Insane workload for Techs at times in the ER and other departments.
It is virtually impossible to be proactive in your job. It's constant damage control mode.
If you're not an RN, there is virtually no career advancement. Paramedics and EMT's are not recognized as anything but glorified techs, and without acknowledgment of nationally licensed scope of practice that could be used to better the efficiency and customer wait times.
Patient Care and ER Techs, although absolutely essential to the patient care process, are not fairly compensated for the ever-expanding list of job duties they have to assimilate to. This is very closely related to the incomplete and outdated job description that HCA has for these positions. It would seem almost intentional that the job description is vague and not updated, in order to keep the salaries low for the Techs, and maintain the impression that these valuable employees are easily replaceable and not essential to the patient care process.