-Leadership culture is toxic. Concerns are dismissed, reframed as “confusion” or “lack of professionalism,” and staff who advocate for PICs or coworkers are treated as the problem.
-Boundaries are disrespected. Staff are told “you can’t have boundaries,” even when the expectations are unsafe or unrealistic.
-No transparency. Decisions are made behind closed doors and handed down without input from the people who actually run shift. Supervisors are excluded from planning, then told to “bring it to the meeting” when the rollout inevitably fails.
-Constant contradictions. Different leads/managers give different instructions, leaving everyone scrambling. Nothing is ever in writing, so the same confusion repeats every shift.
-Workload is crushing. Supervisors are expected to run shift solo for hours at a time, while simultaneously covering line time, consults, breaks, interventions, admin tasks, and multiple modalities they were never trained on.
-Training is misrepresented. Leadership repeatedly claims “all supervisors are trained in all areas,” which is simply not true. Staff are thrown into tasks without preparation, and errors fall back on them.
-High turnover. None of this is sustainable. Good, passionate people leave, and leadership doesn’t seem to care until after the damage is done.
