Pros
Truly nice coworkers, kind of a small town thing. Direct supervisors (charge nurses) are pretty awesome as well. OK pay for the area. Nurses really try and do their best to render excellent patient care. They have a terrific new grad program and are linked in with the local junior college RN program, so all our green nurses are pretty good. There is a healthy culture of learning and being able to ask "dumb questions." Also nurses here don't eat their young, like at some places. I would recommend this as a generally good place to work.
Cons
You can't advance too high into management if you are not Seventh Day Adventist. Management does not really like "unit hoppers." If you have good ideas, but have been pegged as a "worker bee" good luck getting the leeway to implement your ideas or have them heard. The corporate office creates an "us and them" dynamic, that leads to top-down decisions being pushed through without any thought for the workers. There have been recent cuts in benefits disguised as "new choices." As with many med/surg RN jobs it seems thet each day its more charting, more charting, more charting, without regard to nurse workflow. Inbred long-term management. AHSR is the only game in town, so if you don't like it too bad. Staffing levels are sometimes whacked, leading to falls. There seems to be a blame the nurse, not the system attitude from management when there is a problem, which is opposite from what we learned in nursing school.