#1. Apathetic management/administration. The priorities are about patient metrics, not patient care. HR is a toxic department with many vindictive individuals.
#2. Most systems are either badly outdated technology or you rely on papers to submit crucial things like schedule changes and vacation requests. Staffing office is mostly incompetent and tends to lose papers on a regular basis.
#3. Pathetic benefits in comparison to competing hospitals. Retirement is sad, does not match, and no pension either. Healthcare costs way more than when I was hired and it’s not good insurance either. My out of pocket costs have dramatically increased.
#4. Little ancillary staff, and the ones that don’t call out sick tend to be rather lazy. The patients are usually not as sick as other places but there’s a lot of geriatric patients who need a few hands to do tasks. Other hospitals have a higher number and quality of staff to support you. I’ve seen many times where staff tries to warn managers about bed staff during their 90 day probation period only to be ignored and then these toxic people are impossible to get rid of.
#5. This has mostly been mentioned before but the patients of Marin County are very entitled and demanding. Management expects staff to provide concierge level medical care without the pay, benefits or systemic support needed for employees to thrive.