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AdventHealth Corporate

I am almost 50. I have been traveling nurse/Seasonal nurse for quite sometime now, probably have taken over 30 different contracts at different hospitals around the country. I have NEVER worked for a hospital as horrible as this one. I love my job. I love my patients and my co-workers. But honestly, everyday I work here is a struggle. I dread going into work everyday here. We constantly are understaffed and overworked. We get slammed with max patient loads every shift. If you don't stand up for yourself, they will walk all over you. Constantly asking for more, more, more with providing you with less and less resources. The turnover rate for nurses here is incredible. NO ONE wants to stay here because they abuse their nurses so much!! As a Med Surg nurse expect to take 7-8 patients sometimes with 1 tech for 20+ beds or more. Sometimes you'll arrive and only have 4 patients, but rest assured they will send up 4 admits to you back to back to back. You want a charge nurse? You might get lucky if you work on the normal floors but if you end up working on their 4 south floor one day, you can forget that. This is their "overflow" floor....or at least it used to be. It is always in play these days. Yet, they still take resources from it like its not. If they have 3 techs for 30 patients, and they need another one for another floor...they will take 1 from here....or two. If they need a nurse elsewhere, they will take from here. Leaving the other staff to pickup the patients/work. No charge nurse, limited help from the aides because they are responsible for 15+ patients...they never have time to help you. Like I said, half the time there isn't even a charge RN up there...and if there is, you can bet she has her own patient load. Supplies? Hahahaha...they don't even restock their supply room. You're running to other floors to get things.

If you're a PCU nurse, you normally would take 5 patients and thats it. Not on 4 south. Youll take 5 PCU patients and still be open for 2-3 Med Surg as well! All PCU patients have to wear telemetry...however, there is no monitor visible on the floor. You have to rely on a different floor to monitor your rhythms for you....even being responsible for patients on cardizem drips in Afib. Had a patient the other day who was on a cardizem drip...found out she had converted around 12....no one called me. I called at 5 to check on her rhythm in prep for shift change only to find out shes been in sinus rhythm for 5 hours. Brilliant. This is just ONE example of this hospital. Their ortho floor is just as crazy. The management just doesn't care about you at all. CONSTANT problems with paychecks. They offer bonuses to come in and work overtime because their so short. Sounds like a good deal right? Wrong. Plan on calling at least 10 times....visiting your supervisor...visiting timekeeping 5 times and more just to get it. Every. Single. Time. You have to fight fight fight for your paycheck. If you are a contract nurse, they literally STOP paying you at 715 (am/pm) (15 minutes after your supposed end of shift...even though we all know report runs over, busy shifts happen quite often and charting needs to be done, no one EVER gets out on time). If you clock out at 8pm/am...they literally WILL NOT pay you for that extra 45 minutes. They will show you stopped working at 715. HOW IS THIS LEGAL YOU ASK? I DONT KNOW. BUT THEY GET AWAY WITH IT! If you can justify your overtime, you can visit the nursing administrators office to get a "Overtime justification form" and fill it out. If you think your reason is "justified" they consider paying you. Again....plan on calling over and over and over asking about it, because it sure as heck isnt going to show up on your check the first time.

The people that really suffer though our the poor patients. They are the ones who always suffer in the end. :(. It's so sad. I love my patients to death and just want to help them heal...but half the time i don't have the resources to do anything other than make sure their alive at the end of the shift. That is considered a successful shift...if the patient is still alive at the end...how sad is that?

PLEASE BE AWARE OF WHAT YOU ARE GETTING YOURSELF INTO. I wish someone had warned me.

I was very excited to join a faith-based institution, hoping to work in an environment that reflected those values. Unfortunately, my excitement quickly disappeared as soon as I was placed at this lNew Smyrna Beach,FL location.

Caring for patients was the most rewarding part of the job. I took pride in supporting them and doing my best each day. However, that meaningful work was consistently overshadowed by a toxic and unsupportive environment at the New Smyrna Beach Primary Network Group.

The focus was heavily on quantity over quality. Staff were under constant pressure to book and rush appointments to meet volume targets, often at the expense of proper care. The priority was clearly numbers—not people. Due to lack of adequate support and chronic short staffing, patient response times were alarmingly delayed, putting care at risk.

AdventHealth promotes benefits that “start from day one,” but this is misleading. While health insurance is technically available immediately, all paid time off—including sick leave, vacation, and even holidays like Christmas or Easter—must be accrued. This is especially disappointing coming from a faith-based organization.

Leadership lacked genuine empathy and professionalism. Staff were often overworked, overwhelmed, and undervalued. Bullying by management was routine, and even calling out sick with a doctor’s note could result in threats of termination. HR offered minimal support, and basic working conditions—such as clean floors and functional chairs—were neglected until repeated complaints forced minor improvements.

Management was largely disengaged from daily challenges. Short staffing didn’t mean managers stepped in to help; rather, they tended to observe passively or focus on personal tasks. While managers appeared to care, this mostly translated into reporting activities upward rather than providing real support on the floor.

Favoritism and gossip were common, with promotions based more on popularity than qualifications or performance. Communication was poor, and turnover was high—nearly 25 employees, including providers, left or transferred within two years. Many more are looking into leaving.Even approved transfers were sometimes delayed to maintain staffing levels.

Final Thoughts:
While caring for patients was deeply fulfilling, the overall lack of leadership, support, and respect made this a demoralizing experience. The values publicly promoted by AdventHealth are not reflected here. This location’s practices are putting patient care at risk and need serious evaluation. Unless significant improvements are made, I cannot recommend working here.

I worked at this location for several years before i had to leave due to chronic stress. The hospital overall has a huge management problem. There is a huge turnover rate in almost every department because the morale is low. I think most employees feel that the administration does not care about them. People tend to be very micro managed. There are lots of jaded employees that have worked at this hospital for 10-20 years who will fight change at every opportunity. I have never worked at a hospital that had so many NEW GRADS - mostly the nursing staff. This, in and of itself is not a bad thing, but with so many new nurses around patient care can suffer. There are many codes that could have been prevented had the nurses been more experienced  (again, not faulting them directly) and sure of their assessment skills. Many, many employees complain of a lack of decent orientation and training, especially coming right out of school.

In the Respiratory department, there is a definite "clique" and almost a high school mentality. If they feel threatened by you or just dislike your personality they will ice you out and give you the most horrible assignments day in and day out. If you call with a question on a patient or because you need help with patient care, you will be told that everyone is busy. Sometimes the lead will not even answer their phone. It is very demoralizing to have to work with such petty people. The leads want you to constantly "prove youself" and when you have met the expectations, they raise the bar yet higher. It was like jumping through hoops to get any additional training on procedures I was interested in learning. 

The RT's actually have a lot of autonomy in the ICU and ER. There are many respiratory driven protocols in place....but the downside to this is that a lot of the protocols are based on very old evidence based practices that seem archaiac. The RT's are very reluctant to change anything that they deem "ain't broke" so to speak. Many of the hospitalists are the same way. So if you are expecting to be able to use "novel" vent settings or weaning modes, forget it. Everyone gets SIMV or PRVC and "tolerates" it.

The RT department utilizes a lot of travelers because they are chronically understaffed. I was there for 2 years and I don't think we had a full day shift or night shift the entire time I was there. 

This would be a job that I wouldn't suggest an RT stay at long term unless you dislike trying new things or thinking outside of the box. Since I have moved on to a bigger trauma hospital that keeps up to date with the most recent EBP's, I can now see how poor the quality of patient care is at this hospital. It is honestly scary there aren't more sentinel events. I recommend getting your own liability/malpractice insurance for this place.

I’ve worked here a collective of 13 years and this past year has by far been the hardest. It depends on the team you’re on as far as the leadership dynamics and culture you’ll experience. 

My education and several years of experience are irrelevant here as no one cares what you know or what you can contribute to the team. Leadership often asks for feedback but will quickly shut you down when you speak up. In other words, you have to be a “yes” person and just do as they ask of you so you don’t have any problems. No one stands over me telling me what to do but the work distribution is highly micromanaged yet disorganized and chaotic.  If I ask questions, the typical response is that “we already went over this” or “follow your instructions”.  I was also told on a team call when we’re discussing taking on a lot of new tasks that “you can’t take the easy way out by asking questions” which I hardly ever do but when learning new job responsibilities, occasional questions come with the territory. The team members I work with, no doubt, are hard workers but barely anyone talks. I’ve never worked on such a quiet team. It seems like everyone is afraid of speaking up. I spoke up about not receiving enough training on a new task and it was such a huge mistake because I was gas-lit and ridiculed no matter what I said. New tasks are piled on constantly with only a crash course on how to do them. It’s extremely difficult is all I can say. Management is tone-deaf. The leaders I work under are salary and they work around the clock and on the weekends overloaded with tasks so I don’t think they’re too aware of how ineffective they’re really being as leaders.

I have worked on other teams in the past that were far more collaborative with leadership and other team members. Changes in the workflow were made based on team feedback so we could work more effectively and productively because our input mattered. That is just not what I am currently experiencing.

As far as working in Revenue Cycle, Patient Access, and Patient Financial Services, there’s a lot to learn and AH is probably a very good place to work if any of that is your passion. Just keep in mind, it’s a culture of submission and you really won’t do too well if you’re outspoken and not a “yes” person. Also, you’ll especially go far if you’re already part of the Adventist faith culture. You’re often reminded of how lucky you are to be there and to serve the Adventist mission. 

The pay isn’t very good and the benefits package is only decent if you make enough money to afford deductibles which can be challenging. I’d expect better in the healthcare field. 

Ability to complete a project as a part of a team to accomplish a goal.
Participate in internal audits on compliance with directives, policies, and procedures.
Experience in customer service.
Ability to answer questions clearly and concisely.
Interact and communicate effectively with people of different backgrounds.
Ability to navigate efficiently through the paper and electronic medical record to find needed information.Skill in interpreting and adapting health information guidelines that are not completely applicable to the work or have gaps in specificity and ability to use judgment in completing assignments with incomplete or inadequate guidelines. 
If assigned to medical records analysis, ability to judge whether medical records contain sufficient information for regulatory requirements; are acceptable as legal documents; are adequate for continuity of patient care; and support education and research needs. This includes the ability to take appropriate actions if medical record contents are not adequate; accurate, timely and/or reliable.
Ability to apply laws and regulations on the confidentiality of health information (e.g. Privacy Act, Freedom of Information Act, Health Insurance Portability and Accountability Act (HIPAA). 
Comprehensive knowledge of classification systems, such as current versions of International Classification of Disease (ICD), Current Procedural Technology (CPT), the Systematized Nomenclature of Medicine (SNOMED) or Healthcare Common Procedure Coding System (HCPCS), and skill in applying coding knowledge.
Schedule patients for treatment; process patient demographic data into the automated or manual system; identify correct patient data errors; provide patients with required paperwork for treatment; review all paperwork to ensure accuracy of information; annotate patient records and maintain a variety of information files; and will perform work related to the position, as assigned, such as working with patients to complete Release of Information (ROI) forms to pass to ROI team for further action.
Interact with both internal and external customers; establish and maintain medical outpatient and in-patient charts as well as administrative records; verify third party insurance and update information.

I came from a top rated hospital up north to here and let me tell you I was never more scared in my nursing career of losing my license then during my two year contract with this company.  To start they run understaffed all the time. Theres a reason why they cant keep nurses and the big one is because of the doctors. The doctors will burn you out real quick. I had to constantly deal with nurses putting in wrong orders because the doctors think your their personal assistants and will belittle you for telling them they need to put their own orders in. The doctors themselves dont pay attention to what their telling you to put in and the medications are always wrong in some way and then they put the blame on you. Instead of focusing on the patients you constantly have to babysit the doctors. I've personally have had it happen to me and have seen it countless time happen to other nurses. Management dont have a clue how to run this place. It needs to be unionized and I for one have never worked for a union hospital but this is a case in which one is needed. A good day is when you have four nurses and a charge and get out by 830. Everyone calls off all the time and when you finally have a full staff they float you to other areas because they cant keep enough staff. They complain about overtime and over spending but throw lavish Christmas parties with fake snow and cater out steaks and  garbage gifts to try and make you feel like their actually doing good. Personally if you have a business thats in the red and cant keep staff you definitely don't need fancy Christmas parties. I could write a book on this place but ill leave it at this. Stay away the health insurance is ridiculous you'd be better with obama care. Never had to file appeals to get a emergency surgery covered for my husband that he needed  or he would have lost his arm. They have their own health insurance so you must see their doctors and after the things I saw there you wouldn't trust your own family to be touched by the doctors. The good doctors won't take that insurance because it's so bad. If you consider yourself a good nurse dont apply here.

When all of the old management were fired and new management came in, we were all on the fence about the changes that would be made or if anything would change at all. Long story short, its the same scenario, different management. Hours are 6:30-6:30. Work days include two and a half days on (6 hour shift on Wednesday), two and a half days off. Weekends are rotated. If you are enrolled into school, it would be impossible for management to work around your schedule. If you have kids, it's tough barely seeing them for almost 3 days. The work environment is absolutely terrible. There are 4 dietary aides feeding the entire hospital. Each aide is assigned to a unit that carries up to 32 patients. You are responsible for each patient as in: visiting their room to take their food order (which sucks and takes forever), building their trays on the tray line, passing their trays (most of the time all of them by yourself), and collecting their trays when they are done eating. You will do this 3 times a day and will easily accumulate more than 15,000 steps a day. You are still expected to do side work which includes: rolling silverware, making iced tea, stocking the refrigerators, and lining the trays before each meal. Not to mention, you are responsible for a lot of paperwork. All tickets in which the patient orders are taken on are hand written. They must be checked and updated about 4 times throughout the day. This aspect is very time consuming and very easy to make mistakes. The job is physically and emotionally exhausting. Management aren't 100% aware of how hard and exhausting the job is. You are expected to run around all day like a chicken. The cooks are rude. Nurses OFTEN forget to update diet orders so you spend a lot of time running downstairs to bring up extra trays. There is very little support.  A lot of people apply for this job thinking that it is easy and that they can get away with doing minimal work. I have seen many people come and go within months because they simply can not handle this job. Often times the teams are short and you are stuck doing double work. It's very hard to clock out on time. The best way to describe this job is a modern day slave.

Hired for supervisor of Clinic at Porter Hospital.My first couple of weeks in file room faxing ,putting charts putting them away,  Porter Hospital does not have electronic medical records in they clinics everything is paper, After Centura health owning 16 hospital they should get with the future, almost everywhere they is electronic  medical records even in Doctors  offices have them. I was not training for any supervisor  functions. I did not have a office or desk which I share with my co-workers. I was sitting at front desk scheduling patients, checking them in and out collecting co-payments. If I knew this job functions I would of not took this job. I do not mind helping out but I was doing this 70 percent of the time. Then Porter has outsource billing Company which there are three or four months behind in billing claims. You have to make copies and fax, scan all the charges for each day to the billing company. Plus Provider Dications you get my e-mail makes copy pull the charts so the Doctors can sign them, then fax over to four or five Doctors put them in the charts. Then you spend half the day looking for charts running around the clinics. I was working long hours no breaks, short lunch since I was Exempt employee no over time, no compensation 
My staff was horrible, very unhappy, complaining back stabbing, run to my manager for everything I said or did. Lack of communication, no respect for me. This is one of the worse places I ever had work for.
My manager was suppose to train me never happen, she said she did. I complain to HR department they were unless, no help from them, they were from my manager.I have been a manager in health field for more than 15 years and never seen short of staff, no communication,unorganzied place in my life.
My advice stay far away from this place.If there wanted a front desk person they should hire one they need it, not supervisor  salary is low paying, Got pay a lot more at former employers which my manager told me I got paid very well, not true especially if you have Bachelors degree. 
.

As you can tell by my resume, I worked in several areas as an RN.  I will tell you about a typical day as a Nursing Supervisor.  I would get report from the previous supervisor and go over staffing for my shift and the next shift.  We would discuss the highlights on the nursing units, not each individual patient.  When report was done, I would reassess staffing for the next shift to see where the holes were.  I would then make rounds on the nursing units to see if there were any issues such as unstable patients, and then go see the patient for an assessment.  I would assess with the RN if the doctor should be notified.  If the unit had a difficult IV start, which they were unable to start, I would start the line.  If the staff had issues with supplies or equipment for the patients I would educate them.  I would schedule emergent OR and cath lab and call in O/C staff.
If a unit was having a busy shift, I would try to get them extra staff, as long as the budget would allow.  If there was no available staff, I would talk to the charge RN and see where I would be able to help out.  At the end of the shift, I would do an administrative report which goes to administration, managers and directors.  If there were any big issues on a unit, I would call the manager or leave an e-mail, so they were informed what happened on the off shift.

The nursing supervisor staff were great team players.  There were only 6 of us to cover 3p-11p, 11p-7a, week-ends and holidays.  If one of us called in sick, we would fill in the call-in however we could , (ex. 2,4,6 hour shift), due to limited number of supervisors.

The most difficult part of the job was staffing.  Just as soon as you think you had enough staff, someone would call-in or not show up for a shift.  If there was noone to fill the shift, I would call the manager for their input to fill the hole.

The most enjoyable part of the job was the self satisfaction of knowing that you did the best you could do with the resources you had.

The night before, I did a mental assessment of where I was concerning the deadlines, and that prioritized the importance of the tasks that I had to do the following day.   Upon arrival, I checked the outlook to see if the  priorities of the MDS department were similar to my own, always checking the due dates, and proceeded to do my assessments (Significant Change of Conditions, Annuals and Quarterlies), MDS, CAAs, and care plans.  Also I participated in Care Plans, nearly daily, and NAR meetings once a week.  Worked in QA, keeping current the weight list, the NAR (residents at risk: new resident on Dialysis or with feeding tube, weight loss, wide weight fluctuations, underweight, with decreased intake, and with pressure sores) spreadsheet, and gathering data for the monthly QA meeting for feeding tube, Dialysis, weight loss.  I learned Legacy and later Vision systems with the MDS department.  My immediate boss was the CDM, with whom I interacted daily.  The last administrator really never interacted with me in the period that I was there.  The other administrators were cordial, friendly, and responsive, especially the very first administrator there.  I just loved my work place, I made many friends with coworkers in the various departments, like a big family!  Working as a team was the most enjoyable part of the job!  I really miss them!  The hardest part of the job was ensuring that the dead lines were been met day by day, even when we had multiple admissions in that period.  My dietitian did all Initials and the care plans for the Initials, but I still did the CAAs and the care plan updates.

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