular department in which one was working. Just hope that you're lucky.
