registered nurse

order picker

nursing assistant

health screener

patient access coordinator

Baptist Health System KY & IN

Having only worked here 4 months, I have come to the conclusion that sometimes when our dreams come true, they're not always what we had hoped. Baptist Health was my end goal, the ultimate, the dream. Within starting my first day on the floor, I knew I had made a mistake in the position I chose. I take responsibility for that. What I don't take responsibility for is the actions of my co-workers and management.

My co-workers seem uninspired in their work, angry with each other, and unappreciated by the surgeons. I'm used to having a bad day from time to time, maybe even having a bad week or two. But this job was the first in terms of seeing some people NEVER smile. There are some people employed here who have never smiled in my time of 4 months. This negativity breeds throughout the unit, seeping into even the happiest of staff, not to mention patients whom deserve compassion and comfort in stressful times such as surgery. Why is attitude not talked about more in the surgical services unit at Baptist?

From what I have seen, which is only one side of a measly fly on the wall, favoritism among management with staff is rampant. I spoke openly about this and was met with a solemn "I have seen this for years and I don't know how to stop it." I was given the same answer when I asked why it seemed that some staff are exempt from rules that are to be followed by all. No reprehensions to be given for the rules that are so obviously broken.

Understanding my position as "the middle man" also came the burden of being the brunt of all the negativity that entered the OR. Trying desperately to understand the rules, both "written and unwritten", struggling to grasp the social rules, the very animalistic culture of the OR: they eat their young, or any new hires to the unit. It almost felt like a hazing sensation was happening amongst the newest staff, one of them being myself. Everyone talks about everyone. And I quickly learned I couldn't trust anyone. Not even my superiors.

I did my best to prepare myself mentally, physically, emotionally, and spiritually for this job. I did my best in forgiving those who hurt me, both knowingly and blindly. I did my best to learn and smile and laugh while telling myself to breathe deep and focus on what little positive energy I could find there. I stayed loyal to my employer until I felt so disrespected, uncomfortable, and uncared for that I finally mustered sending in my letter of resignation. The very environment of this job, not the job itself, caused me chronic stress, and I dreaded going to work every morning. I cried coming home from work. My life had been reduced to sleeping during the entire weekend because my week had been filled with a despondence that left me feeling ill. I feel confident and positive that my resignation was the best thing I could do for my mental, physical, emotional, and spiritual health.

What I wish and hope for now is that the surgical services unit undergo an extreme make-over. Someone must be willing to investigate where the source of the negativity is coming from, and attempt to spread goodness to all. Granted, it is not a one person job; I tried for 4 months. Everyone there must be on the same board to do good for others as well as themselves. It's easier than everyone thinks, or than everyone is assuming it to be. 

I've seen the goodness that the OR can hold. I wish I felt that goodness most of time I spent there. I believe, though, everyone has the capability of bringing their own light and goodness to their job; even if it's not what they had hoped.

....Baptist is the place for you. 

When you first apply and interview at Baptist everything will look and feel great. They really sell you on the place but as you start be aware of the red flags. On day 1 of general orientation some of the employees from leadership or HR will come off as rude to the point you think “do they even like their employees?” and you’ll chalk it up to the early morning or busy day. No, trust your instincts. They just need a body to get inside the doors. 

Baptist will act like they are all progressive with all these programs for nursing students, but outside of tuition reimbursement good luck getting any information about them.  This organization isn’t interested in growing good employees from within. Specifically targeting to get employees from other facilities by only giving certain roles more pay to meet numbers is their solution. 

Ancillary staff are treated rather poorly at Baptist. On one hand they hire in so many inexperienced staff with no patient care experience so I get why no one thinks they are capable of even the most basic of duties, but not all are like that and nothing is really done to curve that. I never felt bad about my role at other jobs until I came to Baptist. 

Communication is not very strong at Baptist. You’ll receive many text messages a day most days for staffing needs and plenty of emails about all their construction plans or any pastor emails or any mention of Baptist in the media, but information that will effect your duties and day to day job.....nope. So many times important information I would need to do my job duties was passed along through people, a random memo hung in the bathroom or one or two various walls. 

Baptist also has an issue with small equipment. They can build these huge explanations to the structure of the facility, but having enough thermometers, SCD pumps, or working telemetry packs is a struggle. Basic supplies like thermometer probes or a variety of blood pressure cuffs sizes are daily battles. 

Should there be an issue and you’re told their is a “policy” but if it can’t be produced, this is probably a lie until they can make one. I was told once their was a policy for an issue I brought to my manager, whom was unable to produce for me, only to send out an email a short time later asking for input to create this policy. Seriously!!!

It’s a hospital and you’ll meet some great patients and coworkers, because some people do want help and some people do care and want to provide great care and do great work, but you’ll also find that at any other healthcare facility as well.  

Identified process improvements in the day-to-day functioning of the department. Continually improved knowledge, skills and performance based on feedback and self-identified professional developmental needs. Led the planning and achievement of goals and objectives consistent with the agency mission and philosophy. Created annual goals, objectives and budget and made recommendations to reduce costs. Developed a system of staff communication that ensured proper implementation of plans and comprehensive customer care. Encouraged creative thinking, problem solving, and empowerment as part of the facility management group to improve morale and teamwork. Reviewed customer survey information to prioritize areas of improvement. Diligently monitored the Quality Assurance program to improve performance. Achieved high staff morale and retention (100%) through effective communication, prompt problem resolution, proactive supervisory practices and facilitating a proactive work environment. Collaborated with department managers to correct problems and improve services. Supervised and managed the daily activities of a team consisting of seven providers and fifteen support staff at twp separate locations. Organized and led monthly personnel meetings with fifteen team members. Developed and managed budget and revenue expectations while actively seeking ways to eliminate or reduce expenses. Introduced, negotiated and implemented new projects to expand scope of engagement. Served as liaison between management, clinical staff and the community. Expertly planned, coordinated, organized and directed all operations of the department.

Supervises activities and personnel in Emergency Department Registration, Insurance Verification Representatives, Financial Counselors, and Medicare Coders.Timekeeper/Update and submit Payroll review, that may include additional calculations for "on call" , "call back", and monthly bonus incentives. Administrator to update securities or access to systems and payor websites for updates.Schedules for Monday-Friday positions and 24/7 schedules for Emergency Registration Department. Monitors and audits the accuracy of all information obtained by Registrars to enforce that all registration work flow processes are done properly. Responsible for providing good communication with other department Managers to keep positive work flow.Monitor front end collections, previous balance collections, financial charity applications, proper authorizations for services for designated areas and ensures that goals are being met.Promote collections and insist of attempt of collections payers that verify of copay/coinsurance/deductibles.
Hands-on with the registration process and help wherever the workload dictates. Responsible to keep staff informed of system, work flow changes and/or compliance issues through weekly Huddles.	Daily, weekly and monthly metrics. Submits reports of events in the Registration areas to the Director and Assistant Regional Director of Patient Financial Services. .Weekly Incident reports for Patient Access Team, resolution to our Department, forward to appropriate parties if not applicable to Patient Access
Order Supplies for all areas of Patient Access among 3-4 Vendor's depending what is needed (i.e. patient required forms , information brochures, and/or office supplies,

When an hourly low performance employee is best friends with a Supervisor of the same dept, it creates a real unpleasing hostile environment. This place is very strict about everything, you cannot talk to co-workers, and online/cell phone use is strictly prohibited, UNLESS you are the best friend of the supervisor. Then you are allowed to take one hour breaks, vs the 30 minute breaks other employees are very strictly limited to, peruse Facebook at leisure, pay bills online, shop on line, and take and make unlimited personal phone calls.

Management here is poor, and very uncaring. You and your family are never taken into consideration. Attendance is ran on a point system. So if u have young kids, you won't make it here-UNLESS of course you are the supervisors best friend. The training here also consists of, here's where you sit, call if u need help. However the team lead in my department goes out of their way to not help you. Other employees comment that no one gets trained there properly, and you have to train yourself. But don't ask a co-worker for help, you'll get an email telling you to not talk to people.

Someone last week, clocked out 7 seconds early. This was an honest mistake because the staffer we clock in and out on is not in sync with pc's time (which we have told management about over a year ago). The Employee received a point for this problem. They would not fix their time out, and issued them a point.

People here work with their heads down, and never smile or speak. We are told not to get up from our cubicles through the day. Only at the end of shift to get or make copies, and send faxes. People here are also always sick. ALWAYS.

If there is an exceptional amount of traffic on an expressway on your way in, and you get held up. You will get a point.

The patients I deal with on a day-to-day basis are the only way I contain my sanity. This place has become harder to work in. I am a TRN on nights and we have no staffing whatsoever. So the work load becomes insanely difficult when busy. I get no breaks and am hassled even when I am working my hardest. A cost of living adjustment was received and was barely $.45. Gas has gone up and so has social security and taxes. We need another adjustment for that. It's like I never even received a raise. The rest of the staff is literally hired by monkeys. To be honest, people are illiterate and communication is terrible. I have to correct many mistakes of other departments and when that occurs it sets me back. It is really underpaid. I worked at Baptist for the friendly environment and patients seem to like it. But for what it pays, you can keep looking and assure yourself you will make more. I thought being one of the best here would at least cause my hourly wage to increase but instead management does not care at all. They do not care about you. It is a hospital. PATIENT CARE. The staff does not care and always feel overwhelmed. Why? Put yourself in your patients shoes for once. Nobody has a heart these days and I wish people would get audited and fired. I also wish they would hire people with a brain. I can not stand being used in my department and mistreated especially for the hard work I do daily, especially by myself. Times are getting hard, and working here makes it harder. Tough decision to make to stay at something I am good at doing where at least I know I make a difference in a patients life; or suffer in the long run till I get my degree in something I love. Know what you do before you do it.

I’ve worked here for several years, and, in my initial unit, I felt purposeful and happy. It helped me get through my undergraduate career, but, eventually, the pay just wasn’t enough to sustain living in the city. In the new position I took, the pay was slightly higher, and the benefits offered are very good (albeit take most of your paycheck). But in the new position, I lost my meaning and desire to work in the department because of how toxic and unpleasant my coworkers were. So many people at the hospital have a sense of entitlement, and it makes me question why certain people entered the medical field in the first place. 
I don’t feel appreciated as a person at this hospital - we don’t receive bonuses based on performance - we all get the same raise - and it is abysmal. It really makes one question why we try so hard in the first place for a hospital that can’t even pay us a livable wage (one that keeps up with the rate of inflation)! 
There is no room to grow in positions here - it is incredibly stagnant. The people in leadership positions hardly show their faces and interact with the people working here - in turn, not listening to any concerns we have about how little respect, pay, and enjoyment we have in our jobs. 
When people ask why we stay, it’s for the patients. That is why a lot of us, like myself, wanted to go into the medical field - to make change. However, with this hospital, there is no change that benefits the employees… unless you are in the leadership roles that receive a performance bonus every single year. 
There are many things I’ve loved about working here - I’ve made quite a few long-time friends, but, unfortunately, making friends doesn’t help pay for me to get groceries every month. 

As a staff RN the typical shift was 12 hours of rapid paced patient care with multiple admissions and discharges. Customer centered care with an emphasis on accuracy and thoroughness is the focus. Learning was a constant with frequent new medications, equipment, standards and computerization. Classes in issues such as Code 300's, Meaningful Use Data, Customer Service, and New Equipment were frequently offered with schedules designed to allow attendence by all personnel of any shift. 
Coworkers were nurses, nursing assistants (the backbone of any med/surg unit), physical therapists, unit secretaries and discharge planners were all a part of the team working toward the same goal. Highest quality of patient care we could produce.  While nurses rarely all approached care in the same manner, we respected each other and managed to accomodate all styles.
The hardest part of the job was nursing administration's frequent changes to the scope of responsibility for RN's. Incorporation of many additions to documentation requirements while maintaining the focus on the patient was more challenging it seemed every day. In our quickly changing environment I realize the necessity but it seemed a necessary evil at times.
The most enjoyable part of the job was, without a doubt, watching patients improve every day! I loved knowing I helped a patient get their pain under control, improve movement to the point of requiring little assist instead of max assist because of the combined efforts of physical therapists, nursing assistants, and nurses.

:  A typical day at work is you clock in get logged into your computer and get everything ready to start coding. You have to make sure to get all your reports open so you can fill them in through out the day because you don’t have enough to do as it is. You work your claim Que’s first this claims that were sent through the day or two before and were kicked out for some reason. You have to look at the reason, then throw it out the door because it’s normally wrong. Insurance will kick it back to us saying it’s bundled with another date, when the problem is the the diagnosis have to be in a certain order and another diagnosis has to be added. Hopefully this Que won’t take you too long. Then you go on to your regular Que and work in DATE order. Heaven forbid you have a question because it will take a miracle to get it answered. You have work productivity of at least 85 if your specialty 125 if your not. If your lucky you’ll learn something new each day or maybe you will teach someone else something new. 
:   Management/Supervisor had a bad problem of not communicating with the department as a whole. 
:    If you work in a small space with lots of co-workers; learn to get along. Life is short
:    My favorite part was working on the floor with the Doctor’s. They needed me more. Because they had access to me they were more in tune to stop in my office. Or stop me in the hall. We worked as a team as a family! I learned more working with them then stuffed away way across campus.

A typical day in the ER is difficult to explain because circumstances are always changing. Typical things I would do on a daily basis would be, admitting patients to the hospital from the emergency department, assisting in transfers to other hospitals, faxing follow-ups for discharged patients, maintaining a good flow of communication between the ER and other departments.
One of the most important things I have learned since being in the emergency department is team work. Every employee in the ER is important and without every member of that team, things can get extremely hectic. The ER is like a well-oiled machine, without the smaller parts (for example, my particular job) some things could fall apart very quickly.
My management and coworkers are very talented individuals and they are some of the most intelligent people I have ever been around. They aren't just my coworkers or my managers, they have become my very good friends.
The hardest part of my job would be dealing with the everyday stress the ER has to offer. We have critical patients come in every night and it's our job to make sure they receive the best care we can provide. 
The most enjoyable part of my job is when a patient's family comes to us and thanks us for all the hard work we have done making sure their family member is well. It really is a comforting feeling knowing you made a difference in that particular person's life.

Top Job Titles	Average Salary
Registered nurse 15 salaries reported	$36.40 per hour
Order picker 10 salaries reported	$27.75 per hour
Nursing assistant 7 salaries reported	$20.78 per hour
Health screener 10 salaries reported	$22.60 per hour
Patient access coordinator 3 salaries reported	$20.21 per hour

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