Expensive health insurance, grossly understaffed ICU department--usually only 2-3 technicians and/or assistants on staff at all times with 12+ in-hospital patients plus incomings, management plays favorites, when you go to management to try to rectify problems with people not doing their jobs to the fullest, the responsibility pretty much just becomes yours to do that person's job plus your own, horrible review process (I have worked there 3 years and have had one review--which went terribly, due to the people making it having personal issues instead of concrete issues--and a promise of another that has never come), lack of pay raises for good employees (I work with a girl who has 10 years of experience in the field and is the lowest paid employee at the practice, including reception, but has only received a miniscule raise in the last 2 years), lack of proper job placement (everybody new gets put in ICU, even though that is the most difficult place to work--we have lost probably about 5 good employees that could've done a great job in a different department but couldn't handle the understaffed nature of ICU and everyone's grouchy attitude about it), paying higher-paid employees to come in to fill in on the weekends in ICU when they are understaffed (which is always, so this happens pretty much every weekend) because they are usually the better employees and are "easier" to have come in, not disciplining employees who have obvious problems (we have a girl who works at our practice who has missed 50% of her shifts this past year and nothing ever gets done about it; they just keep calling in the same people to fill in for her shifts and get overtime), not appreciating the good employees--some of whom are considering moving on to another practice