The expectations for different providers. Some work only a few days a week and are rarely expected to provide other coverage while others see the expected 90-100 patients a week and it’s expected that they provide a lot of extra coverage for providers who are off. Favorites. And to pick up an extra building really has no financial gain unless you’re getting a travel bonus that is usually not worth the wear and tear on your car. Or unless you’re seeing hundreds of extra patients a month for a very small, super heavily taxed bonus. No incentive for a single building but it’s very uncomfortable if you don’t agree. And if you have very well cared for buildings with great staff and your wounds are doing well, you don’t have a high level of sick patients with high acuity, you can be put on a performance improvement plan as you’re expected to have a certain percentage of debridements, skin substitute applications and highly billed visits. If not you will be under the microscope for what you’re doing wrong. And if you’re on an improvement plan you become ineligible for bonuses (which you won’t be informed of until you don’t receive it but will still be asked to pick up). Numbers are a main focus of the weekly meetings. Constant policy changes that only apply to some people and when you ask for clarification you may not receive a response at all, or a partial response. But you ARE required to sign that policy regardless. Inconsistency in training some who are also brand new leading to a blind leading leading the deaf. The core values and mission statements are great, but they don’t trickle down. Expected to keep the buildings happy, see everyone they request, big numbers - but they need to be high acuity, again, all about the numbers. You do have 6 holidays included but there are problems with getting just that single day off, you’ll just end up working the same amount and wasting those 8 hours.
